Anemia, Aplastic Clinical Trial
Official title:
Efficacy and Safety of Thrombopoietin In Patients With Severe and Very Severe Aplastic Anemia
Efficacy and Safety of Recombinant human thrombopoietin in patients with severe aplastic anemia and very severe aplastic anemia, a randomized, double-blind, placebo-controlled, II phase, multi-center clinical research.
| Status | Not yet recruiting |
| Enrollment | 250 |
| Est. completion date | July 2020 |
| Est. primary completion date | July 2019 |
| Accepts healthy volunteers | No |
| Gender | Both |
| Age group | 6 Years to 60 Years |
| Eligibility |
Inclusion Criteria: - Able to provide written informed consent - Have severe or very severe aplastic anemia Exclusion Criteria: - Have diagnosis of Fanconi anemia - Have infection not adequately responding to appropriate therapy - Have Paroxysmal Nocturnal Hemoglobinuria (PNH) clone size in neutrophils of greater than or equal to 50% - Have creatinine and/or blood urea nitrogen (BUN) =2 times the upper limit of normal - Have serum bilirubin = 1.5 times the upper limit of normal, or =4.0 times the upper limit of normal if the patient has been treated with Anti-Thymocytes globulin(ATG) within three weeks of screening. - Have glutamic-oxaloacetic transaminase (AST) and/or glutamic-pyruvic transaminase (ALT) = 3 times the upper limit of normal - Are female and are nursing or pregnant or are unwilling to take oral contraceptives or refrain from pregnancy if of childbearing potential - Have an Eastern Cooperative Oncology Group (ECOG) performance status of 3 or greater - Have had other Thrombopoietin (TPO-R) agonists medication in the previous 4 weeks. |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
| Country | Name | City | State |
|---|---|---|---|
| China | Zonghong Shao | Tianjin | Tianjin |
| Lead Sponsor | Collaborator |
|---|---|
| Tianjin Medical University General Hospital |
China,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Time to platelet transfusion independence in patients at 6 month | 6 month | Yes | |
| Secondary | Time to patients achieve a platelet count 30×10^9/L, 50×10^9/L or100×10^9/L | up to 1year | Yes | |
| Secondary | Overall response rate up to 1 year after Immunosupressive therapy. | up to 1 year | Yes | |
| Secondary | Megakaryocyte, granulocyte and erythrocyte recovery in bone marrow up to 1 year after IST. | up to 1 year | Yes | |
| Secondary | Time to red blood cell/platelet transfusion independence in patients up to 1 year after IST | up to 1 year | Yes | |
| Secondary | Percentage of patients achieve red blood cell/platelet transfusion independence at 3, 6, 9 and 12 months after IST. | up to 1 year | Yes | |
| Secondary | Intervals of red blood cell/platelet transfusion up to 1 year after IST. | up to 1 year | Yes | |
| Secondary | The reticulocyte count of patients up to 1 year after IST. | up to 1 year | Yes | |
| Secondary | Hospitalization days of patients. | up to 1 year | Yes | |
| Secondary | Number of participants with treatment-related adverse events as assessed by CTCAE v4.0 | up to 1 year | Yes | |
| Secondary | Median hematopoietic response rate up to 1 year after IST. | up to 1 year | Yes |
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