Rabbit antibodies show promise for rare bone marrow disease
NCT ID NCT00471848
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 2 trial tested a combination of rabbit antithymocyte globulin (Thymoglobuline) and ciclosporin in 35 people with acquired aplastic anemia, a condition where the bone marrow stops making enough blood cells. The goal was to see if this rabbit-based immune-suppressing treatment could improve blood counts and reduce the need for transfusions. Results were compared to historical data from patients who received a similar treatment made from horse antibodies.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- rabbit antithymocyte globulin (Thymoglobuline) with ciclosporin
- What this could lead to
- If successful, this could offer an alternative first-line immune-suppressing treatment for people with aplastic anemia, potentially improving blood cell counts and reducing transfusion needs.
- What could go wrong
- This is a small, early-phase study (35 participants) with no control group, so results are preliminary. The treatment involves strong immune suppression, which carries risks like infection and allergic reactions.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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35 people
The number who actually took part.
- Start date
-
Aug 2008
- Finished
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Feb 2013
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
16 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Must fulfil definition of aplastic anaemia: There must be at least two of the following: * haemoglobin \< 10g/dl * platelet count \< 50 x 109/l * neutrophil count \< 1.5 x 109/l, and a hypocellular bone marrow on bone marrow biopsy SAA as defined by a hypocellular bone marrow of \<25% cellularity and two of the following: * neutrophil count \< 0.5 x 109/l * platelets \< 20 x 109/l * reticulocytes \< 20 x 109/l NSAA as defined by a hypocellular bone marrow and cytopenia in at least two cell lines and neutrophil count \> 0.5 x 109/l, and red cell and/or platelet transfusion dependence 2. Have acquired aplastic anaemia 3. Time from diagnosis to study registration maximum 6 months 4. No prior treatment except for haemopoietic growth factors given for no more than four weeks, and androgens 5. Age minimum 16 years with no upper age limit Exclusion Criteria: 1. Eligibility for an human leukocyte antigens (HLA)-matched sibling donor transplant for SAA patients 2. Prior therapy with ATG or CSA 3. Haematopoeitic growth factors more than 4 weeks before study enrolment 4. Diagnosis of Fanconi anaemia, dyskeratosis congenita or congenital bone marrow failure syndrome 5. Evidence of myelodysplastic disease 6. Paroxysmal nocturnal haemoglobinuria with evidence of significant haemolysis, history of Paroxysmal Nocturnal Hemoglobinuria (PNH) associated thrombosis or a PNH clone \>50% by flow cytometry 7. Diagnosis or previous history of carcinoma (except local cervical, basal cell, squamous cells, or melanoma) 8. Subject is pregnant (e.g. positive Human Chorionic Gonadotropin (HCG) test) or is breast feeding 9. Severe uncontrolled infection or unexplained fever \>38 degrees Celsius 10. Subjects who have hepatic, renal cardiac, metabolic or other concurrent diseases of such severity that life expectancy is less than 3 months
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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
Locations
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Addenbrooke's Hospital
Cambridge, United Kingdom
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Henri Mondor Hospital
Créteil, France
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Hopital St. Louis
Paris, 75475, France
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King Faisal Specialist Hospital & Research Cnetre
Riyadh, Saudi Arabia
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King's College Hospital
London, United Kingdom
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Medical University Hannover
Hanover, Germany
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Nottingham Universitry Hospital Trust
Nottingham, United Kingdom
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Ospedale San Martino
Genova, 16132, Italy
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Royal Bournemouth
Bournemouth, United Kingdom
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St George's Hospital/ St George's University of London
London, Sw17 0RE, United Kingdom
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University Hospital
Basel, 4031, Switzerland
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University Hospital Eppendorf
Hamburg, Germany
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University Hospital Essen
Essen, Germany
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Universitätsklinikum - Institut für klinische Transfusionsmedizin
Ulm, 89081, Germany
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Half-Matched stem cells tested as a cure for severe aplastic anemia
- Can a pill revive bone marrow in aplastic anemia?
- Can a drug revive blood cell production in children with aplastic anemia?
- Could a platelet-boosting drug shorten recovery after stem cell transplants?
- A common antioxidant may help platelets recover faster after stem cell transplant
- Could a cancer antibody reboot blood production in aplastic anemia?