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New transplant cocktail aims to cut complications in bone marrow failure

NCT ID NCT04965597

First seen Nov 01, 2025 · Last updated Jun 23, 2026 · Updated 40 times

Summary

This phase 2 trial tested a combination of treosulfan, fludarabine, and rabbit antithymocyte globulin before a bone marrow transplant in 40 people with bone marrow failure diseases like Diamond-Blackfan anemia and Shwachman-Diamond syndrome. The goal was to see if this conditioning regimen could reduce severe complications such as graft-versus-host disease and transplant failure. The study has completed, and results will show whether this approach improves outcomes compared to standard treatments.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Locations

  • Boston Children's Hospital

    Boston, Massachusetts, 02115, United States

  • Children's Healthcare of Atlanta

    Atlanta, Georgia, 30329, United States

  • Children's Hospital Colorado

    Aurora, Colorado, 80045, United States

  • Children's Hospital Los Angeles

    Los Angeles, California, 90027, United States

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104, United States

  • Cincinnati Children's Hospital

    Cincinnati, Ohio, 45229, United States

  • Cohen Children's Hospital of NY

    Queens, New York, 11040, United States

  • Duke University Medical Center

    Durham, North Carolina, 27705, United States

  • Fred Hutch/University of Washington Cancer Consortium

    Seattle, Washington, 98109, United States

  • Johns Hopkins University

    Baltimore, Maryland, 21231, United States

  • MD Anderson Cancer Center

    Houston, Texas, 77030, United States

  • Medical College of Wisconsin/Children's Hospital of Wisconsin

    Milwaukee, Wisconsin, 53226, United States

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065, United States

  • Nationwide Children's Hospital

    Columbus, Ohio, 43205, United States

  • Oregon Health & Science University

    Portland, Oregon, 97239, United States

  • Primary Children's/University of Utah

    Salt Lake City, Utah, 84113, United States

  • Rady Children's Hospital/UCSD

    San Diego, California, 92123, United States

  • Roswell Park Comprehensive Cancer Center

    Buffalo, New York, 14203, United States

  • St. Louis Children's Hospital

    St Louis, Missouri, 63110, United States

  • Texas Children's Hospital

    Houston, Texas, 77030, United States

  • University of California San Francisco

    San Francisco, California, 94143, United States

  • University of Michigan Medical Center

    Ann Arbor, Michigan, 48109, United States

  • University of Minnesota

    Minneapolis, Minnesota, 55455, United States

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232, United States

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Treosulfan, fludarabine, rabbit antithymocyte globulin, tacrolimus, methotrexate

What this could lead to

If successful, this approach could reduce severe complications like graft-versus-host disease after bone marrow transplant for bone marrow failure diseases.

What could go wrong

This is a small, completed phase 2 trial with only 40 participants, so results may not apply to everyone. There are still risks of transplant failure, rejection, or serious side effects from the drugs.

Conditions

The condition(s) this trial relates to.

Anemia, Hypochromic Bone Marrow Failure Disorders bone marrow failure syndrome congenital amegakaryocytic thrombocytopenia congenital amegakaryocytic thrombocytopenia 1 Diamond-Blackfan anemia GATA2 deficiency with susceptibility to MDS/AML Hemoglobinuria, Paroxysmal inherited sideroblastic anemia paroxysmal nocturnal hemoglobinuria SAMD9-related spectrum and myeloid neoplasm risk SAMD9L-related spectrum and myeloid neoplasm risk Shwachman-Diamond syndrome

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.