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Home  /  Treatments  /  Bone marrow transplant  /  Aplastic anaemia and bone marrow transplant

Aplastic anaemia and bone marrow transplant in India

Aplastic anaemia is a bone-marrow failure disorder in which the marrow cannot make enough new blood cells. For suitable patients, a donor stem cell transplant may restore blood production and can be curative.

Treatment depends on severity, age, donor availability and previous therapy. Some patients are treated with medicines rather than transplant. The first question is not “which hospital is cheapest?” It is whether transplant is medically appropriate and what donor strategy gives the best balance of benefit and risk.

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Condition pathway Review
Aplastic anaemia and bone marrow transplant
Bone marrow & stem cell transplant pathway
First stepDiagnosis + recent reports
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Donor questionHLA typing where relevant
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The transplant centre makes the clinical decision. TIB HIND coordinates the international patient pathway.
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On this page
  1. What this condition means
  2. How it is assessed
  3. When transplant is considered
  4. Donor and transplant options
  5. What your India journey looks like
  6. Questions patients ask
The condition

What this diagnosis means

Aplastic anaemia is a bone-marrow failure disorder in which the marrow cannot make enough new blood cells. For suitable patients, a donor stem cell transplant may restore blood production and can be curative.

Common pathway

Severe aplastic anaemia

Treatment question

Is transplant appropriate now, later, or not at all?

Information needed

Diagnosis, disease status, previous treatment, organ function and donor information.

Important: Treatment depends on severity, age, donor availability and previous therapy. Some patients are treated with medicines rather than transplant.
Assessment

How the transplant team assesses the case

01
Confirm the diagnosis
The transplant team reviews pathology, blood counts, marrow findings and disease-specific laboratory or molecular reports where relevant.
02
Measure disease activity
For blood cancers, this can include remission status and measurable disease. For inherited or marrow-failure disorders, the team assesses severity and previous complications.
03
Check organ function and infection risk
Heart, lungs, liver, kidneys and current or recent infections can materially change transplant eligibility and conditioning choices.
04
Review previous treatment
Bring chemotherapy records, transfusion history, immunosuppressive therapy, prior transplant evaluation and any adverse reactions.
05
Assess donor options
Where an allogeneic transplant is considered, HLA testing and donor health become central to the plan.
The decision

When transplant is considered

There is no universal “transplant stage”. The decision is made from the patient's disease, response to previous treatment, complications and expected transplant risk.

Clinical questionWhy it matters
Is the disease severe enough to justify transplant risk?Discuss → Is there a suitable donor or autologous pathway?Assess → Can the patient safely undergo conditioning and engraftment?Review →
Options

Donor and transplant options

01

Matched sibling

Often the preferred related-donor option when a suitable sibling is available.

02

Haploidentical

A half-matched relative may be an option in modern transplant programmes.

03

Matched unrelated

An unrelated donor may be identified through appropriate donor registries.

04

Autologous

Used for selected cancers where the patient's own collected stem cells are returned after high-dose treatment.

Do not choose a donor from HLA match alone. The transplant team considers donor health, compatibility and the patient's disease-specific pathway.
India journey

What your trip looks like

01
Send reports before travel
We begin with the existing diagnosis and treatment history so the transplant centre can assess the case before arrival.
02
Pre-arrival planning
The centre may request additional reports, HLA testing or donor information before confirming the pathway.
03
Arrival and repeat assessment
The treating team confirms the diagnosis, current disease status, fitness and treatment plan.
04
Treatment and transplant
Conditioning, stem-cell infusion and supportive care follow the centre's protocol.
05
Engraftment and recovery
The patient remains under close monitoring until the transplant team considers discharge appropriate.
Questions

Questions patients and families ask

No. Treatment can include medicines, transfusions and other supportive care. A donor transplant is considered for appropriate patients based on severity, age, donor availability and clinical circumstances.

The team may review blood counts, bone-marrow findings, infection screening, organ function and donor testing. Previous treatments and transfusion history are also important.

Transplant can be curative for some patients, but relapse or graft-related complications can occur. The treating transplant team will explain the individual risks.

Aplastic anaemia itself can cause low white-cell counts, and conditioning can further reduce immune protection. Infection prevention and rapid treatment are central to transplant care.

Start here

Send us the medical file

A complete file gives the transplant team something useful to review. If a report is missing, we will tell you what to obtain before you travel.

Your reports go directly to our medical team. We do not share your records with hospitals until you tell us to.