RECRUITING

Mobilization of CD34+ Peripheral Blood Stem Cells in Patients With Diamond Blackfan Anemia Syndrome (DBAS)

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

Gene therapy is a new possible treatment for the anemia of DBAS. Gene therapy will soon be available for patients with RPS19-mutated DBAS. This involves inserting the corrected RPS19 gene into the cells, leading to correction of the anemia. The application of gene therapy requires sufficient numbers of stem cells on which the correction can be performed. Stem cells must be mobilized (stimulated to move) from the bone marrow to the peripheral blood and then collected (also called 'harvested'). It is not known if patients with DBAS can mobilize enough stem cells into the peripheral blood to allow for the harvesting of sufficient numbers to permit genetic manipulation. It is important to demonstrate the ability to harvest an adequate number of stem cells before gene therapy can be tried in patients with DBAS. The purpose of this study is to determine if mobilization of stem cells from the bone marrow in patients with DBAS is enough to obtain the numbers of peripheral blood stem cells necessary for effective gene therapy. An actual harvest will not be done.

Official Title

Mobilization of CD34+ Peripheral Blood Stem Cells With Filgrastim (Granulocyte-colony Stimulating Factor) and Plerixafor From Patients With Diamond Blackfan Anemia Syndrome

Quick Facts

Study Start:2025-10-01
Study Completion:2027-04-01
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT07186179

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:3 Years to 30 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:CHILD, ADULT
Inclusion CriteriaExclusion Criteria
  1. 1. Diamond Blackfan anemia syndrome as defined by the known criteria with a known gene mutation
  2. 2. Male or female patients of all ethnic background, greater than or equal to 3 years of age and weighing at least 10 kg, and less than or equal to 30 years of age
  3. 3. Enrolled in Diamond Blackfan Anemia Registry of North America (DBAR)
  4. 4. Chronically red blood cell transfusion dependent for at least 6 months
  5. 5. Performance scale (Lansky Play-performance Scale for Pediatric Functional Status for age \<16 years; Karnofsky Performance Scale for age ≥16 years) ≥ 70
  6. 6. Must sign informed consent
  1. 1. Receiving prednisone therapy for treatment of DBAS (this does not include patients receiving physiologic steroid replacement for adrenal insufficiency)
  2. 2. Known history of myelodysplasia or presence of a hematopoietic clone
  3. 3. Current malignancy or previous treatment for malignancy
  4. 4. Pregnancy or breast-feeding mother
  5. 5. Known history of severe iron overload as defined by a liver iron concentration (LIC) \> 15 mg Fe/ g dry liver weight
  6. 6. Significant cytopenias, defined as:
  7. * Platelet count \<100,000/mcL
  8. * Absolute neutrophil count \<750/mCL
  9. 7. Any GCSF use in the 3 months prior to enrollment
  10. 8. Liver dysfunction: aspartate aminotransferase (AST), alanine aminotransferase (ALT), or direct bilirubin values \>3 x the upper limit of normal (ULN)
  11. 9. Kidney dysfunction: baseline estimated glomerular filtration rate (GFR) \<70 mL/min/1.73 m2

Contacts and Locations

Study Contact

Maryam Hussain, MPH
CONTACT
516-562-1505
mhussain9@northwell.edu
Eva Atsidaftos, MPH
CONTACT
eatsidaf@northwell.edu

Principal Investigator

Alexandra Satty, MD
PRINCIPAL_INVESTIGATOR
Northwell Health

Study Locations (Sites)

Cohen Children's Medical Center
New Hyde Park, New York, 11040
United States

Collaborators and Investigators

Sponsor: Northwell Health

  • Alexandra Satty, MD, PRINCIPAL_INVESTIGATOR, Northwell Health

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2025-10-01
Study Completion Date2027-04-01

Study Record Updates

Study Start Date2025-10-01
Study Completion Date2027-04-01

Terms related to this study

Keywords Provided by Researchers

  • Diamond Blackfan Anemia
  • Mobilization
  • CD34+
  • GCSF

Additional Relevant MeSH Terms

  • Diamond Blackfan Anemia