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. 2018 Nov 30;2018(1):450–456. doi: 10.1182/asheducation-2018.1.450

Table 1.

Studies investigating Tpo receptor agonists in bone marrow failure syndromes

Study Patient population Trial identification* Start date
Upfront studies
 Phase 2, single-arm, multicenter, open label study to investigate the efficacy and safety of eltrombopag and CsA as first-line therapy (SOAR). Sponsor Novartis (conducted worldwide) Severe and very severe AA NCT02998645 05/11/2017
≥6 y
 Phase 1/2, single-arm, open label, nonrandomized, prospective study of eltrombopag + horse ATG + CsA. Sponsor NHLBI. Conducted at the NIH Severe and very severe AA NCT01623167 06/12/2012
≥2 y
 Phase 2, multicenter, randomized study of eltrombopag combined with horse ATG + CsA vs horse ATG and CsA as first-line treatment in pediatric SAA. Sponsor Federal Research Institute of Pediatric Hematology, Oncology and Immunology. Conducted at the Russian Federation Severe and very severe AA NCT03413306 12/20/2016
2-18 y of age
 Randomized clinical trial of the use of eltrombopag in children with idiopathic aplastic anemia. Sponsor Assiut University. Conducted in Egypt Moderate and severe AA NCT03243656 12/2017
1-18 y of age
 Phase 2, eltrombopag; nonrandomized, single arm, open label, dose escalation to maximum 300 mg/d. Sponsor University of Utah and Novartis as collaborators. Conducted in Utah Moderate, severe, and very severe AA NCT01703169 11/2012
≥18 y
 Phase 2, eltrombopag; nonrandomized, single arm, open label. Sponsor NHLBI. Conducted at the NIH Moderate AA and unilineage bone marrow failure syndromes NCT01328587 04/01/2011
≥18 y
 Phase 3, horse ATG + CsA + eltrombopag; prospective, randomized, open label (RACE). Sponsor EBMT. Novartis and Pfizer as collaborators. Conducted in Europe Severe and very severe AA NCT02099747 03/2015
≥15 y
 Phase 2, eltrombopag + rabbit ATG + CsA; nonrandomized, single arm, open label. Sponsor Novartis. Conducted in Japan Moderate, severe, and very severe AA NCT02404025 03/2015
≥18 to ≤75 y
 Efficacy and safety of eltrombopag in combination with CsA in moderate aplastic anemia: prospective, randomized, multicenter study. Sponsor University of Ulm. Conducted in Germany Moderate AA NCT02773225 01/27/2015
≥18 y
Second-line studies
 Phase 2, eltrombopag; nonrandomized, single arm, open label. Sponsor NHLBI. Conducted at the NIH AA refractory to standard IST NCT00922883 05/29/2009
≥12 y
 Phase 2, eltrombopag; nonrandomized, single arm, open label. Extended fixed dosing (150 mg) in SAA. Sponsor NHLBI. Conducted at the NIH Severe and very severe AA NCT01891994 06/28/2013
≥2 to ≤100 y
 Phase 2, eltrombopag; nonrandomized, open label. Sponsor Novartis. Conducted in Japan Refractory, moderate, or severe AA NCT02148133 06/23/2014
≥18 to <80 y
 Phase 2, open label, multicenter, intrapatient dose escalation study of eltrombopag + IST. Sponsor Novartis. Conducted in the United States, Hong Kong, the Russian Federation, and the United Kingdom Treatment-naïve, relapsed, or refractory SAA NCT03025698 09/30/2017
1-18 y of age
 Phase 2, romiplostim; nonrandomized, single arm, open label. Sponsor Kyowa Hakko Kirin Co., Ltd. Conducted in the Republic of Korea and Japan Refractory AA to at least on course of IST NCT02773290 05/2016
≥20 y
 Phase 2, randomized, open label, parallel, comparative, dose-finding study to evaluate the efficacy and safety of romiplostim in SAA. Sponsor Kyowa Hakko Kirin Co., Ltd. Conducted in the Republic of Korea Refractory SAA NCT02094417 04/14/2014
≥19 y

NHLBI, National Heart, Lung and Blood Institute.

*

Trial identification, sponsor, collaborator(s), and sites were accessed at www.clinicaltrials.gov on September 1, 2018.