Comparison of anti-thymocyte globulin preparations in severe aplastic anaemia

ISRCTN ISRCTN70251363
DOI https://doi.org/10.1186/ISRCTN70251363
Secondary identifying numbers 12
Submission date
11/03/2010
Registration date
07/04/2010
Last edited
07/04/2010
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Haematological Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Alexei Maschan
Scientific

Leninskii prt 117
Moscow
117997
Russian Federation

Phone +7 495 936 91 69
Email amaschan@mail.ru

Study information

Study designRandomised two-period cross-over study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleDirect randomised comparison of horse anti-thymocyte globulin and rabbit anti-thymocyte globulin in children with severe aplastic anaemia
Study objectivesRabbit anti-thymocyte globulin (ATG) has equivalent activity compared to standard horse ATG as part of combined immune suppression in children with severe aplastic anaemia.
Ethics approval(s)Local Ethics Committee of Research Institute of Pediatric Hematology approved on the 11th December 2000 (ref: 1-12-1999)
Health condition(s) or problem(s) studiedSevere aplastic anaemia
InterventionCombined immunosupressive therapy with cyclosporin A and either horse ATG (ATGAM, Apjohn) - standard arm or rabbit ATG (ATG-Fresenius, Fresenius) - study arm.

Horse ATG (ATGAM) was used in a standard 160 mg\kg total dose, given as four consequtive daily 40 mg\kg doses as long I.V. infusion. Rabbit ATG (ATG-Fresenius) was given 40 mg\kg total dose, given as four consequtive daily 10 mg\kg doses as long I.V. infusion. Cyclosporine A was given per os in a 5 mg\kg\day for at least 18 months total duration. Total duration of follow up is 7 years.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase IV
Drug / device / biological / vaccine name(s)Rabbit anti-thymocyte globulin (ATG), horse ATG
Primary outcome measure1. Minimal haematologic response rate at day 180 from therapy start
2. Complete haematologic response rate, assessed at last follow-up (5 years from time of enrolment of the last patient)
3. Overall survival, assessed at last follow-up (5 years from time of enrolment of the last patient)
Secondary outcome measures1. Relapse probability in patients who achieved haematologic response, assessed at last follow-up (5 years from time of enrolment of the last patient)
2. Event-free survival, assessed at last follow-up (5 years from time of enrolment of the last patient)
3. Toxicity, assessed at day 30 from therapy start
Overall study start date01/12/2000
Completion date01/02/2003

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit1 Year
Upper age limit18 Years
SexBoth
Target number of participants40
Key inclusion criteria1. Aged from 1 - 18 years, either sex
2. Diagnosis of severe aquiered aplastic anaemia
Key exclusion criteria1. Previous immune supressive therapy with ATG and/or cyclosporin A
2. Previous corticosteroid therapy over 2 weeks
3. Inherited bone marrow failure syndrome
4. Uncontrolled invasive fungal infection
Date of first enrolment01/12/2000
Date of final enrolment01/02/2003

Locations

Countries of recruitment

  • Russian Federation

Study participating centre

Leninskii prt 117
Moscow
117997
Russian Federation

Sponsor information

Federal Clinical Research Center of Pediatric Hematology, Oncology and Immunology (Russia)
Research organisation

Leninskii prt 117
Moscow
117997
Russian Federation

Phone +7495 936 91 59
Email info@niidg.ru
Website http://www.niidg.ru
ROR logo "ROR" https://ror.org/02h8dsx08

Funders

Funder type

Research organisation

Federal Clinical Research Center of Pediatric Hematology, Oncology and Immunology (Russia)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan