Evidence map›Paper›PMID 25824692›Full record

Trial reportBlood2015

Alternative donor hematopoietic cell transplantation for Fanconi anemia.

Margaret L MacMillan, Todd E DeFor, Jo-Anne H Young, Kathryn E Dusenbery, Bruce R Blazar, Arne Slungaard, Heather Zierhut, Daniel J Weisdorf, John E Wagner

3 registry-linked trialsOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 52 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 3 pooled it
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00005898 phase1 / phase2completednot on this map

Phase I/II Study of Total Body Irradiation, Cyclophosphamide, and Fludarabine Followed by Alternate Donor Hematopoietic Cell Transplantation in Patients With Fanconi's Anemia

TypeinterventionalSponsorUniversity of MinnesotaRan2000Enrolled30ConditionsFanconi's AnemiaArmsanti-thymocyte globulin, cyclophosphamide, cyclosporine, filgrastim, fludarabine
NCT00167206 phase1 / phase2terminatednot on this map

A Study of Thymic Shielding in Recipients of Total Body Irradiation, Cyclophosphamide, and Fludarabine Followed by Alternate Donor Hematopoietic Stem Cell Transplantation in Patients With Fanconi Anemia

TypeinterventionalSponsorMasonic Cancer Center, University of MinnesotaRan2004 to 2008Enrolled16ConditionsFanconi AnemiaArmsHematopoietic Stem Cell Transplant, Thymic Shielding During Radiation, Total Body Irradiation, Cyclophosphamide, Fludarabine
NCT00352976 phase2 / phase3completednot on this map

Total Body Irradiation Dose De-escalation Study in Patients With Fanconi Anemia Undergoing Alternate Donor Hematopoietic Cell Transplantation

TypeinterventionalSponsorMasonic Cancer Center, University of MinnesotaRan2006 to 2020Enrolled83ConditionsFanconi AnemiaArmsCyclophosphamide, Fludarabine, Total Body Irradiation, Bone Marrow Transplantation, Mycophenolate Mofetil
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 3 syntheses or guidelines pooled it, 108 citations in OpenAlex.

  1. Pooled it
  2. Treatment of Fanconi Anemia-Associated Head and Neck Cancer: Opportunities to Improve Outcomes.Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Pooled it
  3. Guideline
  4. Comparable Outcomes after HLA-Matched Sibling and Alternative Donor Hematopoietic Cell Transplantation for Children with Fanconi Anemia and Severe Aplastic Anemia.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018
    Trial
  5. Trial
  6. Endocrinopathies, Bone Health, and Insulin Resistance in Patients with Fanconi Anemia after Hematopoietic Cell Transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2016
    Trial
  7. Article
  8. Review
  9. Tracking Cytopenias inmedRxiv : the preprint server for health sciences · 2025
    Article
  10. Article
  11. Article
  12. Observational
  13. Late Effects Following Hematopoietic Stem Cell Transplantation Among Childhood Transplant Survivors with Fanconi AnemiaTurkish journal of haematology : official journal of Turkish Society of Haematology · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Management of Fanconi anemia beyond childhood.Hematology. American Society of Hematology. Education Program · 2023
    Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Margaret L MacMillanBlood and Marrow Transplant Program, Department of Pediatrics.
Todd E DeForBlood and Marrow Transplant Program, Biostatistics and Informatics Core, Masonic Cancer Center.
Jo-Anne H YoungDepartment of Medicine.
Kathryn E DusenberyDepartment of Therapeutic Radiology, and.
Bruce R BlazarBlood and Marrow Transplant Program, Department of Pediatrics.
Arne SlungaardBlood and Marrow Transplant Program, Department of Medicine.
Heather ZierhutDepartment of Genetics, Cell Biology and Development, University of Minnesota, Minneapolis, MN.
Daniel J WeisdorfBlood and Marrow Transplant Program, Department of Medicine.
John E WagnerBlood and Marrow Transplant Program, Department of Pediatrics.
NHS Blood and Transplant · GBPediatrics and Genetics · USUniversity of Minnesota · US

Funding

Women's CancerP30CA077598 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Douglas Yee · 1998 to 2026
$100.4M
Trial Design and Biostatistical Support CoreP01CA065493 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Mark J Osborn · 1995 to 2026
$48.2M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
NCATS NIH HHS UL1 TR002494NCI NIH HHS P01 CA065493NCI NIH HHS P01 CA65493NCI NIH HHS P30 CA077598
6 · The paper itself

Abstract

Historically, alternative donor hematopoietic cell transplantation (HCT) for Fanconi anemia (FA) patients resulted in excessive morbidity and mortality. To improve outcomes, we made sequential changes to the HCT conditioning regimen. A total of 130 FA patients (median age, 9.0 years; range, 1-48) underwent alternative donor HCT at the University of Minnesota between 1995 and 2012. All patients received cyclophosphamide (CY), single fraction total body irradiation (TBI), and antithymocyte globulin (ATG) with or without fludarabine (FLU), followed by T-cell-depleted bone marrow or unmanipulated umbilical cord blood transplantation. The addition of FLU enhanced engraftment 3-fold. The incidence of grades 2-4 acute and chronic graft-versus-host disease was 20% and 10%, respectively. Severe toxicity was highest in patients >10 years of age or those with a history of opportunistic infections or transfusions before HCT. Mortality was lowest in patients without a history of opportunistic infection or transfusions and who received conditioning with TBI 300 cGy, CY, FLU, and ATG. These patients had a probability of survival of 94% at 5 years. Alternative donor HCT is now associated with excellent survival for patients without prior opportunistic infections or transfusions and should be considered for all FA patients after the onset of marrow failure. These studies were registered at http://www.clinicaltrials.gov as NCT00005898, NCT00167206, and NCT00352976.

Indexed as

AdolescentAdultAntilymphocyte SerumChildChild, PreschoolCyclophosphamideEnzyme InhibitorsFanconi AnemiaFemaleGraft vs Host DiseaseHematopoiesisHematopoietic Stem Cell TransplantationHumansImmunosuppressive AgentsInfantMaleAntilymphocyte SerumCyclophosphamideEnzyme InhibitorsfludarabineImmunosuppressive AgentsVidarabine

Identifiers

PMID25824692
PMCPMC4463740
OpenAlexW1991767564

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.