Transfusion-dependent non-severe Aplastic Anemia/ refractory severe Aplastic Anemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Aged between 18 and 70 years; male or female; 2)Diagnosed with refractory/relapsed severe aplastic anemia or infusion-dependent non-severe aplastic anemia; 3)Need to receive allogeneic hematopoietic stem cell transplantation without HLA-matched sibling donors or unrelated donors 4) Normal liver and kidney function: AST / ALT = 3.0×ULN; serum bilirubin =3.0×ULN; serum creatinine = 130 µmol/L 5) General condition is acceptable, ECOG score = 2; 6) Normal cardiac function: LVEF = 50%; 7) The subjects were non-pregnant or had taken contraceptive measures during the treatment 8) Be able to understand and voluntarily provide informed consent.
Exclusion criteria
Exclusion criteria: 1) Hematopoietic stem cell transplantation complication index (HCT-CI) > 3 2) Active, uncontrolled severe infection 3) The subject had a history of other malignancies 4)Donor-specific antibody (DSA) titer =10000 5)Mental disorders that may hinder study participation 6)Pregnant or nursing women 7)Myelodysplastic syndrome (MDS), paroxysmal nocturnal hemoglobinuria (PNH) and other diseases 8)Any other condition in which the investigator considers the patient to be ineligible to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1-year failure-free survival rate;1-year overall survival rate;appraisal of life quality; | — |
Secondary
| Measure | Time frame |
|---|---|
| incidence of chronic Graft-Versus-Host Disease(cGVHD);1-year Gvhd-free relapse-free survival(GRFS);incidence of EB virus activation;incidence of cytomegalovirus(CMV) activation;Donor chimerism (STR) rate;Transplant-related mortality;Platelet implantation rate;Neutrophil implantation rate; | — |
Countries
China
Contacts
The First Affiliated Hospital of Zhejiang Chinese Medical University