At a glance
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Fludarabine-based Conditioning for Allogeneic Marrow Transplantation From HLA-compatible Unrelated Donors in Severe Aplastic Anemia (BMT CTN #0301)
In Brief
A Phase 2 clinical trial evaluating Fludarabine, Cyclophosphamide 150mg, and 2 other interventions for Anemia, Aplastic. Completed, enrolled 97 participants across 22 sites.
Detailed Summary
The purpose of the current study is to continue to optimize conditioning regimens in high-risk patients with severe aplastic anemia transplanted with marrow from HLA-compatible unrelated donors. Specifically, the study will determine whether the addition of fludarabine to the conditioning regimen previously described by Deeg et al. will permit a reduction in the CY dose, to a point where sustained hematopoietic engraftment and survival are maintained (or improved), while the frequency of major regimen-related toxicity (RRT) and early deaths is reduced.
Study Details
Timeline
Interventions
Doses of 30 mg/m\^2 IV will be given for no less than 30 minutes daily for 4 days (Days -5 to -2)
A total dose of 150 mg/kg will be given as 50 mg/kg per day for 3 days (Days -4, -3, -2)
A total dose of 100 mg/kg will be given as 50 mg/kg per day for 2 days (Days -3, -2)
A total dose of 50 mg/kg will be given once at 50 mg/kg per day on Day -2