Could starting pills earlier improve treatment for rare blood disorder?

NCT ID NCT04304820

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tests whether starting two oral medications (cyclosporine and eltrombopag) earlier than usual is safe and feasible for people with severe aplastic anemia, a rare condition where the immune system attacks bone marrow. Participants aged 3 and older will take these pills for up to 6 months before receiving the standard treatment with horse anti-thymocyte globulin. The goal is to see if this early start helps patients tolerate the full treatment better.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
cyclosporine and eltrombopag
What this could lead to
If successful, this approach could make the standard treatment for severe aplastic anemia safer and more manageable by starting oral medications earlier.
What could go wrong
This is a small, early-phase trial (phase 2) with only 80 participants, so results may not apply to everyone. There are risks from the drugs, including side effects like kidney problems or infections.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • National Institutes of Health Clinical Center

    RECRUITING

    Bethesda, Maryland, 20892, United States

    Contact Phone: •••-•••-•••• Email: •••••@•••••

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