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Efficacy and safety of Romiplostim in the treatment of refractory transfusion-dependent NSAA.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Romiplostim group | Experimental | Romiplostim group |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Romiplostim | Drug | Enrolled patients will be given Romiplostim (20 µg/kg subcutaneously once a week) for a minimum of 3 months. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Overall response rate (ORR) | Overall response rate (ORR) was defined as the ratio of complete response (CR) + partial response (PR).CR was defined as a haemoglobin level ≥120 g/L, neutrophil count >1.5 × 10^9/L and platelet count >150 × 10^9/L in patients who did not receive a transfusion.PR was defined as not being transfusion-dependent (if previously transfusion-dependent), or doubling or normalisation of at least one cell line or baseline increase, or initial ANC <0.5 × 10^9/L increased by at least 0.5 × 10^9/L after treatment, or initial PLT <20 × 10^9/L increased by at least 20 × 10^9/L after treatment. | 3 months |
| Overall response rate (ORR) | Overall response rate (ORR) was defined as the ratio of complete response (CR) + partial response (PR).CR was defined as a haemoglobin level ≥120 g/L, neutrophil count >1.5 × 10^9/L and platelet count >150 × 10^9/L in patients who did not receive a transfusion.PR was defined as not being transfusion-dependent (if previously transfusion-dependent), or doubling or normalisation of at least one cell line or baseline increase, or initial ANC <0.5 × 10^9/L increased by at least 0.5 × 10^9/L after treatment, or initial PLT <20 × 10^9/L increased by at least 20 × 10^9/L after treatment. | 6 months |
| CRR | CR was defined as a haemoglobin level ≥120 g/L, neutrophil count >1.5 × 10^9/L and platelet count >150 × 10^9/L in patients who did not receive a transfusion. | 3 months |
| CRR | CR was defined as a haemoglobin level ≥120 g/L, neutrophil count >1.5 × 10^9/L and platelet count >150 × 10^9/L in patients who did not receive a transfusion. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| safety events | Number of participants with treatment-related adverse events as assessed by CTCAE v4.0 | 3 months |
| safety events | Number of participants with treatment-related adverse events as assessed by CTCAE v4.0 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking Union Medical College Hospital | Beijing | Beijing Municipality | 100730 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 7616805 | Background | Young NS. Aplastic anaemia. Lancet. 1995 Jul 22;346(8969):228-32. doi: 10.1016/s0140-6736(95)91273-8. No abstract available. | |
| 30354958 | Background | Young NS. Aplastic Anemia. N Engl J Med. 2018 Oct 25;379(17):1643-1656. doi: 10.1056/NEJMra1413485. No abstract available. |
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| ID | Term |
|---|---|
| D000741 | Anemia, Aplastic |
| ID | Term |
|---|---|
| D000740 | Anemia |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D000080983 | Bone Marrow Failure Disorders |
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| ID | Term |
|---|---|
| C488777 | romiplostim |
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| 6months |
| 28096088 | Background | Bacigalupo A. How I treat acquired aplastic anemia. Blood. 2017 Mar 16;129(11):1428-1436. doi: 10.1182/blood-2016-08-693481. Epub 2017 Jan 17. |
| 1813058 | Background | Yang C, Zhang X. Incidence survey of aplastic anemia in China. Chin Med Sci J. 1991 Dec;6(4):203-7. |
| D001855 | Bone Marrow Diseases |