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December 8, 2025Blood

Fludarabine, cyclophosphamide, and melphalan (FCM) preconditioning in haploidentical hematopoietic stem cell transplantation for severe aplastic anemia: Update of a prospective, multicenter, single-arm clinical study

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Authors

XLXiaoping LiTianjin Medical University General HospitalBNBo NieBeijing University of Chinese MedicinePZPeng ZhaoMinzu University of China

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Overview

Prospective study shows FCM preconditioning improves engraftment in severe aplastic anemia, indicating low complications and infection rates.

Key Points

  • This research aims to evaluate the efficacy and safety of FCM preconditioning in haploidentical HSCT for severe aplastic anemia.
  • Conducted a prospective, multicenter, single-arm clinical study
  • Included patients diagnosed with severe aplastic anemia requiring haploidentical HSCT
  • Administered a preconditioning regimen of fludarabine, cyclophosphamide, melphalan, and ATG
  • Monitored engraftment and complications post-transplantation
  • All patients achieved successful engraftment with median neutrophil recovery at 13 days
  • Reported a 4% transplantation-related mortality rate
  • Observed acute graft-versus-host disease in 20% of cases
  • Noted post-transplant lymphoproliferative disorder in one patient, treated successfully with rituximab

Cite This Study

Li et al. (2025) studied this question.

synapsesocial.com/papers/69362f4e4fa91c937236d89fhttps://doi.org/10.1182/blood-2025-4201
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A novel reduced-toxicity conditioning regimen with busulfan/fludarabine/cyclophosphamide/anti-thymocyte globulin for severe aplastic anemia2025
  2. 2Novel FABT-Based Conditioning Regimen with Haploidentical Transplantation for Severe Aplastic Anemia: A prospective, single-center, phase II clinical trial2026 · 4 citations
  3. 3A prospective, open, single-arm clinical trial of fludarabine- cyclophosphamide-porcine anti-lymphocyte globulin conditioning combined with matched sibling donor hematopoietic stem cell transplantation in the treatment of severe aplastic anemia2026
  4. 4The efficacy and safety of using low-dose cyclophosphamide, fludarabine and thymoglobulin in allogeneic hematopoietic stem cell transplantation for transfusion-dependent non-severe aplastic anemia:a retrospective study.2025
  5. 5Efficacy and safety of outpatient fludarabine, cyclophosphamide, and rituximab based allogeneic hematopoietic cell transplantation in adults with severe aplastic anemia2024 · 1 citations