Sickle Cell Anemia Clinical Trial
Official title:
Phase I/II Study of Induction of Stable Mixed Chimerism After Bone Marrow Transplantation From HLA-Identical Donors in Children With Sickle Cell Disease
RATIONALE: Sickle cell disease is an inherited disorder in which abnormal, crescent-shaped
red blood cells interfere with the ability of the blood to carry oxygen through the body and
can cause severe pain, stroke, and organ damage. Bone marrow transplantation, is a procedure
in which the soft, sponge-like tissue in the center of bones producing white blood cells,
red blood cells, and platelets is replaced by bone marrow from a another person. Bone marrow
transplantation may be an effective treatment in relieving the symptoms of sickle cell
disease.
PURPOSE: Phase I/II trial to study the effectiveness of bone marrow transplantation in
treating children who have sickle cell disease.
PROTOCOL OUTLINE: This is a multicenter study. Patients undergo total body irradiation on
day 0, followed by allogeneic bone marrow transfusion. Patients also receive fludarabine IV
daily and cyclosporine IV twice a day on days -1 to 1. Patients then receive oral
cyclosporine on days 1-90, and oral mycophenolate mofetil twice a day on days 0-27.
Patients are followed for 100 days, monthly for 6 months and then annually for 2 years.
;
Primary Purpose: Treatment
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