Diamond Blackfan Anemia, Glanzmann Thrombasthenia, Non-Malignant Hematologic Disorders, Paroxysmal Nocturnal Hemoglobinuria, Severe Congenital Neutropenia, Shwachman-Diamond Syndrome, Sickle Cell Disease, Transfusion Dependent Alpha- or Beta- Thalassemia
Conditions
Keywords
Stem Cell Transplant
Brief summary
This is a study to collect the outcomes of stem cell transplantation for patients with hematologic diseases other than cancer.
Interventions
* Anti-thymocyte Globulin (ATG) * Fludarabine * Busulfan * Stem Cell Infusion Day 0
* Alemtuzumab * Cyclophosphamide * Fludarabine * Total Body Irradiation (TBI) * Stem Cell Infusion Day 0
* Alemtuzumab * Cyclophosphamide * Busulfan * Stem Cell Infusion Day 0
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of Sickle Cell Disease, Thalassemia, Diamond Blackfan Anemia or other non-malignant hematologic disorders for which a stem cell transplant is indicated * Acceptable stem cell source identified * Performance status of ≥ 70% (Karnofsky),or ≥ 70 (Lansky play score) * Creatinine \<2.0 mg/dl for adults or glomerular filtration rate \> 50 ml/min for children * Bilirubin, Aspartate Aminotransferase, Alkaline phosphatase \<5 times the upper limit of institutional normal * Absence of decompensated congestive heart failure, or uncontrolled arrhythmia and left ventricular ejection fraction \> 40%
Exclusion criteria
* active, uncontrolled infection * pregnant or breastfeeding * HIV positive
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of graft failure | 42 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| overall survival | 6 months, 1 and 2 years | — |
| disease free survival | 6 months, 1 and 2 years | patient no longer needing red blood cell transfusion and/or a hemoglobin S level at that of the donor ( sickle cell disease only) |
Countries
United States