- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03218657
Clinical Study of Non Severe Aplastic Anemia Treated With Cyclosporine, Androgen and Levamisole
July 24, 2017 updated by: Shengyun Lin
A Prospective, Randomized, Controlled Clinical Study of Non Transfusion Dependent Non Severe Aplastic Anemia Treated With Cyclosporine, Androgen and Levamisole Hydrochloride
The clinical symptoms of non transfusion dependent non severe aplastic anemia (NSAA) are often lighter than that of severe aplastic anemia.
Clinical observation is often used and the treatment should be given according to the follow-up results of peripheral blood routine and the survival condition of the patients.
In recent years, a number of studies at home or abroad have tended to intervene earlier.
The risk of observation and waiting for disease progression is higher.
Early immunosuppression should be considered.
For the treatment of non transfusion dependent non severe aplastic anemia, the commonly used treatment regimen is androgen combined with CSA.
But the investigators find that Levamisole hydrochloride (LMS) as a commonly used immunomodulatory drugs may be helpful to improving immune disorder symptoms in NSAA patients.
Therefore,the investigators are conducting a prospective, randomized controlled study to compare the rate, side effects and long-term survival in non transfusion dependent patients with NSAA between the androgen+CSA group and the androgen+CSA+LMS group.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Anticipated)
248
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Lin s Yun, master
- Phone Number: 13588887285
- Email: lsyww2003@163.com
Study Contact Backup
- Name: shen y Ying, master
- Phone Number: 18368023551
- Email: 413808426@qq.com
Study Locations
-
-
Zhejiang
-
Hangzhou, Zhejiang, China, 310006
- Recruiting
- Zhejiang Province Traditional Chinese Medical Hospital
-
Contact:
- Lin s Yun, master
- Phone Number: 13588887285
- Email: lsyww2003@163.com
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 70 years (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- All the patients meet a NSAA diagnostic criteria, and agree the immunosuppressive therapy. Diagnoses reference to The diagnostic and therapeutic criteria for hematologic diseases(Zhang Zhinan 2007), and The diagnosis and treatment of aplastic anemia(2016 UK guidelines)
- 18-70years old, male or female
- Liver and kidney function: the blood bilirubin is less than or equal to 2mg/dL (35 mol/L), AST/ALT in the upper limit of the normal value below 2 times, blood inosine is less than or equal to 177 umol/L.
- Heart function is normal: EF>50%.
- No serious lung infection.
- All cases had no history of cancer and chemotherapy history, immunology therapy. The control group without hematologic diseases, lupus or other immune disfunctions, allergic disease, Fanconi anemia.
- Consent signed by patients or their families.
Exclusion Criteria:
- Congenital hematopoietic failure, Fanconi anemia, or combined with bone marrow hyperplasia, leukemia, multiple myeloma, giant cell anemia, paroxysmal nocturnal hemoglobin or other blood diseases.
- The HBV DNA copy number is greater than 1000/ml or the serum hepatitis B virus is not clear.
- Serum bilirubin > 2mg/dL (35 umol/L); ALT or AST > 2 times the normal value of the upper limit; alkaline phosphatase > 3 times the upper limit of the normal value; serum creatinine > 177 mol/L.
- HIV positive.
- Other serious diseases that may limit the patient to participate in the study (e.g., the progressive infection, incontrollable diabetes, severe cardiac insufficiency or angina pectoris, etc.)
- Conditions are not suitable for immunosuppressive therapy.
- Pregnant or lactating women.
- Can not understand or follow the research program.
- Patients under 16 years of age.
- Patients with a history of cancer, chemotherapy, or radiation therapy, immune system diseases or allergic diseases.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: experimental group
the patients treated with levamisole hydrochloride 150mg qod +androgens 80mg qd+cyclosporins 3-5mg/kg*d at least for one year
|
levamisole hydrochloride take orally 150mg qod
Other Names:
Androgens take orally 80mg qd
Cyclosporines take orally 3-5mg/kg*d qd
|
OTHER: control group
the patients treated without levamisole hydrochloride,but androgens 80mg qd+cyclosporins 3-5mg/kg*d at least for one year
|
Androgens take orally 80mg qd
Cyclosporines take orally 3-5mg/kg*d qd
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Routine blood test
Time Frame: up to 4 weeks
|
hemoglobin;white blood cell;Platelet
|
up to 4 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Bone marrow
Time Frame: 1 year
|
The proliferation of cells in bone marrow
|
1 year
|
biochemical test
Time Frame: up to 4 weeks
|
Alanine aminotransferase;Aspartate aminotransferase
|
up to 4 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ANTICIPATED)
January 1, 2018
Primary Completion (ANTICIPATED)
July 1, 2019
Study Completion (ANTICIPATED)
July 1, 2022
Study Registration Dates
First Submitted
June 16, 2017
First Submitted That Met QC Criteria
July 13, 2017
First Posted (ACTUAL)
July 14, 2017
Study Record Updates
Last Update Posted (ACTUAL)
July 26, 2017
Last Update Submitted That Met QC Criteria
July 24, 2017
Last Verified
July 1, 2017
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Bone Marrow Diseases
- Hematologic Diseases
- Bone Marrow Failure Disorders
- Anemia
- Anemia, Aplastic
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Enzyme Inhibitors
- Antirheumatic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Dermatologic Agents
- Adjuvants, Immunologic
- Antifungal Agents
- Antiparasitic Agents
- Antinematodal Agents
- Anthelmintics
- Calcineurin Inhibitors
- Cyclosporine
- Cyclosporins
- Androgens
- Levamisole
Other Study ID Numbers
- AA-LSA/SA
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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