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Aplastic Anemia Life-Course Cohort Study (TRACE-AA)

2026年11月5日 更新者：Jun Shi、Institute of Hematology & Blood Diseases Hospital, China

A Longitudinal Cohort Study of Aplastic Anemia Across the Disease Course

To establish a longitudinal cohort spanning the entire care continuum of acquired aplastic anemia (AA), from diagnosis and treatment through long-term follow-up, integrating routinely collected clinical data with biospecimens obtained in accordance with applicable ethical and regulatory requirements. The cohort will support observational studies of the natural history of AA; treatment effectiveness and safety; the evolution of clonal hematopoiesis and clonal T-cell populations; immune reconstitution following immunosuppressive therapy (IST); the incidence of platelet transfusion refractoriness and its association with response to IST; and hematopoietic and immune reconstitution after transplantation. Ultimately, the cohort aims to generate real-world evidence to inform clinical practice and reduce the burden of AA.

研究概览

地位

招聘中

条件

干预/治疗

研究类型

观察性的

注册 (估计的)

9999

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习联系方式

研究联系人备份

学习地点

  • 中国
    • Tianjin Municipality
      • Tianjin、Tianjin Municipality、中国、301617
        • 招聘中
        • Red Blood Cell Diseases Center and Regenerative Medicine Center
        • 接触：

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 孩子
  • 成人
  • 年长者

接受健康志愿者

不

有资格学习的性别

全部

取样方法

非概率样本

研究人群

Patients receiving immunosuppressive therapy, allogeneic hematopoietic stem cell transplantation, or other treatments in routine clinical practice will be enrolled and followed longitudinally from diagnosis through long-term follow-up.

描述

Inclusion Criteria:

  • Subjects diagnosed with primary acquired aplastic anemia.
  • Subjects treated at the Institute of Hematology and Blood Diseases Hospital from Jan 1, 2012.

Exclusion Criteria:

  • Subjects that the investigator believes have other reasons that make them unsuitable for inclusion in this study.
  • Subject unlikely to be available for long-term follow-up for any reason (e.g., inability to obtain follow-up data or presence of severe comorbidities).

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 观测模型：COHORT
  • 时间观点：OTHER

队列和干预

团体/队列
干预/治疗
TRACE-AA
  1. Describe real-world treatment patterns and clinical outcomes in AA, including IST, HSCT, and other therapies.
  2. Evaluate treatment-related adverse events and safety, particularly complications of ATG/ALG-based IST and HSCT.
  3. Characterize longitudinal hematopoietic and immune reconstitution after drug therapy or HSCT, including immune-cell subsets, clonal T cells, immune biomarkers, and hematopoietic recovery.
  4. Estimate the cumulative incidence and trajectories of clonal hematopoiesis after IST, including cytogenetic and molecular abnormalities and PNH clones.
  5. Assess prognosis, including treatment discontinuation, relapse, clonal evolution, quality of life, and long-term survival.
其他：A combined retrospective and prospective observational follow-up

Data collected will include: demographic characteristics; medical history and environmental exposures; comorbidities and concomitant medications; medical records; treatment regimens; treatment-related adverse events; treatment outcomes; clonal hematopoiesis and clonal evolution; immune reconstitution; platelet transfusion refractoriness; clonal T-cell populations; quality of life; and health economic outcomes, including healthcare costs and length of hospital stay.

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Hematologic response
大体时间：Assessments will be conducted at baseline, 6 months, 12 months, and 24 months after treatment, as well as at study completion, with an average interval of approximately 1 year.

Hematologic response contains improvements in hemoglobin level, platelet count and neutrophil count.
Assessments will be conducted at baseline, 6 months, 12 months, and 24 months after treatment, as well as at study completion, with an average interval of approximately 1 year.
Clonal evolution
大体时间：Assessments will be conducted at baseline, 6 months, 12 months, and 24 months after treatment, as well as at study completion, with an average interval of approximately 1 year.

Progression to paroxysmal nocturnal hemoglobinuria, myelodysplastic syndrome, or acute myeloid leukemia.
Assessments will be conducted at baseline, 6 months, 12 months, and 24 months after treatment, as well as at study completion, with an average interval of approximately 1 year.
Treatment related adverse events
大体时间：Within 10 years after allo-HSCT; within 6 months after IST

The main treatment modalities include allogeneic hematopoietic stem cell transplantation (allo-HSCT) and intensive immunosuppressive therapy (IST). Use Common Terminology Criteria for Adverse Events (CTCAE) Version 6 to assess the adverse event
Within 10 years after allo-HSCT; within 6 months after IST

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Institute of Hematology & Blood Diseases Hospital, China

调查人员

  • 首席研究员：Jun Shi, PhD、Institute of Hematology & Blood Diseases Hosptial, Chinese Academy of Medical Science and Peking Union Medical School

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2012年1月1日

初级完成 (估计的)

2070年12月31日

研究完成 (估计的)

2070年12月31日

研究注册日期

首次提交

2026年11月5日

首先提交符合 QC 标准的

2026年11月5日

首次发布 (实际的)

2026年11月12日

研究记录更新

最后更新发布 (实际的)

2026年11月12日

上次提交的符合 QC 标准的更新

2026年11月5日

最后验证

2026年11月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • IIT2026131

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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