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This biological cellular therapy consists of peripheral blood stem cells (PBSC) collected from a donor (mismatched related or matched unrelated) following mobilization with Granulocyte Colony-Stimulating Factor (G-CSF). The product undergoes T-cell depletion via positive CD34 selection using the Miltenyi CliniMACS system to minimize the risk of Graft-versus-Host Disease (GvHD). It is utilized in the RAFA (Risk-Adjusted HSCT for Fanconi Anemia) trial, a Phase II study conducted by Cincinnati Children's Hospital Medical Center. The trial investigates a risk-adjusted, chemotherapy-only conditioning regimen comprising Busulfan, Cyclophosphamide, Fludarabine, and rabbit anti-thymocyte globulin (ATG) without Cyclosporine. This approach aims to reduce transplant-related toxicities and improve engraftment outcomes for patients with Fanconi Anemia who also present with bone marrow failure, myelodysplastic syndrome (MDS), or acute myeloid leukemia (AML).
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