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The registration of this research plan was incorrect. A new registration has been done.
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This study aimed to explore the efficacy and safety of romiplostim N01 in the treatment of relapsed/refractory chemoradiotherapy-induced aplastic anemia
Currently, there are few studies on the use of TPO-RAs after tumor radiotherapy and chemotherapy. Our center has published a study on the efficacy and safety of avatrombopag (AVA) in AA secondary to radiotherapy and chemotherapy. The study demonstrated that the ORR at 1, 3, and 6 months were 32.4%, 55.9%, and 58.8%, respectively. In a phase II/III study for refractory AA, romiplostim monotherapy achieved an ORR of 84% at week 27, which showed that romiplostim seemed to be effective and safe in patients with refractory aplastic anemia, with a recommended starting dose of 20 μg/kg once a week.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Romiplostim N01 | Experimental | Romiplostim N01 20 µg/kg subcutaneously once a week for at least 3 months |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Romiplostim N01 | Drug | Romiplostim N01 20 µg/kg subcutaneously once a week for at least 3 months |
|
| Measure | Description | Time Frame |
|---|---|---|
| ORR | Overall response rate (ORR) = PRR+CRR | 3-month, 6-month |
| Measure | Description | Time Frame |
|---|---|---|
| CRR | Complete response rate | 3-month, 6-month, 12-month |
| AE rate | Proportion of patients with adverse events, according to CTCAE | through study completion, an average of 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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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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| Predictive factors of efficacy | Predictive factors of ORR or CRR | 3-month |
| Clonal evolution rate | Proportion of patients progressed to MDS/ AML | through study completion, an average of 1 year |
| D001855 | Bone Marrow Diseases |