Biallelic FANCM variants define a distinct FA subtype lacking early BMF, leading to missed diagnoses and severe toxicity upon malignancy. Recognizing this presentation is crucial for timely FA detection and for implementing adapted therapeutic and follow-up strategies.
2 days ago
Journal
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FANCM (FA Complementation Group M) • BCL11B (BAF Chromatin Remodeling Complex Subunit BCL11B) • HOXA13 (Homeobox A13) • ZNF384 (Zinc Finger Protein 384)
P2, N=132, Not yet recruiting, Masonic Cancer Center, University of Minnesota
2 days ago
New P2 trial
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HLA-DRB1 (Major Histocompatibility Complex, Class II, DR Beta 1) • HLA-B (Major Histocompatibility Complex, Class I, B) • HLA-C (Major Histocompatibility Complex, Class I, C)
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cyclophosphamide • fludarabine IV • Grafapex (treosulfan)
P1, N=38, Recruiting, University of Kansas Medical Center | Trial completion date: Jan 2025 --> Jan 2028 | Trial primary completion date: Jan 2024 --> Jan 2027
3 days ago
Trial completion date • Trial primary completion date
Current ACMG and CanVIG-UK guidelines do not permit co-occurrence with recurrent somatic driver variants as evidence favouring pathogenicity, despite this being a convincing finding. This study proposes modifying certain rules as a basis for developing DDX41-specific guidance, as it will significantly impact decisions surrounding bone marrow transplantation.
In aggregate, these findings may contribute to a better understanding of disease pathophysiology and help elucidate the role of potentially clinically relevant TGF-β signaling. This is particularly significant given the clinical use of agents targeting TGF-β-signaling such as luspatercept, as well as the emergence of several CCN2-targeting therapies currently undergoing clinical or preclinical evaluation with promising results.