After exiting the RACE trial (NCT02099747) patients will be invited to participate in this long term follow-up study
Patients will be followed up annually, according to standard of care. All diagnostic and therapeutic intervention will be performed according to standard of care, at discretion of the treating physician. In particular, during the study no extra Peripheral blood or Bone Marrow sampling will be performed, in addition to routine sampling for morphology and karyotype surveillance. Molecular analysis by Next Generation Sequencing (NGS) will also be collected if the centre is doing this on a routine basis. No Investigational Medicinal Product (IMP) or Non-Investigational Medicinal Product (NIMP) will be given to the patients.
Study Type
OBSERVATIONAL
Enrollment
197
Standard treatment with or without Eltrombopag
Hospital St. Louis
Paris, France
Failure Free Survival
Failure Free Survival, where treatment failure is defined as one or more of the following: death, relapse, malignant clonal evolution, need for further (e.g. transplant)
Time frame: 15 years
Response Rate: number of patients who reach a hematological response
Response Rate
Time frame: 15 years
Overall Survival
Overall Survival
Time frame: 15 years
Cumulative incidence of relapse after response
Cumulative incidence of relapse after initial hematological response (complete or partial)
Time frame: 15 years
Cumulative incidence of clonal evolution
Cumulative incidence of clonal evolution: Acute Myeloid Leukemia (AML), Myelodysplastic Syndrome (MDS) or karyotypic abnormalities qualifying for the diagnosis of MDS (see World Health Organization (WHO) 2016)
Time frame: 15 years
Cumulative incidence of clinical Paroxysmal nocturnal hemoglobinuria (PNH)
Cumulative incidence of clinical PNH (hemolysis and/or thromboembolism), and of need of anti-complement treatment
Time frame: 15 years
Cumulative incidence of Solid Tumors
Cumulative incidence of solid tumours
Time frame: 15 years
Number of patients who need a Human Stem Cell Transplantation (HSCT)
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Need for HSCT
Time frame: 15 years
Number of patients who need additional IST
Need for additional intensive Imune Suppressive Therapy (IST) (e.g. ATG, alemtuzumab or cyclophosphamide-based, or any other lymphocyte-depleting agent)
Time frame: 15 years
Number of patients who need Maintenance IST (e.g. CsA beyond 2 years)
Need for maintenance intensive IST (e.g. CsA beyond 2 years)
Time frame: 15 years
Number of patients who need additional Eltrombopag (EPAG)
Need for additional EPAG
Time frame: 15 years
Number of patients who need any other approved Aplastic Anemia (AA) treatment
Need for any other approved Aplastic Anemia (AA) treatment
Time frame: 15 years
Monitoring of Clonal Hematopoiesis of Indetermined Potential (CHIP)
As tracked by somatic mutations in genes associated with myeloid disorders
Time frame: 15 years