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Blood DisordersCancer

Blood & Marrow Transplant (BMT) Clinic

Bone marrow or stem cell transplants can be lifesaving for patients with certain types of pediatric cancers and blood or immune system disorders. But the process leading up to and following a transplant is complicated and demanding. Our job at UCSF's Blood & Marrow Transplant (BMT) Clinic is to prepare kids for a transplant and provide the long-term follow-up care they will need after a transplant.

Our team of transplant specialists evaluates whether a child is a candidate for a transplant and helps prepare the whole family for the process. Because patients who have had a transplant are severely immune-compromised, we follow them closely. We'll want to see your child at least once a week to check for infections or other post-transplant complications and to monitor how the immune system is reconstituting.

The quality of our follow-up care is one reason the Pediatric Blood and Marrow Transplant Program's patients have among the nation's highest rates of survival chances one year after the procedure.

Awards & recognition

  • Best in Northern California for cancer care

  • Ranked among the nation's best in 11 specialties

  • Designated an early phase clinical trials core site by the Children's Oncology Group

Our locations (3)

    Patient stories

    Meet UCSF's first CAR T-cell patient

    Shaun had been battling an aggressive leukemia for six years. When his care team recommended a new experimental treatment, his parents described it as "divine intervention."

    Highlights of our cancer care

    Leading-edge treatments

    We're among the first to offer new treatment options, as soon as they're proven safe and effective. In addition, patients can access promising experimental therapies by participating in one of our many clinical trials.

    Precision medicine

    High-risk tumors are analyzed with the UCSF500 Cancer Gene Panel, a state-of-the-art test that identifies mutations in the tumor's DNA. The results can indicate the best treatment course and, in some cases, clarify the exact type of cancer.

    Seamless care, near and far

    Dedicated patient navigators help families with managing referrals, insurance concerns and appointment planning. We work with patients and referring doctors well beyond the San Francisco Bay Area, thanks to our comprehensive telehealth system.

    Thorough follow-up

    Our Pediatric Survivorship Program provides expert care to address any medical, psychological or social issues that arise after treatment is complete. The team also ensures smooth transitions to adult care providers as our patients leave childhood behind.

    Our team

    Special programs

    Pediatric Blood Cancer Program

    The Pediatric Blood Cancer Program offers children comprehensive, world-class treatment for all childhood blood cancers. Learn more.

    Related conditions

    Plan your visit

    Preparing for your appointment

    What to Bring

    • Photo I.D.
    • Health insurance card
    • Insurance authorization, if required
    • Doctor's referral, if required
    • Recent test results related to your child's condition
    • List of medications, including dosages, plus any your child is allergic to
    • List of questions you may have
    • Device or paper for taking notes

    For visitors

    Before you head to the hospital, check out our guidelines for visitors and caregivers.

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    Your Stay

    We offer valuable information to help you plan for your child's upcoming hospital stay. Find out about food services, family accommodations and more.

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    Your Child's Care Team

    Our doctors, nurses, child life specialists and other providers have special training to care for children. Meet your child's care team.

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    Interpreter Services & Communication Assistance

    Interpreter services in many languages and TDDs are available for families that need help communicating with care teams. Here's how to access them.

    Learn more

    Related clinics (6)

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    Hematology Clinic

    Hematology Clinic

    San Francisco / Fresno / Greenbrae / Oakland / Santa Rosa / Walnut Creek
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    Immunology Center

    Immunology Center

    1825 Fourth St., Sixth Floor
    San Francisco, CA 94158

    infusion-center-320x320-2x 3

    Infusion Center

    Infusion Center

    San Francisco / Oakland / Walnut Creek
    oncology-clinic-320x320-2x 3

    Oncology Clinic

    Oncology Clinic

    San Francisco / Oakland / Walnut Creek

    Primary Immune Regulatory Disorder (PIRD) Clinic

    Primary Immune Regulatory Disorder (PIRD) Clinic

    1825 Fourth St., Sixth Floor
    San Francisco, CA 94158

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    Survivorship Program

    Survivorship Program

    Oakland / San Francisco

    Support services

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    Child Life Services

    Activity rooms, pet therapy and more to help kids feel at home.

    Child Life

    Certified child life specialists ease the stress and anxiety of childhood illness through therapeutic play, schooling and family-focused support.

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    Beads of Courage

    We help children cope with cancer testing and treatment challenges by awarding colorful beads for each milestone they achieve. Find out about our program.

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    Camp Okizu

    This overnight summer camp for children with cancer, siblings and families offers fun activities, education sessions and support in a beautiful setting.

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    Individual Playtime & Instruction

    If your child can't be around other kids for medical reasons, you can sign up for private sessions in our activity and school rooms. Find out how.

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    Activity Rooms

    Activity rooms offer a relaxed environment for children of all ages. Features include a playroom, digital arts studio and teen lounge. Find out more.

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    Art Therapy

    Art therapy helps kids and families express themselves, making it easier to cope with pediatric health issues. Group and bedside services are available.

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    Music Therapy Program

    Board-certified music therapists help kids cope with illness and the feelings that come with it. Find out about group activities and bedside therapy.

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    School Program

    Our schoolroom services and individual learning programs help children hospitalized at UCSF continue their education and get ready to return to school.

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    School Re-Entry Program

    We help kids return to school after hospitalization by educating staff and students about their needs and recommending needed accommodations. Read more.

    Family Amenities

    Family-friendly amenities help you relax and take care of yourself while staying close to your child. We offer lounges, kitchens, showers, breastfeeding rooms and more.

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    Social Services

    Social workers ease the effect of illness, injury and hospitalization on your family with counseling and assistance to help you navigate the challenges.

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    Interpreter Services & Communication Assistance

    Interpreter services in many languages and TDDs are available for families that need help communicating with care teams. Here's how to access them.

    Family Resource Center

    We help families cope with the challenges of childhood illness and hospitalization in a relaxing environment where parents can get a much-needed break.

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    Parent Support Program

    Weekly activities, including knitting, scrapbooking, chair massage and more, help family caregivers get a much-needed break. Find out more.

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    Patient Relations

    Patient relations reps and nursing supervisors are here to answer questions and address concerns. Learn about your rights, how to reach us and more.

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    Spiritual Care

    Chaplains help UCSF patients, families and staff cope with the spiritual and emotional challenges of childhood illness. Learn more.

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    International Services

    If you're coming to UCSF from outside the U.S., we coordinate your child's appointments and provide other helpful services. Here's how to get started.

    Decorative Caduceus

    Autologous Gene Therapy for Artemis-Deficient SCID

    Patient survival status and (if applicable) cause of death will be recorded to assess overall survival.

    Recruiting

    More about this study
    Decorative Caduceus

    TRANSPIRE: Lung Injury in a Longitudinal Cohort of Pediatric HSCT Patients

    Participants will be assessed for lung injury at 24 months after HSCT

    Recruiting

    More about this study
    Decorative Caduceus

    A Feasibility Study Using CLINIMACS® for Alpha/Beta T-Cell Depletion in Stem Cell Transplant

    The cumulative incidence of Grade III-IV acute GVHD at Day 100 will be summarized by incidence curves. GVHD evaluations will be performed using standard criteria.37 Patients with graft rejection will be censored.

    Recruiting

    More about this study
    Decorative Caduceus

    Caloric Restriction and Activity to Reduce Chemoresistance in B-ALL

    To compare the rate of MRD >=0.01% at end of induction between experimental arm and control arm

    Recruiting

    More about this study
    Decorative Caduceus

    A Trial Comparing Unrelated Donor BMT With IST for Pediatric and Young Adult Patients With Seve...

    The median time to failure or death will be compared on the two arms using the log-rank test. Failure of IST is defined as the date that a second definitive therapy was recommended (BMT, second course of ATG) and failure of BMT de...

    Recruiting

    More about this study
    Decorative Caduceus

    A Trial Comparing Unrelated Donor BMT With IST for Pediatric and Young Adult Patients With Seve...

    The median time to failure or death will be compared on the two arms using the log-rank test. Failure of IST is defined as the date that a second definitive therapy was recommended (BMT, second course of ATG) and failure of BMT de...

    Recruiting

    More about this study
    Decorative Caduceus

    Transplantation of Clustered Regularly Interspaced Short Palindromic Repeats Modified Hematopoi...

    The adverse event rate will be summarized using descriptive statistics, together with 95% confidence intervals where appropriate. No formal statistical hypothesis testing will be performed. Adverse events defined: failure of engra...

    Recruiting

    More about this study
    Decorative Caduceus

    A Study of the Drug Letermovir as Prevention of Cytomegalovirus Infection After Stem Cell Trans...

    Clinically significant CMV is defined as the first of (1) initiation of anti-CMV preemptive therapy for documented CMV DNAemia or (2) onset of CMV end-organ disease. Estimate cumulative incidence of clinically significant CMV at 1...

    Recruiting

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    Decorative Caduceus

    Mismatched Related Donor Versus Matched Unrelated Donor Stem Cell Transplantation for Children,...

    We will estimate the cumulative incidence of severe GVHD at 1-year post-HCT and corresponding 95% confidence interval among enrolled and eligible patients randomly assigned to either HAPLO or MUD arms who actually undergo HCT.

    Recruiting

    More about this study
    Decorative Caduceus

    Mismatched Related Donor Versus Matched Unrelated Donor Stem Cell Transplantation for Children,...

    We will estimate the cumulative incidence of severe GVHD at 1-year post-HCT and corresponding 95% confidence interval among enrolled and eligible patients randomly assigned to either HAPLO or MUD arms who actually undergo HCT.

    Recruiting

    More about this study
    See all clinical trials

    Our research initiatives

    • ucsf-division-of-allergy-immunology-and-bmt-research-2x

      UCSF Division of Allergy, Immunology & BMT Research

      Learn more
    • ucsf-childrens-cancer-program-clinical-trials-2x

      Clinical Trials at UCSF: Pediatric Cancer

      Learn more

    • Early-Phase Clinical Trials at UCSF: Pediatric Cancer

      Learn more

    Resources for physicians

    Whether you're referring a patient, seeking a second opinion or looking for professional education opportunities, you'll find resources on the UCSF Pediatric Cancer Program's MedConnection hub. We look forward to partnering with you!

    Saving future lives

    500+ UCSF investigators are researching cures for hundreds of childhood and adult diseases.

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