[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100385908":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":39,"centralContacts":44,"locations":54,"responsibleParty":75,"collaborators":49,"id":77,"slug":78,"hasResults":79,"nctId":80,"briefTitle":81,"officialTitle":81,"acronym":49,"eligibilityCriteria":82,"healthyVolunteers":83,"sex":84,"minAge":85,"maxAge":86,"enrollmentInfo":87,"targetDuration":49,"studyType":90,"phases":91,"briefSummary":93,"conditions":94,"keywords":96,"overallStatus":57,"whyStopped":49,"lastUpdateSubmitDate":102,"lastUpdatePostDateStruct":103,"startDateStruct":106,"completionDateStruct":108,"leadSponsor":110,"locationsCount":111},{"fullName":5,"class":6},"National Institutes of Health Clinical Center (CC)","NIH",[8,16],{"label":9,"type":10,"description":11,"interventionNames":12},"Participants with Severe Aplastic Anemia in Early Initiation of Cyclosporine and Eltrombopag","EXPERIMENTAL","Treatment-naïve Severe Aplastic Anemia (SAA) participants start Cyclosporine (CsA) on Day 1 at 2 mg\u002Fkg\u002Fday. At initiation of Horse Anti-Thymocyte-Globulin (h-ATG), dosing increases to 3 mg\u002Fkg every 12 hours for those ≥12 years (6 mg\u002Fkg\u002Fday total) and 6 mg\u002Fkg every 12 hours for those \\\u003C12 years (12 mg\u002Fkg\u002Fday total). Actual body weight is used unless \\>125% ideal body weight (IBW), where adjusted IBW applies. CsA is titrated to a trough of 200-400 mcg\u002FL. At 6 months, responders reduce to 2 mg\u002Fkg\u002Fday through 24 months, with return to full dosing if relapse occurs. h-ATG is given at 40 mg\u002Fkg\u002Fday for 4 days IV, unless the patient already shows a complete response at the initial NIH visit after remote oral therapy.\n\nEltrombopag (EPAG) starts on Day 1 at 150 mg\u002Fday for ages 12-17, 75 mg\u002Fday for ages 6-11, and 2.5 mg\u002Fkg\u002Fday for ages 3-5. For East and Southeast Asian patients, starting doses are reduced to 75 mg\u002Fday (ages 12-85), 37.5 mg\u002Fday (ages 6-11), and 1.25 mg\u002Fkg\u002Fday (ages 3-5).",[13,14,15],"Drug: Eltrombopag","Drug: Cyclosporine","Drug: Horse-Anti-thymocyte-Globulin",{"label":17,"type":10,"description":11,"interventionNames":18},"Extension Cohort",[13,14,15],[20,27,33],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"DRUG","Eltrombopag","Between 12 and 17yo (adult dose of 150mg) Between 6 and 11yo (75 mg) Between 3 and 5 yo (2.5 mg\u002Fkg)",[17,9],[26],"EPAG",{"type":21,"name":28,"description":29,"armGroupLabels":30,"otherNames":31},"Cyclosporine","Day 1 to start of h-ATG: 2mg\u002Fkg\u002Fday by mouth (All subjects) Start of h-ATG to Month 6: 3 mg\u002Fkg\u002Fdose by mouth administered every 12 hours (12yo and above) 6 mg\u002Fkg\u002Fdose by mouth administered every 12 hours (less than 12yo) Month 6 to Month 24: Dosing to be adjusted based on response",[17,9],[32],"CsA",{"type":21,"name":34,"description":35,"armGroupLabels":36,"otherNames":37},"Horse-Anti-thymocyte-Globulin","h-ATG at a dose of 40 mg\u002Fkg\u002Fday for 4 days (intravenously for approximately 4 hours daily) Note: Omitted in patients who have achieved a complete response at the initial NIH visit after initiating oral treatment remotely",[17,9],[38],"H-ATG",[40],{"name":41,"affiliation":42,"role":43},"Bhavisha A Patel, M.D.","National Heart, Lung, and Blood Institute (NHLBI)","PRINCIPAL_INVESTIGATOR",[45,51],{"name":46,"role":47,"phone":48,"phoneExt":49,"email":50},"Olga J Rios, R.N.","CONTACT","(301) 496-4462",null,"olga.rios@nih.gov",{"name":41,"role":47,"phone":52,"phoneExt":49,"email":53},"(301) 402-3477","bhavisha.patel@nih.gov",[55],{"facility":56,"status":57,"city":58,"state":59,"zip":60,"country":61,"countryCode":62,"cosmosGeoPoint":63,"geoPoint":68,"contacts":69},"National Institutes of Health Clinical Center","RECRUITING","Bethesda","Maryland","20892","United States","US",{"type":64,"coordinates":65},"Point",[66,67],-77.10026,38.98067,{"lat":67,"lon":66},[70],{"name":71,"role":47,"phone":72,"phoneExt":73,"email":74},"For more information at the NIH Clinical Center contact Office of Patient Recruitment (OPR)","800-411-1222","TTY8664111010","prpl@cc.nih.gov",{"type":76,"investigatorFullName":49,"investigatorTitle":49,"investigatorAffiliation":49,"oldNameTitle":49,"oldOrganization":49},"SPONSOR","100385908","phase-2-early-initiation-of-oral-therapy-with-cyclosporine-and-eltrombopag-for-treatment-naive-severe-aplastic-anemia-saa-100385908",true,"NCT04304820","Early Initiation of Oral Therapy With Cyclosporine and Eltrombopag for Treatment Naive Severe Aplastic Anemia (SAA)","* INCLUSION CRITERIA:\n\n  1. Age \\>= 3 years old\n  2. Weight \\>12Kg\n  3. Severe aplastic anemia:\n* Bone marrow cellularity \\\u003C30% (excluding lymphocytes) AND At least two of the following:\n\n  * Absolute neutrophil count \\\u003C500\u002Fmicroliter\n  * Platelet count \\\u003C20,000\u002Fmicroliter\n  * Absolute reticulocyte count \\\u003C60,000\u002Fmicroliter\n\nEXCLUSION CRITERIA:\n\n1. Known diagnosis or high suspicion of Fanconi anemia or other constitutional marrow failure syndrome\n2. Evidence of a clonal disorder on cytogenetics performed within 12 weeks of study entry involving chromosome 7 or complex karyotype. Patient will not be excluded if cytogenetics are not done or are pending\n3. A course of prior immunosuppressive therapy (ATG, cyclosporine, alemtuzumab, and high dose cyclophosphamide), or eltrombopag\n4. SGOT or SGPT \\>2.5 times the upper limit of normal or total bilirubin \\>1.5 x upper limit of normal\n5. Subjects with liver cirrhosis (as determined by the investigator).\n6. Subjects with human immunodeficiency virus (HIV) who are not receiving antiretroviral therapy, have detectable HIV RNA viral load and have CD4 cell count \\\u003C200\u002Fmicroliter, or are on anti-retroviral therapy that interacts with the study drugs. subjects will not be excluded if HIV testing is pending or unavailable.\n7. Glomerular filtration rate (GFR) \\\u003C40 mL\u002Fmin\u002F1.73m\\^2\n8. Hypersensitivity to EPAG or its components\n9. Infection not adequately responding to appropriate therapy\n10. Moribund status or concurrent hepatic, renal, cardiac, neurologic, pulmonary, infectious, or metabolic disease of such severity that it would preclude the patient's ability to tolerate protocol therapy, or that death within 7-10 days is likely\n11. Potential subjects with cancer who are on active chemotherapeutic treatment or who take drugs with hematological effects will not be eligible\n12. Inability to understand the investigational nature of the study or to give informed consent or does not have a legally authorized representative or surrogate that can provide informed consent.\n13. Inability to swallow\n14. Unable to participate in audio\u002Fvideo telecommunication\n15. Inability to ship the study drug to participant\n16. History or current diagnosis of cardiac disease indicating significant risk of safety for patients participating in the study such as uncontrolled or significant cardiac disease, including any of the following: Recent myocardial infarction (within last 6 months), uncontrolled congestive heart failure, unstable angina (within last 6 months), clinically significant (symptomatic) cardiac arrhythmias (e.g., sustained ventricular tachycardia, and clinically significant second or third degree AV block without a pacemaker.), long QT syndrome, family history of idiopathic sudden death, congenital long QT syndrome or additional risk factors for cardiac repolarization abnormality, as determined by the investigator.\n17. Impaired cardiac function, such as: Corrected QTc \\>450 msec using Fridericia correction (QTcF) on the screening ECG (using triplicate ECGs), other clinically significant cardiovascular disease (e.g., uncontrolled hypertension, history of labile hypertension), history of known structural abnormalities (e.g. cardiomyopathy).\n18. Concurrent participation in an investigational study within 30 days prior to enrollment or within 5-half-lives of the investigational product, whichever is longer. Note: parallel enrollment in a disease registry is permitted.\n19. Known thrombophilic risk factors. Exception: Subjects for whom the potential benefits of participating in the study outweigh the potential risks of thromboembolic events, as determined by the investigator.\n20. Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using basic methods of contraception during dosing of study treatment. Basic contraception methods include:\n\n    * Total abstinence (when this is in line with the preferred and usual lifestyle of the subject. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception\n    * Female sterilization (have had surgical bilateral oophorectomy with or without hysterectomy), total hysterectomy, or tubal ligation at least six weeks before taking study treatment. In case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow up hormone level assessment\n    * Male sterilization (at least 6 months prior to screening). The vasectomized male partner should be the sole partner for that subject\n    * Barrier methods of contraception: Condom or Occlusive cap. For the UK: with spermicidal foam\u002Fgel\u002Ffilm\u002Fcream\u002F vaginal suppository\n    * Use of oral, injected or implanted hormonal methods of contraception or placement of an intrauterine device (IUD) or intrauterine system (IUS), or other forms of hormonal contraception that have comparable efficacy (failure rate \\\u003C1%), for example hormone vaginal ring or transdermal hormone contraception.\n\n      * In case of use of oral contraception women should have been stable on the same pill for a minimum of 3 months before taking study treatment.\n21. Female subjects who are nursing or pregnant (positive serum or urine B-human chorionic gonadotrophin (B-hCG) pregnancy test) at screening or pre-dose on Day 1\n22. Sexually active males unless they use a condom during intercourse while taking the drug during treatment, and for 7 days after stopping treatment (and for an additional 12 weeks \\[for genotoxic compounds\\]) and should not father a child in this period. A condom is required to be used also by vasectomized men as well as during intercourse with a male partner in order to prevent delivery of the drug via semen.\n\nINCLUSION OF PREGNANT WOMEN, FETUSES OR NEONATES:\n\nThe protocol does not intentionally enroll pregnant women due to unknown fetal risk with eltrombopag. However, if a patient gets pregnant during the trial participation period, she may remain on study for non-invasive safety and outcomes follow-up.",false,"ALL","3 Years","99 Years",{"count":88,"type":89},80,"ESTIMATED","INTERVENTIONAL",[92],"PHASE2","Background:\n\nSevere aplastic anemia (SAA) is a rare and serious blood disorder. It causes the immune system to turn against bone marrow cells. Standard treatment for SSA is a combination of 3 drugs (Cyclosporine \\[CsA\\], Eltrombopag \\[EPAG\\], and horse anti-thymocyte globulin \\[h-ATG\\]). Researchers want to see if starting people at a lower dose of CsA with EPAG before giving them h-ATG is helpful.\n\nObjective:\n\nTo learn if early initiation of oral therapy with CsA and EPAG is safe and effective in people who have SAA and have not been treated with a course of immunosuppressive therapy and EPAG.\n\nEligibility:\n\nPeople ages 3 and older with SAA\n\nDesign:\n\nParticipants will be screened with:\n\n* medical history\n* physical exam\n* electrocardiogram\n* blood tests\n* family history\n* bone marrow biopsy\n* current medicines.\n\nParticipants may be screened remotely via telephone conference.\n\nParticipants will take a lower oral dose of CsA and EPAG. They will take CsA twice a day for 6 months. They will take EPAG for 6 months. Those who cannot visit the NIH Clinical Center within 72 hours will start taking the drugs at home. They will have weekly telephone calls with NIH staff until they visit the Clinical Center.\n\nParticipants may get h-ATG at the Clinical Center for 4 days. For this, they will have a central line placed. It is a plastic tube inserted into a neck, chest, or arm vein.\n\nParticipants will repeat most screening tests throughout the study.\n\nParticipants will have follow-up visits at the Clinical Center at 3 months, 6 months, and annually for 5 years after the start of the study....",[95],"Severe Aplastic Anemia",[97,98,99,100,101],"Immunosuppression","T-cells","Hematopoiesis","Autoimmunity","Thrombocytopenia","2026-02-17",{"date":104,"type":105},"2026-03-09","ACTUAL",{"date":107,"type":105},"2020-05-07",{"date":109,"type":89},"2033-12-18",{"name":42,"class":6},1]