D61.9
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Written informed consent by the caretakers and whenever possible the patient’s assent. • Confirmed diagnosis of SAA (Appendix 3) • Age: 6 months to less than 18 years
Exclusion criteria
Exclusion criteria: • Previous therapy with IST for SAA • Inherited bone marrow failure (IBMF) disorder (e.g. Fanconi anemia, dyskeratosis congenita, Shwachman-Diamond syndrome, Diamond-Blackfan anemia) • Chromosomal aberration detected by metaphase cytogenetics and/ or FISH (for chromosome 7 and 8), except trisomy of chromosome 8 • Diagnosis of refractory cytopenia (RC)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| •To detect specific genomic lesions/ genotypes by whole genome SNP-arrays and thus to identify patients at high risk for clonal evolution and/or putative non response •To measure telomere length •To study the frequency of clinically manifest EBV-related lymphoproliferation •To analyze the epidemiology of SAA in children and adolescents | — |
Secondary
| Measure | Time frame |
|---|---|
| • To explore the presence and frequency of PNH clones • To detect T cell oligoclonality in BM derived T lymphocytes • To investigate the association of immunophenotypic subclones with oligoclonal T cellexpansion in SAA • To assess the PBMC activation status and capacity of in vitro cellular response to ATG • To compare hematologic response and clinical outcome following IST with immunological and genetic parameters (genomic lesions, telomere length, presence of PNH clones, T cell oligoclonality, in vitro cellular response to ATG) | — |
Countries
Austria, Belgium, Czechia, Denmark, Finland, Germany, Ireland, Italy, Netherlands, Norway, Poland, Spain, Sweden, Switzerland
Contacts
Zentrum für Kinder- und Jugendmedizin des Universitätsklinikums Freiburg, Klinik IV, Pädiatrische Hämatologie/Onkologie