About this trial
This study aimed to explore the efficacy and safety of cyclosporine (CsA)
+eltrombopag (EPAG)/hetrombopag (HPAG)+romiplostim N01 in the treatment of newly-diagnosed transfusion-dependent aplastic anemia (TD-NSAA) and severe aplastic anemia (SAA)
Eligibility criteria
Qualifiers
Age ≥ 18 years old;
Diagnosed with aplastic anemia (AA) through routine blood tests, bone marrow puncture, bone marrow biopsy, and exclusion tests, and determined as transfusion-dependent non-severe aplastic anemia (TD-NSAA) or severe aplastic anemia (SAA) according to the Camitta criteria; Platelet < 30×10^9/L;
Had no HLA-matched donors or was not suitable for first-line allogeneic hematopoietic stem cell transplantation (HSCT);
Not suitable for ATG, due to reasons such as age, complications, and the patient's own wishes;
Disqualifiers
Had other primary or secondary bone marrow failure (BMF) diseases, such as Fanconi anemia, congenital keratinization disorder, etc.;
With evidence of clonal hematological bone marrow diseases (MDS, AML) in cytogenetics;
PNH clone ≥ 50%;
Received HSCT before enrollment;
Trial design
Treatments tested in this trial
- Cyclosporine (CsA)
- thrombopoietin receptor agonist (TPO-RA)
- Romiplostim N01