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Pooled red blood cells (POOLED-RBCs) is an investigational blood product developed by the New York Blood Center for the treatment of anemia, particularly in patients requiring chronic transfusions. This product is created by pooling red blood cells from multiple donors, a process intended to potentially streamline the supply of antigen-matched units for patients with complex transfusion needs. A Phase 1 clinical trial (NCT04543955) is evaluating the safety and immunogenicity of POOLED-RBCs compared to standard single-donor leukoreduced RBCs, with a focus on monitoring for transfusion-associated adverse events and the development of new alloantibodies or positive direct antiglobulin tests (DAT). The units are typically matched for major antigens such as C, E, and K to reduce the risk of immunogenic reactions.
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