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To evaluate the time of response, sustained remission rate and relapse rate of CD38 monoclonal antibody (Daratumumab) combined corticosteroid in the treatment of AHA. To evaluate the safety of CD38 monoclonal antibody in the treatment of AHA.
This is a prospective ,single-arm, multi-center controlled pilot trial of CD38 (Daratumumab) monoclonal antibody combined corticosteroid in the treatment of AHA patients.
Patients will receive Daratumumab and corticosteroid treatment in this trial.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment arm | Experimental | Daratumumab and corticosteroid treatment |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Daratumumab and corticosteroid treatment | Drug | Daratumumab and corticosteroid treatment |
|
| Measure | Description | Time Frame |
|---|---|---|
| Total response rate to treatment (OR) Total response rate to treatment | The proportion of patients achieving OR including CR and PR | During 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| the proportion of patients with complete remission (CR) | The proportion of patients achieving CR , which is defined as titer FVIII inhibitor lower than 0.6 Bethesda unit, factor VIII level≥ 50% | During 8 weeks |
| the proportion of patients with partial remission rate (PR) |
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Inclusion Criteria:
Diagnosed as AHA; Women are postmenopausal women or women of childbearing age with strict contraception; Patients with good compliance
Exclusion Criteria:
Congenital hemophilia with inhibitor; Pregnant and lactating women; Who are positive for hepatitis B surface antigen, hepatitis C antibody, HIV antibody (â… + â…¡) and syphilis antibody; Patients with poor compliance; Who cannot use contraception during the trial; Researchers believe that it is not appropriate for patients to participate in any other condition of this trial; Four weeks before entering the group, the patients received immunosuppressive therapy and the inhibitor showed a progressive decreasing trend (the change was less than 50%).
Acquired von Willebrand disease
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Wei Liu | Contact | +8613820261971 | liuwei1@ihcams.ac.cn | |
| Lei Zhang | Contact | zhanglei1@ihcams.ac.cn |
| Name | Affiliation | Role |
|---|---|---|
| Lei Zhang | Chinese Academy of Medical Science and Blood Disease Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chinese Academy of Medical Science and Blood Disease Hospital | Recruiting | Tianjin | China |
Data can be requested from the corresponding authors from 12 months to 36 months after study completion
from 12 months to 36 months after study completion
From corresponding author
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The proportion of patients achieving PR, which is defined as titer FVIII inhibitor higher than 0.6 Bethesda unit and factor VIII level≥ 50%, and no bleedings will be evaluated. |
| During 8 weeks |
| time to CR | The time for patients to reach complete remission | During 8 weeks |
| The proportion of patients remaining in CR during 24 weeks | The proportion of patients who reached CR and remain in CR during 24 weeks of follow -up time | During 24 weeks |
| The proportion of patients relapse after reaching CR during 24 weeks | The proportion of patients who reached CR and relapse during 24 weeks of follow -up time | During 24 weeks |
| Safety outcome | Adverse events will be collected | From start of the treatment until the end of 24 weeks in the follow-up period |
| ID | Term |
|---|---|
| C556306 | daratumumab |
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