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A randomized, open-label clinical study of TPO-RA combined with immunosuppressive therapy in the first-line treatment of severe aplastic anemia in children

A randomized, open-label clinical study of TPO-RA combined with immunosuppressive therapy in the first-line treatment of severe aplastic anemia in children

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2200057675
Enrollment
Unknown
Registered
2022-03-15
Start date
2022-03-01
Completion date
Unknown
Last updated
2023-11-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

severe aplastic anemia in children

Interventions

Herombopag Olamine+IST:Herombopag Olamine
control:IST

Sponsors

Capital Medical University, National Center for Children’s Health
Lead Sponsor

Eligibility

Sex/Gender
All
Age
2 Years to 18 Years

Inclusion criteria

Inclusion criteria: 1. The diagnostic criteria for children's AA refer to the 2014 Recommendations for Diagnosis and Treatment of Children's Acquired Aplastic Anemia, excluding congenital bone marrow failure diseases, paroxysmal nocturnal hemoglobinuria, malignant tumors, etc; Patients meeting the AA diagnostic criteria were classified according to the Diagnostic and Treatment Specifications for Children's Aplastic Anemia (2019 Edition) and selected as SAA patients. 2. Age 2-18 years before treatment (2 years = 18 years); 3. All children had no compatible sibling donors and no severe organ dysfunction; 4. Have not used ATG treatment in the past; 5. First diagnosed patients; 6. No contraindication of drug treatment; 7. No severe infection; 8. It can ensure long-term follow-up in the diagnosis and treatment center; 9. Obtain the consent of the child or/and guardian, and sign on the informed consent form.

Exclusion criteria

Exclusion criteria: 1. Life threatening bleeding at the time of enrollment; 2. Any concomitant disease or mental disease with significant abnormality, which affects the patient's life safety and compliance, and affects informed consent, research participation, follow-up or interpretation of results; 3. The children or guardians cannot follow up and their compliance is poor; 4. Serious infectious diseases (uncured tuberculosis, pulmonary aspergillosis, viral infection, hepatitis B/C virus active period, for patients with positive hepatitis B B surface antigen and core antigen, those with positive perfect hepatitis B B DNA nucleic acid test will be excluded, and those with negative perfect hepatitis C RNA nucleic acid test will still be included in this clinical trial; those with positive perfect hepatitis C RNA nucleic acid test will be excluded); 5. Aspartate aminotransferase (AST) or alanine aminotransferase (ALT)>3 times the upper limit of normal (ULN); 6. Previously used ATG/ALG, or used thrombopoietin receptor agonist.

Design outcomes

Primary

MeasureTime frame
complete response rate;

Secondary

MeasureTime frame
overall response rate;complete response rate;overall response rate;

Countries

China

Contacts

Public Contactjie ma

Capital Medical University, National Center for Children’s Health

15188805@qq.com+86 15901226736

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026