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This study aims to compare the efficacy and safety of recombinant human thrombopoietin (rhTPO) + cyclosporine (CsA) and CsA monotherapy in the treatment of lower-risk myelodysplastic neoplasms with thrombocytopenia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| rhTPO+CsA | Experimental | rhTPO 300U/kg/d, CsA 3-5mg/kg/d |
|
| CsA | Active Comparator | CsA 3-5mg/kg/d |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| rhTPO | Drug | rhTPO 300U/kg/d, subcutaneous injection, once a month for 14 consecutive days |
| |
| Measure | Description | Time Frame |
|---|---|---|
| HI-P | hematological response - platelet | 1-month, 2-month, 3-month, 6-month |
| ORR | ORR=CRR+PRR+HI | 1-month, 2-month, 3-month, 6-month |
| Measure | Description | Time Frame |
|---|---|---|
| Number of bleeding incidents and severity assessed by the World Health Organization Bleeding Scale | minimum value = 0, maximum value = 4; higher scores indicate worse outcome | 3-month, 6-month |
| Platelet transfusion independence |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Bing Han, Doctor | Contact | +86 13601059938 | hanbing_li@sina.com.cn |
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| ID | Term |
|---|---|
| D016572 | Cyclosporine |
| ID | Term |
|---|---|
| D003524 | Cyclosporins |
| D010456 | Peptides, Cyclic |
| D047028 | Macrocyclic Compounds |
| D011083 | Polycyclic Compounds |
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| Cyclosporine (CsA) |
| Drug |
CsA 3-5mg/kg/d |
|
according to the number and interval of platelet transfusions
| 3-month, 6-month |
| Time to CR/OR | Time from baseline to first response | through study period, an average of 6 months |
| Duration of HI-P | Time to patients achieving HI-P to losing response | through study period, an average of 6-month |
| Quality of life score measured by the Short Form-36 Health Survey | minimum value = 0, maximum value = 100; higher scores indicate better quality of life | 3-month |
| Clonal evolution | The incidence of elevation of blast cells in bone marrow and peripheral blood within one year, and the incidence of progressing to higher-risk MDS or AML within one year | 12-month |
| OS | Overall survival (OS), defined as the time from randomization/treatment start to death from any cause. | 12-month |
| D010455 |
| Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |