At a glance
ClinicalIndex Comparison Record- ✓Diagnosis of Fanconi anemia confirmed by mitomycin or diepoxybutane (DEB) chromosomal breakage testing
- ✓One of three hematologic diagnoses: severe aplastic anemia (SAA)/severe isolated single lineage cytopenia, myelodysplastic syndrome (MDS), or acute leukemia
- ✓Access to HLA-compatible unrelated donor (matched at all A, B, DRB1 loci or mismatched at 1/6 loci), OR HLA-mismatched related donor who is HLA-haplotype identical with normal DEB test, OR cord blood unit matched or mismatched at 1-2/6 loci
- ✓Karnofsky (adults) or Lansky (pediatric) performance scale >70%
- ✕Active CNS leukemic involvement
- ✕Pregnancy or breast-feeding
- ✕Active viral, bacterial, or fungal infection
- ✕Seropositive for HIV-I/II or HTLV-I/II
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Pilot Trial of Hematopoietic Stem Cell Transplantation for the Treatment of Patients With Fanconi Anemia Lacking a Genotypically Identical Donor, Using Total Body Irradiation, Cyclophosphamide and Fludarabine
In Brief
A clinical study evaluating Cyclophosphamide, Fludarabine, and 1 other intervention for Fanconi Anemia. Completed, enrolled 21 participants across 1 site.
Detailed Summary
The purpose of this research study is to: (1) determine if the combination of low dose total body irradiation, low dose cyclophosphamide and the addition of fludarabine, and a serum to suppress the immune system can allow selected stem cells to take and grow; (2) determine if selected stem cells from the blood or marrow can take and not cause graft-versus-host disease (GvHD), and; (3) evaluate the side effects of the combination of low dose radiation and chemotherapy drugs used for these transplants.
Study Details
Timeline
Interventions
Cyclophosphamide (10mg/kg/day x 4days)
Fludarabine (30mg/m\^2/day x 5 days)
TBI (450 cGY in a single fraction)