CClinicalTrials.gg
Not yet recruitingNCT07338422Updated Jan 13, 2026

HID-HSCT Versus IST as First-line Treatment for SAA

An interventional study of IST (ATG + CsA+TPORA) and tranplantation in Aplastic Anaemia, sponsored by Institute of Hematology & Blood Diseases Hospital, China. Not yet recruiting. Open to participants aged 14 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-01-13.

Sponsored by Institute of Hematology & Blood Diseases Hospital, China · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
116
Allocation
Non-randomized
Ages
14 Years to 70 Years
Sex
All
01

Study summary

This study aims to compare the efficacy and safety of HLA-haploidentical hematopoietic stem cell transplantation (HLA-haplo HSCT) versus optimal immunosuppressive therapy (IST) as first-line treatments for severe aplastic anemia (SAA) through a real-world cohort design. The selection of treatment regimens for subjects is based on clinical decision-making in real-world practice, comprehensively considering factors including patient age, donor matching status, comorbidities, and treatment preferences, with non-randomized group allocation.

02

Conditions studied

  • Aplastic Anaemia

Browse trials for

03

In context

Anemia, Aplastic

343 studies on the registry are indexed under Anemia, Aplastic; 99 are open to participants now.

This study's planned enrollment of 116 is above the median of 39 across 268 interventional studies indexed under Anemia, Aplastic.

Browse Anemia, Aplastic studies →

Lead sponsor

Institute of Hematology & Blood Diseases Hospital, China is the lead sponsor of 398 studies on the registry; 293 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
14 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • (1) Confirmed diagnosis of severe aplastic anemia, including very severe aplastic anemia, severe aplastic anemia, and hepatitis-associated severe aplastic anemia.

    (2) Age 14-70 years. (3) No HLA-matched related donor available. (4) HIV negative, HBV negative, HCV negative. (5) No absolute contraindications to transplantation or immunosuppressive therapy.

    (6) Signed informed consent form must be obtained before study procedures begin; for subjects aged 18 years or older, informed consent shall be signed by the patient themselves or direct family members. Considering the patient's medical condition, if the patient's own signature is medically inadvisable, the informed consent shall be signed by a legal guardian or the patient's direct family member.

Exclusion criteria

Exclusion Criteria:

  1. Inherited bone marrow failure syndromes (IBMFS), including Fanconi anemia, dyskeratosis congenita, Shwachman-Diamond syndrome (SDS), etc.;
  2. Clonal cytogenetic abnormalities or bone marrow examination suggesting pre-MDS or MDS;
  3. Known severe allergy to ATG;
  4. Previous allogeneic or autologous hematopoietic stem cell transplantation;
  5. Previous solid organ transplantation;
  6. Uncontrolled infection at enrollment, or requiring mechanical ventilation or hemodynamic instability;
  7. Active HIV replication at enrollment, detectable HCV antibody positivity and HCV-RNA positivity within 90 days prior to enrollment, or HBsAg positivity; known seropositivity for HIV or active hepatitis C virus;
  8. History of malignant tumors (except resected basal cell carcinoma or treated cervical carcinoma in situ);
  9. Psychiatric disorders or other conditions that prevent compliance with study treatment and monitoring requirements;
  10. Inability or unwillingness to sign the consent form;
  11. Other special circumstances deemed ineligible by the investigator.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
116 participants (estimated)

Study arms

  • Experimental
    HID-HSCT

    Procedure: tranplantation

  • Other
    IST

    Procedure: IST (ATG + CsA+TPORA)

Interventions

  • ProcedureIST (ATG + CsA+TPORA)

    The selection of treatment regimens for subjects is based on clinical decision-making in real-world practice, comprehensively considering factors including patient age, donor matching status, comorbidities, and treatment preferences, with non-randomized group allocation. Patients in the immunosuppressive therapy group receive a regimen comprising anti-thymocyte globulin (ATG) + cyclosporine A (CSA) + thrombopoietin receptor agonist (TPO-RA).

  • Proceduretranplantation

    The selection of treatment regimens for subjects is based on clinical decision-making in real-world practice, comprehensively considering factors including patient age, donor matching status, comorbidities, and treatment preferences, with non-randomized group allocation. Patients in the transplantation group undergo haploidentical hematopoietic stem cell transplantation (haplo-HSCT).

06

What researchers measure

Primary outcomes

  1. Failure Free Survival, FFS

    survival with complete response whereas death, graft failure and relapse are considered treatment failures

    Time frame: 2 year

Secondary outcomes

  1. Overall Survival, OS

    Time frame: 2 year

  2. Treatment Related Mortality, TRM

    Transplantation-related mortality (TRM) was defined as death without graft failure

    Time frame: 2 year

  3. hematology remission

    hematology recovery, including WBC, Hb and PLT

    Time frame: 2 year

  4. Infection incidence

    Time frame: 2 year

  5. GVHD incidence

    Time frame: 2 year

  6. QoL evaluation

    life quality assessment

    Time frame: 2 year

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07338422
Lead sponsor
Institute of Hematology & Blood Diseases Hospital, China
Responsible party
Sponsor
First posted
Jan 13, 2026
Start date
Jan 14, 2026 (estimated)
Primary completion
Sep 14, 2030 (estimated)
Completion
Sep 14, 2030 (estimated)
Last update
Jan 13, 2026

Study contacts

Xiaoyu Zhang
Contact
zhangxiaoyu@ihcams.ac.cn
022-23608569

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 not yet recruiting, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion