Thalassemia major Haematological Disorders Beta thalassaemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 2 to 18 years 2. Diagnosed with thalassemia major 3. Indication of haematopoietic stem cell transplantation 4. A cardiac ejection fraction of >50%; normal pulmonary function tests and pulmonary examination results; and normal kidney function
Exclusion criteria
Exclusion criteria: 1. Uncontrolled bacterial, viral, or fungal infections before transplant 2. Severe liver and heart overload: liver MR T2* value > 1.4 ms or heart MR T2* value > 10 ms 3. Any other restriction for transplant
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Overall survival (OS) using Kaplan-Meier estimator at 2 years 2. Thalassemia-free survival (TFS) using R at 2 years | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Engraftment: myeloid engraftment (absolute neutrophils count = 0.5×10^9/L for 3 consecutive days) at day +30 2. Transplant-related mortality: using Kaplan-Meier estimator at 2 years 3. Cumulative incidence of acute graft versus host disease (GVHD): acute GVHD by day +180. The classification of aGVHD is determined using either Glucksberg scoring system or IBMTR scoring system 4. Cumulative incidence of chronic GVHD by 2 years. The classification of cGVHD is determined according to the overall severity chronic GVHD grading system 5. Cumulative incidence of sinusoidal obstruction syndrome (SOS, also known as hepatic veno-occlusive disease, VOD): cumulative incidence of SOS/VOD at day +180 6. Cumulative incidence of infectious complications: cumulative incidence of bacterial, fungal, and viral infections by 2 years | — |
Countries
China