Prospective Phase II Pilot study of Rabbit Antithymocyte globulin (ATG, Thymoglobuline®, Genzyme) with Ciclosporin for Patients with Acquired Aplastic Anaemia and comparison with matched historical patients treated with horse ATG and Ciclosporin

EBMT (European group for Blood and Marrow Transplantation)0 个研究点目标入组 35 人开始时间: 2007年10月4日最近更新: 2022年8月8日

适应症

试验速览

暂无简介。

•1.To define aplastic anaemia there must be at least two of the following:
•· haemoglobin < 10g/dl
•· platelet count < 50 x 109/l
•· neutrophil count < 1.5 x 109/l, and a hypocellular bone marrow on bone marrow biopsy
•1.1 SAA as defined by a hypocellular bone marrow of <25% cellularity and two of the following:
•· neutrophil count < 0.5 x 109/l,
•· platelets < 20 x 109/l
•· reticulocytes < 20 x 109/l
•1.2 NSAA as defined by a hypocellular bone marrow and cytopenia in at least two cell lines and neutrophil count > 0.5 x 109/l, and red cell and/or platelet transfusion dependence
•1.3 Acquired AA
•2.Time from diagnosis to study registration = 6mths
•3. No prior treatment except for haemopoietic growth factors given for no more than 4 weeks, and androgens
•4. Age = 16yrs (= 18yrs in Germany in accordance with German law), with no upper age limit
•Are the trial subjects under 18? yes
•Number of subjects for this age range:
•F.1.2 Adults (18-64 years) yes
•F.1.2.1 Number of subjects for this age range
•F.1.3 Elderly (>=65 years) yes
•F.1.3.1 Number of subjects for this age range

•1. Eligibility for an HLA-matched sibling donor transplant for SAA patients.
•2. Prior therapy with ATG or CSA
•3. Haematopoeitic growth factors more than 4 weeks before study enrollment
•4. Diagnosis of Fanconi anaemia, dyskeratosis congenita or congenital bone marrow failure syndrome
•5. Evidence of myelodysplastic disease
•6. Paroxysmal nocturnal haemoglobinuria with evidence of significant haemolysis, history of PNH associated thrombosis or a PNH clone > 50% by flow cytometry
•7. Diagnosis or previous history of carcinoma (except local cervical, basal cell, squamous cells, or melanoma)
•8. Subject is pregnant (e.g. positive HCG test) or is breast feeding
•9. Severe uncontrolled infection or unexplained fever > 38oC
•10. Subjects who have hepatic, renal cardiac, metabolic or other concurrent diseases of such severity that life expectancy is less than 3 months.

发起方

EBMT (European group for Blood and Marrow Transplantation)