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Fanconi AnemiaPhase 2NCT03579875

Alpha/Beta TCD HCT in Patients With Inherited BMF Disorders

A Phase 2 study testing Total Body Irradiation (TBI) (Plan 1), Cyclophosphamide (CY) (Plan 1) and Fludarabine (FLU) in people with Fanconi Anemia and Severe Aplastic Anemia, run by Masonic Cancer Center, University of Minnesota at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This is a phase II trial of T cell receptor alpha/beta depletion (α/β TCD) peripheral blood stem cell (PBSC) transplantation in patients with inherited bone marrow failure (BMF) disorders to eliminate the need for routine graft-versus-host disease (GVHD) immune suppression leading to earlier immune recovery and… Read more about this study

Who is it for?
Ages Up to 65 years
What is being tested?
Total Body Irradiation (TBI) (Plan 1), Cyclophosphamide (CY) (Plan 1) and Fludarabine (FLU)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
48 participants
Where
1 siteUnited States
Study dates
13 Nov 2018to 5 Jan 2029
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Up to 65 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • For FA patients:
  • Diagnosis of Fanconi anemia
  • Age <65 years of age
  • Has one of the following risk factors:
  • Severe aplastic anemia (SAA)
  • Myelodysplastic features
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  • High risk genotype
  • Immunodeficiency associated with history of recurrent infections
  • Karnofsky performance status ≥ 70% if ≥ 16 years of age or Lansky play score ≥ 50% for patients <16 years of age
  • Adequate pulmonary, cardiac and liver function
  • Voluntary written consent (minor assent if appropriate) prior to the performance of any study related procedures not part of standard medical care
  • For TBD patients:
  • Diagnosis of TBD
  • Age <70 years of age
  • Has one of the following risk factors:
  • Severe aplastic anemia (SAA)
  • Myelodysplastic features
  • Karnofsky performance status ≥ 70% if ≥ 16 years of age or Lansky play score
  • ≥ 50% for patients <16 years of age
  • Adequate pulmonary, cardiac and liver function
  • Voluntary written consent (minor assent if appropriate) prior to the performance of any study related procedures not part of standard medical care

Who cannot join

  • Pregnant or breastfeeding as the treatment used in this study are Pregnancy Category D. Females of childbearing potential must have a negative pregnancy test (serum or urine) within 14 days of study registration
  • Active, uncontrolled infection within 1 week prior to starting study therapy
  • Malignant solid tumor cancer within previous 2 years
  • Donor Selection (Inclusion Criteria): meets one of the following match criteria:
  • an HLA-A, B, DRB1 matched sibling donor (matched sibling)
  • an HLA-A, B, DRB1 matched related donor (other than sibling)
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  • a related donor mismatched at 1 HLA-A, B, C and DRB1 antigen
  • 7-8/8 HLA-A,B,C,DRB1 allele matched unrelated donor per current institutional guidelines Patients and donors are typed for HLA-A and B using serological or molecular techniques and for DRB1 using high resolution molecular typing. If a donor has been selected on the basis of HLA-A, B, C and DRB1 typing as above, preference will be made for donors matched at the HLA-C locus.
  • Body weight of at least 40 kilograms and at least 12 years of age
  • Willing and able to undergo mobilized peripheral blood apheresis
  • In general good health as determined by the medical provider
  • Adequate organ function defined as:
  • Hematologic: hemoglobin, WBC, platelet within 10% of upper and lower limit of normal range of test (gender based for hemoglobin)
  • Hepatic: ALT < 2 x upper limit of normal
  • Renal: serum creatinine < 1.8 mg/dl
  • Performance of a donor infectious disease screen panel including CMV Antibody, Hepatitis B Surface Antigen, Hepatitis B Core Antibody, Hepatitis C Antibody, HIV 1/2 Antibody, HTLVA 1/2 Antibody, Treponema, and Trypanosoma Cruzi (T. Cruzi) plus HBV, HCV, WNV, HIV by nucleic acid testing (NAT); and screening for evidence of and risks factors for infection with Zika virus, or per current standard institutional donor screen - must be negative for HIV and active hepatitis B
  • Not pregnant - females of childbearing potential must have a negative pregnancy test within 7 days of mobilization start
  • Voluntary written consent (parent/guardian and minor assent, if < 18 years) prior to the performance of any research related procedure

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Margaret MacMillan, MD, Msc, FRCPC contact

612-626-2961

macmi002@umn.edu

United States1 site, 1 recruiting
  • Masonic Cancer Center at University of Minnesota

    Minneapolis, Minnesota, 55455

    Lisa Burke, RN, 612-273-8482, lburke3@Fairview.org

    Recruiting

Other trials in United States

About this study

Official title: MT2017-17:T Cell Receptor Alpha/Beta T Cell Depleted Hematopoietic Cell Transplantation in Patients With Inherited Bone Marrow Failure (BMF) Disorders

This is a phase II trial of T cell receptor alpha/beta depletion (α/β TCD) peripheral blood stem cell (PBSC) transplantation in patients with inherited bone marrow failure (BMF) disorders to eliminate the need for routine graft-versus-host disease (GVHD) immune suppression leading to earlier immune recovery and potentially a reduction in the risk of severe infections after transplantation.

Being tested
Total Body Irradiation (TBI) (Plan 1), Cyclophosphamide (CY) (Plan 1), Fludarabine (FLU), Methylprednisolone (MP), Donor mobilized PBSC infusion
Medical subject headings
Fanconi Anemia, Anemia, Aplastic, Myelodysplastic Syndromes, Bone Marrow Failure Disorders, Dyskeratosis Congenita

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Total Body Irradiation (TBI) (Plan 1)Drug

    Also called TBI

    300 cGy with thymic shielding on day -6

  • Cyclophosphamide (CY) (Plan 1)Drug

    Also called CY

    10 mg/kg IV daily on days -5, -4, -3, and -2

  • Fludarabine (FLU)Drug

    Also called FLU

    35 mg/m2 IV daily on days -5, -4, -3, and -2

  • Methylprednisolone (MP)Drug

    Also called MP

    1 mg/kg IV q12h on days -5, -4, -3, -2, and -1

  • Donor mobilized PBSC infusionDevice

    Also called PBSC

    T cell receptor alpha/beta depletion (α/β TCD) peripheral blood stem cell (PBSC) transplantation on day 0

  • G-CSFDrug

    Initiate G-CSF 5mcg/kg per day IV on day +1 (continue until ANC >2.5 x 10^9/L for 3 consecutive days or single day ANC >3000 Arm 1 and Arm 3)

  • Cyclophosphamide (CY) (Plan 2)Drug

    Also called CY

    5 mg/kg IV daily on days -5, -4, -3, and -2

  • RituximabDrug

    200 mg/m2 IV once on day -1

  • BusulfanDrug

    Also called BU

    Busulfan 0.6 mg/kg if > 4 years old and/or >12 kg (0.8 mg/kg IV if ≤ 4 years old and/or ≤ 12 kg) is given IV over 2 hours every 12 hours for 2 days.

  • AlemtuzumabDrug

    Alemtuzumab 0.2 mg/kg is given IV over 2 hours daily for 5 days (total dose 1 mg/kg)

  • MelphalanDrug

    Also called MEL

    If available, MEL dosing will be model-based using Bayesian methodology. If Bayesian methodology is unavailable, MEL dosing will be weight-based: MEL 70 mg/m2 for patients ≥10 kg (2.35 mg/kg for patients <10 kg^) IV for one dose over 30 minutes.

  • RituximabDrug

    Rituximab will be given once on treatment plans 1-3 on day -1.

Study groups in NCT03579875
Study groupRoleWhat they receive
Treatment Plan 1: TBI 300 , CY, FLU, MP, Rituximab in patients with Fanconi AnemiaExperimentalGiven to: * Patients with an unrelated donor or HLA mismatched related donor, regardless of disease type OR * Patients with an HLA- identical sibling donor recipient and myelodysplastic features, MDS, or acute leukemia
Receives: Drug: Total Body Irradiation (TBI) (Plan 1); Drug: Cyclophosphamide (CY) (Plan 1); Drug: Fludarabine (FLU); Drug: Methylprednisolone (MP); Device: Donor mobilized PBSC infusion; Drug: G-CSF; Drug: Rituximab
Treatment Plan 2: CY, FLU, MP, Rituximab in patients with Fanconi AnemiaExperimentalGiven to: • An HLA-identical sibling donor recipients with single or multi- lineage hematopoietic failure
Receives: Drug: Fludarabine (FLU); Drug: Methylprednisolone (MP); Device: Donor mobilized PBSC infusion; Drug: G-CSF; Drug: Cyclophosphamide (CY) (Plan 2); Drug: Rituximab
Treatment Plan 3: BU, Cy, FLU, MP and Rituximab in patients with Fanconi AnemiaExperimentalGiven to: * Patients with an unrelated donor or HLA mismatched related donor, regardless of disease type who cannot tolerate TBI * Patients with an HLA- identical sibling donor recipient and myelodysplastic features, MDS, or acute leukemia who cannot tolerate TBI * Biallelic mutations in FANCD1/BRCA2 who cannot receive TBI * Per treating physician preference
Receives: Drug: Cyclophosphamide (CY) (Plan 1); Drug: Fludarabine (FLU); Drug: Methylprednisolone (MP); Drug: Rituximab; Drug: Busulfan
Treatment Plan 4: CY, FLU, and alemtuzumabExperimentalgiven to TBD patients with: * Bone marrow failure AND * Any donor type including haploidentical (4/8) to 8/8-HLA matched related donor, or 7-8/8 HLA-matched unrelated donor Based on historical numbers, it is expected approximately 3 patients would be treated per year. Statistical outcomes will be descriptive.
Receives: Drug: Cyclophosphamide (CY) (Plan 1); Drug: Fludarabine (FLU); Drug: Alemtuzumab
Treatment Plan 5: CY, FLU, melphalan (MEL), and alemtuzumab.Experimentalgiven to TBD patients with: * Early myelodysplastic features (with or without cytogenetic abnormalities) AND * Any donor type including haploidentical (4/8) to 8/8-HLA matched related donor, or 7-8/8 HLA-matched unrelated donor Based on historical numbers, it is expected approximately 2 patients would be treated per year. Statistical outcomes will be descriptive.
Receives: Drug: Cyclophosphamide (CY) (Plan 1); Drug: Fludarabine (FLU); Drug: Alemtuzumab; Drug: Melphalan

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Grade II-IV acute graft versus host disease (GVHD)

    incidence of grade II-IV acute graft versus host disease (GVHD)

    Measured: Day 100

Secondary outcomes (8)
  1. Neutrophil engraftment

    Rate of neutrophil engraftment (defined as the first of three consecutive days after HCT that the patient's absolute neutrophil counts is ≥ 0.5x109 per liter)

    Measured: Day 42

  2. Platelet engraftment

    Time to platelet engraftment (First of three consecutive days after HCT that the patient's platelet count ≥ 20x10^9 per liter)

    Measured: Day 42

  3. Acute graft versus host disease (aGVHD)

    Incidence of grade III-IV acute graft versus host disease

    Measured: Day 100

  4. Chronic graft versus host disease (cGVHD)

    Incidence of chronic graft versus host disease after transplant

    Measured: 1 Year after transplant

  5. Regimen related toxicity

    Incidence of regimen related toxicity based on CTCAE v5

    Measured: 30 Days after transplant

  6. Bacterial, viral and fungal infections

    Incidence of bacterial, viral and fungal infections

    Measured: 1 Year after transplant

  7. Opportunistic infections

    Incidence of opportunistic infections

    Measured: 100 Days after transplant

  8. Overall survival (OS)

    Incidence of overall survival

    Measured: 1 Year after transplant

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Jul 2018
  2. Study start13 Nov 2018
  3. Primary completion1 Jan 2027 (estimated)
  4. Study completion5 Jan 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
48 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03579875
Sponsor's protocol ID
2016LS161
Other IDs
MT2017-17
Status last verified
Jan 2026
First submitted
25 May 2018
Last updated
30 Jan 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Total Body Irradiation (TBI) (Plan 1), Cyclophosphamide (CY) (Plan 1) and Fludarabine (FLU) in people with Fanconi Anemia and Severe Aplastic Anemia, run by Masonic Cancer Center, University of Minnesota at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 21 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 30 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Margaret MacMillan, MD, Msc, FRCPC (612-626-2961, macmi002@umn.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Grade II-IV acute graft versus host disease (GVHD) (time frame: Day 100). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Jan 2026.

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