ClinicalTrials.gg
WithdrawnNCT03086252Updated Jul 26, 2018

Patient-Driven Transfusion Thresholds in Hematological Disorders: A Pilot Study

An interventional study of Red Blood Cell Transfusions (RBCT) in Anemia, Aplastic Anemia and Bone Marrow Failure, sponsored by Emory University. Withdrawn at 1 site in United States. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2018-07-26.

Primary conditionAnemia, AplasticRegistry: AnemiaReclassifiedWhy we changed it
Registry
Anemia — the first condition term the registry derived for this study.
ClinicalTrials.gg
Anemia, Aplastic
Why
  1. The study's listed conditions name Anemia, Aplastic, a narrower term within Anemia.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Emory University · Not applicable, Interventional, and Supportive care

Why this study was withdrawn
Slow accrual
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
19 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 171 studies in Anemia, Aplastic with a site in United States — 28 open to participants now, 41 under way, none of them phase 3. Anemia, Aplastic · United States.

Enrollment
138th of 139
0 · median 31
Started
2017
with 7 others
No phase
23 of 171
1 open now
Registered
125th of 171
by date
Lead sponsor
4 of 171
Emory University

Among the 171 studies in Anemia, Aplastic with a site in United States, this one is the 138th largest by enrollment of the 139 interventional ones that give a count, is one of 8 that started in 2017, is one of 23 with no phase, and was the 125th registered.

Anemia, Aplastic

371 studies on the registry are indexed under Anemia, Aplastic; 98 are open to participants now.

Browse Anemia, Aplastic studies →

Open to participants now

28 of the 171 studies in Anemia, Aplastic with a site in United States are open now. Recruiting first, the newest first:

23 more — sign in →

All 28 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 58 Anemia, Aplastic studies recruiting now, 20 (34%) set no upper age limit and 30 (52%) stop at 75 or younger; 37 take children under 18; 5 take healthy volunteers.

This study: 19 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 171 studies in Anemia, Aplastic with a site in United States, or all of them as a file.
02

Study summary

This pilot study evaluates safety of administration of red blood cell transfusions requested by patients based on their symptoms instead of levels of hemoglobin for the treatment of chronic anemia in patients with blood disorders.

Read the detailed description

PRIMARY OBJECTIVE:

I. To assess feasibility and safety of red blood cell transfusions at the time subjects requested based on symptomatic anemia.

SECONDARY OBJECTIVES:

I. To define a patient-driven red blood cell transfusion (RBCT) threshold and to compare the median hemoglobin (hgb) at the time subjects request RBCT to the standard threshold of hgb \< 8 g/dL.

II. To compare the number of red blood cell (RBC) units transfused and the frequency of transfusions at the time subjects request RBCT during the study period to the number of RBC units received and frequency using the standard threshold hemoglobin \< 8 g/dL during a comparable period prior to enrollment.

III. To compare the quality of life (QoL) scores when subjects request RBCT to the scores obtained at the time hgb is 8 +/- 0.5 g/dL.

OUTLINE:

Patients undergo RBCT based on their perception and/or the presence of anemia symptoms for up to 6 months.

After completion of study treatment, patients are followed up for 30 days.

03

Conditions studied

  • Anemia
  • Aplastic Anemia
  • Bone Marrow Failure
  • Hematopoietic and Lymphoid Cell Neoplasm
  • Leukemia
  • Myelodysplastic Syndrome
04

In context

Anemia, Aplastic Reclassified

371 studies on the registry are indexed under Anemia, Aplastic; 98 are open to participants now.

Browse Anemia, Aplastic studies →

Lead sponsor

Emory University is the lead sponsor of 1,405 studies on the registry; 225 are open to participants now.

Of its 237 completed or terminated interventional studies of FDA-regulated products, 178 (75%) have results posted.

Compared within Anemia, Aplastic, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Anemia. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

Who can participate

Ages eligible
19 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosed with hematological or marrow failure syndrome such as but not limited to: aplastic anemia, myelodysplastic syndrome or leukemia
  • Chronic transfusion-dependent anemia with exposure to at least 5 RBCT
  • Interested in reducing transfusion exposure
  • Willing to sign

Exclusion criteria

Exclusion Criteria:

  • Recent acute bleeding requiring intervention in less than 24 hours
  • levels \< 6 g/dL
  • Acute leukemia receiving induction chemotherapy
  • Any patient with known ischemic heart disease, history of congestive heart failure, history of stroke, or cardiac arrhythmia for which the patient requires medication or a medical device
  • Oxygen dependent
  • Oxygen saturation below 92% on room air
  • Receiving erythropoietin stimulating agent
  • Thalassemia major or sickle cell disease requiring blood transfusion
  • Undergoing major surgery
  • Hemolytic anemia
  • Coagulopathies including disseminated intravascular coagulation (DIC), receiving anticoagulant or antiplatelet agents
  • Diagnosed with (COPD) oxygen dependent
  • Pregnancy
  • Participation in a therapeutic clinical trial
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

06

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Supportive care (patient-driven RBCT)

    Patients undergo red blood cell transfusions (RBCT) based on their perception and/or the presence of anemia symptoms for up to 6 months.

    Procedure: Red Blood Cell Transfusions (RBCT)

Interventions

  • ProcedureRed Blood Cell Transfusions (RBCT)

    Undergo patient-driven RBCT

    Also known as: Blood Component Transfusion, Blood Transfusion, Transfusion, Transfusion of Blood Products

07

What researchers measure

Primary outcomes

  1. Incidence of laboratory and clinical adverse events (AEs) assessed by the Common Terminology Criteria for Adverse Events version 4.03.

    Frequency, duration, and severity of AEs and severe adverse events will be determined. The proportion of subjects with serious side effects will be calculated with 95% confidence interval. Descriptive statistics will be used to characterize subjects enrolled on the trial: age, sex, race and diagnosis.

    Time frame: Up to 6 months of study participation

Secondary outcomes

  1. Frequency of RBC units transfused

    The frequency of RBC units transfused will be compared between study period and prior to enrollment for the same patient (e.g. each patient will serve his/her own control) by Wilcoxon's sign rank test.

    Time frame: Up to 6 months of study participation

  2. Hemoglobin concentration at the time subject requests RBCT

    Hemoglobin concentration (Hgb) will be measured in g/dL.

    Time frame: Up to 6 months of study participation

  3. Number of RBC units transfused

    The number of RBC units transfused will be compared between study period and prior to enrollment for the same patient (e.g. each patient will serve his/her own control) by Wilcoxon's sign rank test.

    Time frame: Up to 6 months of study participation

  4. QoL scores from the Functional Assessment of Cancer Therapy - Anemia/Fatigue (FACT-An) questionnaire at the time hemoglobin is 8 +/- 0.5 g/dL

    Will be compared to QoL scores at the time subjects request RBCT by paired t-test and/or Wilcoxon sign rank test.

    Time frame: Up to 6 months of study participation

  5. QoL scores from the Functional Assessment of Cancer Therapy - Anemia/Fatigue (FACT-An) questionnaire at the time subjects request RBCT

    Will be compared to QoL scores at the time hgb is 8 +/- 0.5 g/dL by paired t-test and/or Wilcoxon sign rank test.

    Time frame: Up to 6 months of study participation

08

Study locations

1 site
  • Emory University/Winship Cancer Institute
    Atlanta, Georgia 30322, United States
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jul 2017 to primary completion in May 2018, 10 months.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 17, 2017
First posted
Mar 22, 2017
StartActual
Jul 24, 2017
Primary completionActual
May 31, 2018
CompletionActual
May 31, 2018
Last update
Jul 26, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 26, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03086252
Lead sponsor
Emory University
Responsible party
Ana G. Antun, MD (Principal Investigator, Emory University) — Principal investigator
First posted
Mar 22, 2017
Start date
Jul 24, 2017
Primary completion
May 31, 2018
Completion
May 31, 2018
Last update
Jul 26, 2018

Study contacts

Ana Antun, MD
principal investigator · Emory University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Jul 2018. You cannot join it, but the record below documents what was studied.

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