Platelet Transfusion Refractoriness
Conditions
Keywords
cryopreserved autologous platelet
Brief summary
The purpose of this study is to improve the platelet level of PTR patients; Prevent and improve bleeding; Help patients to successfully through the bone marrow suppression period after chemotherapy; Reduce the overall rate of PTR and allo-immunity; Saving platelet resources and reducing blood burden.
Interventions
Autologous PLTs were collected and transfused as an individualized treatment approach, when the platelet is less than 20\*10E9/L or severe bleeding occurred.
Sponsors
Study design
Intervention model description
Prospective, single arm and multicenter study
Eligibility
Inclusion criteria
* Patients with ALL,AML,MDS, CML,CLL that suffered from PTR before, with or without HLA antibodies * The platelet level \>150\*10E9/L when considering autologous PLT collection * Age less than 70 years * The expected life more than 3 months * Agree to receive autologous platelet cryopreservation and infusion treatment, and sign the informed consent form
Exclusion criteria
* Blast cells are found in peripheral blood or bone marrow * Patients with bacteremia or sepsis * Coagulation function abnormality * Patients who have a history of thrombosis and are receiving anticoagulant treatment * Severe bleeding within 2 weeks * Participate in another clinical study within 1 month, and have treatment with potential impact on platelets * Patients with mental disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The CCI value of 1h and 24h after cryopreserved autologous platelet transfusion | 1 hour after transfusion | Platelet level detection |
| The frequency or number of effective infusions (1h CCI>7.5, 24h CCI>4.5) | 1 hour after transfusion | Corrected count increment,CCI |
| The total platelet transfusion volume | 1 month | — |
| Incidence of adverse events after blood transfusion | 1 hour | — |
Secondary
| Measure | Time frame |
|---|---|
| Time of platelet recovery after chemotherapy | 1 month |
| The overall incidence of PTR | 2 years |
Countries
China