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New drug combo aims to make bone marrow transplants safer for kids

NCT ID NCT02928991

First seen May 31, 2026 · Last updated Jun 23, 2026 · Updated 3 times

Summary

This pilot study tests a fludarabine-based drug regimen to prepare children with bone marrow failure syndromes for a bone marrow transplant from a matched sibling donor. The goal is to help the donor cells successfully take root while reducing serious side effects. The study includes 25 children up to age 22 with acquired aplastic anemia or inherited bone marrow failure.

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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

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104, 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

Fludarabine, cyclophosphamide, and thymoglobulin (conditioning drugs) followed by bone marrow transplant

What this could lead to

If successful, this approach could improve donor cell engraftment and reduce transplant-related complications for children with bone marrow failure.

What could go wrong

This is a very early pilot study with only 25 participants, so results may not apply broadly. Risks include graft failure, infection, and transplant-related mortality.

Conditions

The condition(s) this trial relates to.

acquired aplastic anemia autosomal recessive sideroblastic anemia Bone Marrow Failure Disorders bone marrow failure syndrome congenital amegakaryocytic thrombocytopenia congenital dyserythropoietic anemia Diamond-Blackfan anemia dyskeratosis congenita Fanconi anemia severe congenital neutropenia Shwachman-Diamond syndrome

As listed by the trial registrant

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