Allogeneic Stem Cell Transplantation for Patients with Severe Aplastic Anemia

Overview

About this study

For patients with severe aplastic anemia (SAA) who have failed to respond to immunosuppressive therapy and lack an HLA identical family member, our objectives are to make an initial assessment of the safety and efficacy of allogenic stem cell transplantation from either a matched unrelated donor or a mismatched reacted donor using the conditioning regimen of Cytoxan, reduced total body irradiation (TBI) and Campath IH. The principle measures of safety and efficacy will be :

Patient survival probability at 100 days, 1 year and 2 years.
Incidence of graft versus host disease (GVHD), as well as incidence of acute GVHD and chronic GVHD within 6 months and 2 years.
Engraftment at 6 months, 1 year and 2 years

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

Diagnosis of SAA based on bone marrow aspirate and biopsy results
Failure to respond to immunosuppressive therapy
Lack of an HLA identical family member
A 6/6 or 5/6 HLA matched unrelated donor or a 5/6 matched related donor available after high resolution typing

Exclusion Criteria:

Aplastic anemia and active infection must be treated to maximally resolve this problem before beginning the conditioning regimen
HIV seropositive
Clonal cytogenetic abnormalities or a myelodysplastic syndrome
Greater than 60 years of age
Pregnant or nursing
Active hepatitis
Severe cardiac dysfunction defined as shortening fraction <25%
Severe renal dysfunction defined as creatinine clearance < 40ml/mim/1.73m2
Severe pulmonary dysfunction with FEV1, FVC and DLCO 40% of predicted or 3 SD below normal

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location	Status
Rochester, Minn. Mayo Clinic principal investigator Shakila Khan, M.D.	Closed for enrollment

Mayo Clinic Location

Status

Rochester, Minn.

Mayo Clinic principal investigator

Shakila Khan, M.D.

Closed for enrollment

More information

Publications

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