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This study evaluates the addition of Eltrombopag after Hematopoietic stem cell transplantation (HSCT) to improve the engraftment of hematopoietic stem cell. Half of the participants will receive Eltrombopag,while the other will not receive the Eltrombopag.
With the progress of transplantation technology,allogeneic hematopoietic stem cell transplantation is becoming an important treatment for hematological diseases and the long-term survival of patients is gradually improved. However, thrombocytopenia after transplantation has always been an important complication. Studies have shown that about 20% patients had different degrees of thrombocytopenia. Eltrombopag could promote hematopoietic stem cell proliferation and differentiation in vitro studies. It has also been widely used in the treatment of immune thrombocytopenia (ITP) and aplastic anemia(AA) and increased platelet levels in such diseases. Eltrombopag is also used to treat poor platelet engraftment after transplantation and the effective rate is about 60%-80%. Therefore, the application of Eltrombopag at early time after transplantation might promote platelet engraftment and reduce platelet transfusions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment Group | The patients will receive Eltrombopag treatment after transplantation at d1. |
| |
| Control Group | The patients will not receive Eltrombopag treatment after transplantation. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Eltrombopag | Drug | The patients will receive Eltrombopag treatment after transplantation |
|
| Measure | Description | Time Frame |
|---|---|---|
| The engraftment of platelet | the day of platelet engraftment | 3 years |
| The levels of platelet | The levels of platelet at 30 days after transplantation | 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| The number of platelet transfusions | The number of platelet units be transfused to the patients before platelet engraftment | 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| The engraftment of white blood cell | The day of white blood cell engraftment | 3 years |
| OS | 3years overall survival of the patients | 3 years |
Inclusion Criteria:
Exclusion Criteria:
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Patients after allogeneic hematopoietic stem cell transplantation
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xiaosheng Fang | Contact | 15168889703 | fxsh_1010@126.com | |
| Xin Wang | Contact | xinw007@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Xin Wang | Shandong Provincial Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Heamtology Department, Provincial Hospital Affiliated to Shandong University | Jinan | Shandong | 250021 | China |
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| ID | Term |
|---|---|
| C520809 | eltrombopag |
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