Half-Matched stem cell transplants tested as a cure path for older aplastic anemia patients
NCT ID NCT07819812
First seen Sep 15, 2026 · Last updated Sep 16, 2026 · Updated 1 time
Summary
Researchers are testing a conditioning regimen built around thiotepa before a haploidentical, or half-matched, stem cell transplant in people aged 50 and older with severe aplastic anemia. The regimen also includes busulfan, fludarabine, anti-thymocyte globulin, and basiliximab, given in the days before transplant. The study tracks one-year transplant-related mortality as its main measure, along with how quickly new neutrophils and platelets appear. Ten participants will receive the treatment at a single center.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A conditioning regimen combining thiotepa, busulfan, fludarabine, anti-thymocyte globulin, and basiliximab given before a haploidentical stem cell transplant
- What this could lead to
- If it works, this could give older adults with severe aplastic anemia a safer path to a curative donor stem cell transplant, even when no fully matched donor is available.
- What could go wrong
- The study is small and single-center, so results may not hold up in larger or more varied groups. Conditioning before transplant carries real risks, including infection, organ toxicity, and graft-versus-host disease.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 10 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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50 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age 50 years or older. 2. Diagnosis of severe aplastic anemia or very severe aplastic anemia according to institutional diagnostic criteria. 3. Planned to undergo haploidentical hematopoietic stem cell transplantation with an eligible haploidentical donor. 4. Meets institutional performance status and cardiac, hepatic, renal, and pulmonary function requirements for transplantation. 5. Provides written informed consent. Exclusion Criteria: 1. Previous allogeneic hematopoietic stem cell transplantation. 2. Uncontrolled active infection at the time of enrollment or transplantation. 3. Known hypersensitivity to busulfan, fludarabine, thiotepa, basiliximab, or any relevant excipient. 4. Concurrent hematologic malignancy or another condition that, in the investigator's judgment, makes transplantation unsafe. 5. Pregnancy or breastfeeding. 6. Any serious uncontrolled medical, psychiatric, or social condition that could compromise protocol compliance or participant safety. \-
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Half-Matched stem cell transplant offers hope for children with blood disorders
- New transplant approach aims to tame bone marrow failure
- New hope for older adults with rare blood disorder: safer transplant regimen under study
- Can training transplant doctors in palliative care ease Patients' suffering?