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The effect of on-demand glucocorticoid strategy on the occurrence and outcome of pALG-associated serum sickness in aplastic anemia: a prospective, single-centered, non-inferior, randomized controlled trial

The effect of on-demand glucocorticoid strategy on the occurrence and outcome of pALG-associated serum sickness in aplastic anemia: a prospective, single-centered, non-inferior, randomized controlled trial

Status
Active, not recruiting
Phases
Early Phase 1
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2200066279
Enrollment
Unknown
Registered
2022-11-30
Start date
2022-12-01
Completion date
Unknown
Last updated
2023-05-15

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

Conditions

Aplastic anemia

Interventions

The on-demand glucocorticoid group:After the 5-days p-ALG transfusion period, subjects will not receive glucocorticoid until the serum sickness occurs, and glucocorticoid with different dose ranges wi
The usual glucocorticoid group:After the 5-days p-ALG transfusion period, subjects will receive 21 days of usual glucocorticoid therapy, and when serum sickness occurs, glucocorticoid will be added to

Sponsors

Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
14 Years to 70 Years

Inclusion criteria

Inclusion criteria: Subjects suitable for enrolment in this study must meet all of the following criteria: 1) Age between 14-70 years, male or female 2) Aplastic anemia patients received IST (p-ALG combined CsA) 3) Subjects have voluntarily signed an informed consent form, understanding the purpose and procedure of clinical study and voluntarily complying with the trial requirements

Exclusion criteria

Exclusion criteria: Participants who met any of the following criteria were not eligible for inclusion in this study: 1) The physical status score of the Eastern Cancer Collaboration Group (ECOG) >2 points 2) Uncontrolled active infection 3) Uncontrolled hypertension (>=140/90mmHg), diabetes mellitus (fasting blood glucose >=7.0 mmol/L or random blood glucose >=11.1 mmol/L) 4) Concurrent serious diseases of other systems 5) Aspartic aminotransferase (AST) or alanine aminotransferase (ALT) > 3 times the upper limit of normal 6) Creatinine level >= 2.5 times the upper limit of normal 7) Subjects with any other condition or circumstance that would, in the opinion of the Investigator, make the subject unsuitable for participation in this clinical study

Design outcomes

Primary

MeasureTime frame
Incidence of severe serum sickness;

Secondary

MeasureTime frame
Occurrence and outcomes of serum sickness of different severity;Incidence of glucocorticoid-related adverse reactions;Treatment response;

Countries

China

Contacts

Public ContactZhang Fengkui

Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences

fkzhang@ihcams.ac.cn+86 22 23909409

Outcome results

None listed

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