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Trial · NCT04304820

Early Initiation of Oral Therapy With Cyclosporine and Eltrombopag for Treatment Naive Severe Aplastic Anemia (SAA)

NCT04304820, Phase 2, Recruiting, National Heart, Lung, and Blood Institute (NHLBI); results first posted 2026-01-09

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Early Initiation of Oral Therapy With Cyclosporine and Eltrombopag for Treatment Naive Severe Aplastic Anemia (SAA). Trials, record NCT04304820. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04304820

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Early Initiation of Oral Therapy With Cyclosporine and Eltrombopag for Treatment Naive Severe Aplastic Anemia (SAA)
NCT number
NCT04304820
Status
Recruiting
Phases
Phase 2
Enrollment
80 participants, estimated
Lead sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Conditions
Severe Aplastic Anemia
Interventions
Eltrombopag, Cyclosporine, Horse-Anti-thymocyte-Globulin
First posted
2020-03-11
Last updated
2026-03-09
Results first posted
2026-01-09

Source ClinicalTrials.gov

Registered outcomes7

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
Primary
Number of Participants Meeting Safety and Feasibility Criteria During Study Treatment Period With Oral Treatment (Low Dose Cyclosporine and Eltrombopag) Until the Start of Standard of Care Treatment (Horse Anti-thymocyte-globulin)
Up to 12 Weeks from the initiation of oral treatment (Low Dose Cyclosporine and Eltrombopag)
For the primary endpoint of this study, the treatment is defined to be "feasible" to a participant if he/she meets the safety and feasibility criteria. Safety and feasibility criteria is a composite measure defined as TRSAE, mis- and altered diagnosis, and non-compliance with the regimen or failure to establish care at the National Institutes of Health Clinical Center. Study treatment period is defined as the duration from the initiation of oral treatment (low dose Cyclosporine and Eltrombopag) to the start of standard of care treatment (Day 1 of horse anti-thymocyte-globulin).
SecondaryHematological ResponseAt 1, 2, 3, 6 and 12 months and yearly thereafter
SecondaryRelapseAt 1, 2, 3, 6 and 12 months and yearly thereafter
SecondaryClonal Evolution to PNH, Clonal Chromosomal Population in Bone Marrow, Myelodysplasia by Morphology, or Acute LeukemiaAt 1, 2, 3, 6 and 12 months and yearly thereafter
SecondaryOverall SurvivalAt 5 Years (60 Months)
SecondaryHematological Response of Relapse Subjects That Re-start Treatment With Cyclosporine and/or EltrombopagAt 1, 2, 3, 6 and 12 months and yearly thereafter
SecondaryFreedom From h-ATGAt 1, 2, 3, 6 and 12 months and yearly thereafter

Outcomes7

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARY
Number of Participants Meeting Safety and Feasibility Criteria During Study Treatment Period With Oral Treatment (Low Dose Cyclosporine and Eltrombopag) Until the Start of Standard of Care Treatment (Horse Anti-thymocyte-globulin)
Up to 12 Weeks from the initiation of oral treatment (Low Dose Cyclosporine and Eltrombopag)analysis was intention-to-treatParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYHematological ResponseAt 1, 2, 3, 6 and 12 months and yearly thereafter
SECONDARYRelapseAt 1, 2, 3, 6 and 12 months and yearly thereafter
SECONDARYClonal Evolution to PNH, Clonal Chromosomal Population in Bone Marrow, Myelodysplasia by Morphology, or Acute LeukemiaAt 1, 2, 3, 6 and 12 months and yearly thereafter
SECONDARYOverall SurvivalAt 5 Years (60 Months)
SECONDARYHematological Response of Relapse Subjects That Re-start Treatment With Cyclosporine and/or EltrombopagAt 1, 2, 3, 6 and 12 months and yearly thereafter
SECONDARYFreedom From h-ATGAt 1, 2, 3, 6 and 12 months and yearly thereafter

Results by group1

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants Meeting Safety and Feasibility Criteria During Study Treatment Period With Oral Treatment (Low Dose Cyclosporine and Eltrombopag) Until the Start of Standard of Care Treatment (Horse Anti-thymocyte-globulin)
Participants With Severe Aplastic Anemia in Early Initiation of Cyclosporine and Eltrombopag37Participants

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDParticipants With Severe Aplastic Anemia in Early Initiation of Cyclosporine and Eltrombopag39
Overall StudyCOMPLETEDParticipants With Severe Aplastic Anemia in Early Initiation of Cyclosporine and Eltrombopag28
Overall StudyNOT COMPLETEDParticipants With Severe Aplastic Anemia in Early Initiation of Cyclosporine and Eltrombopag11

Adverse events305

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnemiaBlood and lymphatic system disordersParticipants With Severe Aplastic Anemia in Early Initiation of Cyclosporine and Eltrombopag5396
otherFebrile neutropeniaBlood and lymphatic system disordersParticipants With Severe Aplastic Anemia in Early Initiation of Cyclosporine and Eltrombopag133917
otherChest pain - cardiacCardiac disordersParticipants With Severe Aplastic Anemia in Early Initiation of Cyclosporine and Eltrombopag1391
otherChest pressure (right)Cardiac disordersParticipants With Severe Aplastic Anemia in Early Initiation of Cyclosporine and Eltrombopag1391
otherChest TighnessCardiac disordersParticipants With Severe Aplastic Anemia in Early Initiation of Cyclosporine and Eltrombopag1391
otherHypotensionCardiac disordersParticipants With Severe Aplastic Anemia in Early Initiation of Cyclosporine and Eltrombopag1391
otherNon-cardiac chest painCardiac disordersParticipants With Severe Aplastic Anemia in Early Initiation of Cyclosporine and Eltrombopag1391
otherPalpitationsCardiac disordersParticipants With Severe Aplastic Anemia in Early Initiation of Cyclosporine and Eltrombopag2392
otherParoxysmal atrial tachycardiaCardiac disordersParticipants With Severe Aplastic Anemia in Early Initiation of Cyclosporine and Eltrombopag1391
otherRight ventricular dysfunctionCardiac disordersParticipants With Severe Aplastic Anemia in Early Initiation of Cyclosporine and Eltrombopag1391

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityParticipants With Severe Aplastic Anemia in Early Initiation of Cyclosporine and Eltrombopag139
Total, other adverse eventsParticipants With Severe Aplastic Anemia in Early Initiation of Cyclosporine and Eltrombopag3939
Total, serious adverse eventsParticipants With Severe Aplastic Anemia in Early Initiation of Cyclosporine and Eltrombopag2439

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04304820

GET https://conductscience.org/api/trials/v1/NCT04304820/events?page=2