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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 19 February 2015
Main ID:  NCT00882323
Date of registration: 15/04/2009
Prospective Registration: No
Primary sponsor: The Korean Society of Pediatric Hematology Oncology
Public title: Reduced Toxicity Fludarabine (Flu) + Cyclophosphamide (CPM) + Rabbit Antithymocyte Globulin (rATG) Conditioning Regimen for Unrelated Donor Transplantation in Severe Aplastic Anemia (SAA)
Scientific title: Reduced Toxicity Fludarabine, Cyclophosphamide Plus Thymoglobulin Conditioning Regimen for Unrelated Donor Transplantation in Severe Aplastic Anemia
Date of first enrolment: November 2008
Target sample size: 33
Recruitment status: Recruiting
URL:  http://clinicaltrials.gov/show/NCT00882323
Study type:  Interventional
Study design:  Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment  
Phase:  Phase 2
Countries of recruitment
Korea, Republic of
Contacts
Name:     Hyo seop Ahn, M.D, Ph. D
Address: 
Telephone:
Email:
Affiliation:  The Korean Society of Pediatric Hematology Oncology
Name:     Hyoung Jin Kang, M.D, Ph.D
Address: 
Telephone: 82 2 2072 3304
Email: kanghj@snu.ac.kr
Affiliation: 
Name:     Hyo Seop Ahn, M.D, Ph.D
Address: 
Telephone: 82 2 2072 3625
Email: hsahn@snu.ac.kr
Affiliation: 
Key inclusion & exclusion criteria

Inclusion Criteria:

1. Diagnosis of severe aplastic anemia defined by any two or three peripheral blood
criteria and either marrow criterion.

- Peripheral blood

1. Neutrophils < 0.5 x 109/l

2. Platelets < 20 x 109/l

3. Corrected reticulocytes < 1%

- Bone marrow

1. Severe hypocellularity (< 25%)

2. Moderate hypocellularity (25-30%) with hematopoietic cells representing <
30% of residual cells

2. No prior hematopoietic stem cell transplantation.

3. Age: no limits.

4. Performance status: ECOG 0-2.

5. Patients must be free of significant functional deficits in major organs, but the
following eligibility criteria may be modified in individual cases:

- Heart: a shortening fraction > 30% and ejection fraction > 45%.

- Liver: total bilirubin < 2 × upper limit of normal; ALT < 3 × upper

- Kidney: creatinine <2 × normal or a creatinine clearance (GFR) > 60
ml/min/1.73m2.

6. Patients must lack any active viral infections or active fungal infection.

7. Appropriate donor is available: Matched in 6/6 of A, B, DR loci.

8. Patients (or one of parents if patients age < 19) should sign informed consent.

Exclusion Criteria:

1. Pregnant or nursing women.

2. Malignant or nonmalignant illness that is uncontrolled or whose control may be
jeopardized by complications of study therapy.

3. Psychiatric disorder that would preclude compliance.

4. Congenital aplastic anemia including Fanconi anemia.

5. Manipulated bone marrow.



Age minimum: 1 Year
Age maximum: 21 Years
Gender: Both
Health Condition(s) or Problem(s) studied
Aplastic Anemia
Intervention(s)
Drug: Cyclophosphamide, Fludarabine, Thymoglobulin
Primary Outcome(s)
To evaluate engraftment potential of reduced toxicity fludarabine, cyclophosphamide plus thymoglobulin conditioning regimen for unrelated bone marrow transplantation in severe aplastic anemia. [Time Frame: From Nov. 2008 to Oct. 2012]
Secondary Outcome(s)
To evaluate toxicities of reduced toxicity fludarabine, cyclophosphamide plus thymoglobulin conditioning regimen for UBMT/PBSCT in SAA. [Time Frame: From Nov. 2008 to Oct. 2012]
To evaluate GVHD and immunologic recovery after UBMT/PBSCT. [Time Frame: From Nov. 2008 to Oct. 2012]
To evaluate overall and EFS rate after UBMT/PBSCT. [Time Frame: From Nov. 2008 to Oct. 2012]
Secondary ID(s)
KSPHO-SCT 0802
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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