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NCT01891994

Extended Dosing With Eltrombopag for Severe Aplastic Anemia

Completed Phase 2 Results posted Last updated 25 April 2023
What this trial tests

Phase 2 trial testing Eltrombopag in Severe Aplastic Anemia (SAA) in 40 participants. Completed in 24 August 2022.

Timeline
28 June 2013
Primary endpoint
16 October 2017
24 August 2022

Quick facts

Lead sponsorNational Heart, Lung, and Blood Institute (NHLBI)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment40
Start date28 June 2013
Primary completion16 October 2017
Estimated completion24 August 2022
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Heart, Lung, and Blood Institute (NHLBI)

Who can join

Adults 2 to 100, any sex, with Severe Aplastic Anemia (SAA). Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Drug Response as Defined by Clinically-signficant Hematologic Improvements Primary · 24 weeks

Defined as unilineage or multilineage recovery by 1 or more of the following: 1) platelet response (increase to 20 × 103/μL above baseline or stable platelet counts with transfusion independence for a minimum of 8 weeks in those who were transfusion dependent on entry into the protocol); (2) erythroid response (when pretreatment hemoglobin was \<9 g/dL, defined as an increase in hemoglobin by 1.5 g/dL or, in transfused patients, a reduction in the units of packed red blood cell transfusions by an absolute number of at least 4 transfusions for 8 consecutive weeks, compared with the pretreatment

GroupValue95% CI
Eltrombopag20

Adverse events — posted to ClinicalTrials.gov

Time frame: 6 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Eltrombopag
Serious: 13/40 (33%)
Deaths: 1/40

Serious adverse events (27 terms)

ReactionSystemEltrombopag
Febrile neutropeniaBlood and lymphatic system disorders
SepsisInfections and infestations
AnaemiaBlood and lymphatic system disorders
Otitis mediaEar and labyrinth disorders
ColitisGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
PancreatitisGastrointestinal disorders
VomitingGastrointestinal disorders
DeathGeneral disorders
Infusion related reactionGeneral disorders
PyrexiaGeneral disorders
Bile duct stenosisHepatobiliary disorders
HypersensitivityImmune system disorders
UrticariaImmune system disorders
CellulitisInfections and infestations
Clostridium difficile InfectionInfections and infestations
InfluenzaInfections and infestations
Staphylococcal infectionInfections and infestations
Craniocerebral InjuryInjury, poisoning and procedural complications
Haemorrhage intracranialNervous system disorders
HeadacheNervous system disorders
NephrolithiasisRenal and urinary disorders
Ovarian haemorrhageReproductive system and breast disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
Other adverse events (180 terms — click to expand)

ReactionSystemEltrombopag
AnaemiaBlood and lymphatic system disorders
Neutrophil count decreasedInvestigations
HeadacheNervous system disorders
Ocular icterusBlood and lymphatic system disorders
PetechiaeBlood and lymphatic system disorders
Oedema peripheralCardiac disorders
DiarrhoeaGastrointestinal disorders
White blood cell count decreasedInvestigations
EpistaxisRespiratory, thoracic and mediastinal disorders
DizzinessCardiac disorders
DyspnoeaCardiac disorders
Abdominal painGastrointestinal disorders
NauseaGastrointestinal disorders
ContusionInjury, poisoning and procedural complications
Lymphocyte count decreasedInvestigations
Back painMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
Skin infectionInfections and infestations
Upper respiratory tract infectionInfections and infestations
Weight increasedInvestigations
CoughRespiratory, thoracic and mediastinal disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
ChillsGeneral disorders
Decreased appetiteGeneral disorders
Viral infectionInfections and infestations
Platelet count decreasedInvestigations
Weight decreasedInvestigations
Pain in extremityMusculoskeletal and connective tissue disorders
ConstipationGastrointestinal disorders
Gastrointestinal disorderGastrointestinal disorders
Mouth haemorrhageGastrointestinal disorders
VomitingGastrointestinal disorders
MalaiseGeneral disorders
Non-cardiac chest painGeneral disorders
PyrexiaGeneral disorders
HypersensitivityImmune system disorders
Bone painMusculoskeletal and connective tissue disorders
PruritusSkin and subcutaneous tissue disorders
Febrile neutropeniaBlood and lymphatic system disorders
Sinus tachycardiaCardiac disorders

Most-reported serious reactions: Febrile neutropenia, Sepsis, Anaemia, Otitis media, Colitis, Diarrhoea, Nausea, Pancreatitis.

Data from ClinicalTrials.gov NCT01891994 adverse events section.

Sponsor's own description

Background: \- Eltrombopag is a drug being tested for treating severe aplastic anemia. It can help improve blood counts in these patients. However, researchers do not know how long the drug can and should be taken for this type of anemia. Objectives: \- To look at whether 6 months of treatment with eltrombopag can improve patient s blood counts. Eligibility: \- Individuals at least 2 years of age who are taking eltrombopag for severe aplastic anemia. Design: * Participants will take eltrombopag by mouth once a day for 6 months. * Blood samples will be collected every 2 weeks for the first 6 months. Bone marrow samples will be collected at 3 and 6 months. These samples will look at the effects of the study drug on the marrow. * Participants will continue to take the study drug for as long as it is effective and if the side effects are not severe.

Publications & conference data

7 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Treatment optimization and genomic outcomes in refractory severe aplastic anemia treated with eltrombopag.
    Winkler T, Fan X, Cooper J, Desmond R, et al · · 2019 · cited 76× · PMID 30992268 · DOI 10.1182/blood.2019000478
  2. Activity of eltrombopag in severe aplastic anemia.
    Scheinberg P. · · 2018 · cited 31× · PMID 30425070 · DOI 10.1182/bloodadvances.2018020248
  3. Eltrombopag mobilizes iron in patients with aplastic anemia.
    Zhao Z, Sun Q, Sokoll LJ, Streiff M, et al · · 2018 · cited 29× · PMID 29632023 · DOI 10.1182/blood-2018-01-826784
  4. Current evidence and the emerging role of eltrombopag in severe aplastic anemia.
    Drexler B, Passweg J. · · 2021 · cited 28× · PMID 33747425 · DOI 10.1177/2040620721998126
  5. Activity of eltrombopag in severe aplastic anemia.
    Scheinberg P. · · 2018 · cited 21× · PMID 30504345 · DOI 10.1182/asheducation-2018.1.450
  6. Eltrombopag for the treatment of aplastic anemia: current perspectives.
    Lum SH, Grainger JD. · · 2016 · cited 12× · PMID 27695288 · DOI 10.2147/dddt.s95715
  7. Long-term eltrombopag for bone marrow failure depletes iron.
    Young DJ, Fan X, Groarke EM, Patel B, et al · · 2022 · cited 10× · PMID 35312200 · DOI 10.1002/ajh.26543

Verify or expand the search:

Other trials of Eltrombopag

Trials testing the same drug.

Other recruiting trials for Severe Aplastic Anemia (SAA)

Currently open trials in the same condition.

Other National Heart, Lung, and Blood Institute (NHLBI) trials

Trials by the same sponsor.

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