Severe Aplastic Anemia
Conditions
Keywords
Severe Aplastic Anemia, Modified transplantation system, Ruxolitinib, Melphalan
Brief summary
The aim of this study was to evaluate the safety and efficacy of a modified allogeneic hematopoietic stem cell transplantation regimen for aplastic anemia.
Detailed description
ObjectiveTo evaluate the safety and efficacy of a modified allogeneic hematopoietic stem cell transplantation regimen in aplastic anemia. Aplastic anemia (AA) is a group of myelo-hemopoietic failure syndromes caused by a variety of etiologies. If not intervened, the average expected survival time is less than half a year.Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is one of the possible cures for this disease. The success rate of treatment for this disease can be further improved under the previous regimen system. The survival rate reported in the literature is 60%-90%. We designed this study to improve the conditioning regimen and optimize the GHVD prevention measures to improve the transplant success rate and prolong patient survival, while minimizing the occurrence of GVHD and reducing the recurrence rate of the disease.30 patients with aplastic anemia were planned to be enrolled.
Interventions
Conditioning regimen: fludarabine 30mg/m2×5\ 6d,cyclophosphamide 50mg/kg×2d, melphalan 100mg/m2×1d aGVHD prophylaxis: PTCY 25mg/kg×2d, ATG 4.5mg/kg total, MMF 15mg/kg +5d\ +35d, Ruxolitinib 5mg bid -1d\ +50d and 2.5mg bid +51d\ +110d, CSA
Sponsors
Hematology department of the 920th hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
3 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
1. Patients with benign or malignant hematological diseases such as leukemia, lymphoma, thalassemia, aplastic anemia, etc. diagnosed by NCCN guidelines, and requiring allogeneic hematopoietic stem cell transplantation as determined by the researchers; 2. Age 3-65 years old; 3. Weight 10Kg-100Kg; 4. Eastern Cooperative Oncology Group (ECOG) score ≤3; 5. No major organ injury (ECG ejection fraction \>45%; bilirubin \< 2 times the upper limit of normal value; AST and ALT \< 3 times the upper limit of normal value; serum creatinine \< 2 times the upper limit of normal value); 6. No severe infection; 7. Subjects voluntarily participated in this clinical trial and signed the informed consent.
Exclusion criteria
1. patients with nonhematologic diseases who are not eligible for transplantation or who do not wish to receive transplantation; 2. patients with an expected survival of less than 1 month; 3. patients with previous autologous or allogeneic hematopoietic stem cell transplantation; 4. pregnant patients; 5. patients with severe mental or neurological disorders that would affect the ability to provide informed consent and/or to report or observe adverse events; 6. other conditions that the investigator determines to be inappropriate for enrollment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| overall survival (OS) | [Time Frame: 2 years after allogeneic transplantation with improved conditioning regimen] | 2-year overall survival (OS) and graft-versus-host disease and relapse-free survival (GRFS) after transplantation |
| Acute graft-versus-host disease incidence | [Time Frame: 2 years after allogeneic transplantation with improved conditioning regimen] | — |
Secondary
| Measure | Time frame |
|---|---|
| incidence of Intensive fungal disease | [Time Frame: 2 years after allogeneic transplantation with improved conditioning regimen] |
| Transplantation-related motality | [Time Frame: 2 years after allogeneic transplantation with improved conditioning regimen] |
| CMV reactivation rate | [Time Frame: 2 years after allogeneic transplantation with improved conditioning regimen] |
| EB virus reactivation rate | [Time Frame: 2 years after allogeneic transplantation with improved conditioning regimen] |
| Chronic graft-versus-host disease incidence | [Time Frame: 2 years after allogeneic transplantation with improved conditioning regimen] |
Countries
China
Contacts
Primary Contactwang PI sanbin, Doctor
Outcome results
None listed