Status:
COMPLETED
Alemtuzumab to Treat Severe Aplastic Anemia
Lead Sponsor:
National Heart, Lung, and Blood Institute (NHLBI)
Conditions:
Severe Aplastic Anemia, Refractory
Severe Aplastic Anemia, Relapse
Eligibility:
All Genders
2-110 years
Phase:
PHASE2
Brief Summary
This study will evaluate the safety and usefulness of a new immunosuppressive drug, alemtuzumab (Campath ), in patients with severe aplastic anemia (SAA). SAA is a rare and serious blood disorder in w...
Detailed Description
Hematopoietic stem cell destruction in many human bone marrow failure syndromes is now recognized to be secondary to immune mechanisms. Severe aplastic anemia (SAA) is a life-threatening blood disease...
Eligibility Criteria
Inclusion
- INCLUSION CRITERIA:
- Relapsed severe aplastic anemia after initial hematologic response to a prior course of h-ATG or r-ATG based immunosuppression
- Or
- Refractory severe aplastic anemia not responding to both horse-ATG and rabbit ATG-based immunosuppression
- The criteria for severe aplastic anemia are two of the three criteria:
- Absolute neutrophil count less than or equal to 500 /mm(3)
- Platelets to less than or equal to 20,000/mm(3)
- Absolute reticulocyte count less than 60,000 /microL
- Age greater than or equal to 2 years old and greater than 12 kg
- Prospective subjects or their parent(s)/responsible guardian(s) must be able to comprehend and be willing to sign an informed consent.
- EXCLUSION CRITERIA:
- Known Diagnosis of Fanconi's anemia
- Evidence of a clonal disorder on cytogenetics. In the refractory disease setting, prospective subjects with super severe neutropenia (ANC less than 200 /microL) will not be excluded if results of cytogenetics are not available or pending.
- Infection not adequately responding to appropriate therapy
- HIV positivity
- Failure to discontinue the herbal supplements Echinacea purpurea or Usnea barbata (Old Man's Beard) within 2 weeks of enrollment
- 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
- Previous hypersensitivity to alemtuzumab or its components
- Potential subjects with cancer who are on active chemotherapeutic treatment or who take drugs with hematological effects will not be eligible
- Current pregnancy, or unwilling to take oral contraceptives or refrain from pregnancy if of childbearing potential
- Not able to understand the investigational nature of the study or give informed consent
Exclusion
Key Trial Info
Start Date :
September 15 2005
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
October 15 2018
Estimated Enrollment :
47 Patients enrolled
Trial Details
Trial ID
NCT00195624
Start Date
September 15 2005
End Date
October 15 2018
Last Update
July 7 2020
Active Locations (1)
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1
National Institutes of Health Clinical Center, 9000 Rockville Pike
Bethesda, Maryland, United States, 20892