Table 2.
Question | Secondary outcome of interest |
---|---|
Q1: Should individuals with SCD and neurologic injury (overt stroke, SCI, or abnormal TCD) undergo MSD transplantation? | 1. Improvement/normalization of TCD velocity 2. Primary ischemic stroke 3. Secondary ischemic stroke 4. New or progressive SCI 5. New or progressive CNS vasculopathy 6. HRQOL 7. Engraftment kinetics |
Q2: Should individuals with frequent pain requiring interventions by a health care provider undergo MSD HSCT vs standard of care? | 1. Change in frequency of acute pain episodes requiring acute care 2. Change in hospitalization frequency 3. HRQOL 4. Engraftment kinetics |
Q3: Should individuals with recurrent episodes of ACS undergo MSD HSCT vs standard of care? | 1. Change in frequency of ACS 2. Change in hospitalization frequency 3. Resolution or improvement in chronic lung disease 4. HRQOL 5. Engraftment kinetics |
Q4: Should individuals with SCD with an indication for HSCT (as above) who do not have an MSD undergo nonmyeloablative transplantation from alternative donor vs standard supportive care? | Same as Q1-3 |
Q5: Should individuals with SCD undergoing allogeneic transplantation receive a TBI-based regimen (low-dose TBI ≤400 cGy) or chemotherapy-based regimen? | Same as Q1-3 Additional outcome: potential for fertility post-HSCT |
Q6: What is the optimal conditioning regimen for individuals with SCD who have an indication for HSCT and a matched sibling donor (myeloablative transplantation vs reduced intensity or nonmyeloablative transplantation)? | Same as Q 1-3 Additional outcome: Potential for fertility post-HSCT |
Q7: Should age be a determining factor for HSCT with MSD for individuals with SCD with the above indication? | Same as above (Q6) |
Q8: In pediatric patients with SCD undergoing matched related donor HSCT with available cryopreserved matched sibling cord blood use the cord blood or BM as donor source? | Same as above (Q6) |
CNS, central nervous system; HRQOL, health-related quality of life.