Stem Cell Transplant for Hemoglobinopathy
NCT00176852 · Status: COMPLETED · Phase: PHASE2/PHASE3 · Type: INTERVENTIONAL · Enrollment: 22
Last updated 2020-02-27
Summary
This study tests the clinical outcomes of one of two preparative regimens (determined by available donor source) in patients with non-malignant hemoglobinopathies. The researchers hypothesize that these regimens will have a positive effect on post transplant engraftment and the incidence of graft-versus-host-disease.
Regimen A2 has replaced Regimen A in this study. Two patients were treated on Regimen A but did not have evidence of initial engraftment thus triggering the stopping rule for that arm of this study.
Conditions
- Sickle Cell Disease
- Thalassemia
- Severe Congenital Neutropenia
- Diamond-Blackfan Anemia
- Shwachman-Diamond Syndrome
Interventions
- DRUG
-
Busulfan, Fludarabine, ATG, TLI
Busulfan 0.8 mg/kg/dose intravenous (IV) Days -8 and -7 Fludarabine 35 mg/m2 IV Days -6 through -2 Antithymocyte globulin (ATG) 30 mg/kg IV Days -2 and -1 Total lymphoid radiation 300 cGy
- DRUG
-
Busulfan, Cyclophosphamide, ATG, GCSF
Busulfan 0.8 mg/kg/dose intravenous (IV) Days -9 through -6 Cyclophosphamide 50 mg/kg IV Days -5 through -2 ATG 30 mg/kg IV Day -1 GCSF 5 mcg/kg/day IV until ANC \>2500 x 2 days.
- DRUG
-
Campath, Fludarabine, Cyclophosphamide
Receives Campath-1H 0.2 mg/kg Days -10 through -6, Fludarabine 35 mg/m2 intravenous (IV) Days -6 through -2, total body irradiation (TBI) 300 cGy Day -1.
- RADIATION
-
Total Body Irradiation
300 cGY Day -1
- PROCEDURE
-
Stem cell infusion
Given Day 0
Sponsors & Collaborators
-
National Marrow Donor Program
collaborator OTHER -
Masonic Cancer Center, University of Minnesota
lead OTHER
Principal Investigators
-
Angela Smith, MD · Masonic Cancer Center, University of Minnesota
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Max Age
- 50 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2002-06-30
- Primary Completion
- 2014-03-31
- Completion
- 2020-01-31
Countries
- United States
Study Locations
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