Aplastic Anemia Treatment
再生障碍性贫血治疗
Duration
IST: 3-6 months to response; HSCT: 4-6 weeks inpatient
Recovery
IST: 3-6 months for blood count recovery; HSCT: 3-6 months for immune reconstitution
Savings
~84% vs US
Average savings compared to US prices
Comprehensive aplastic anemia management including immunosuppressive therapy (ATG + cyclosporine + eltrombopag), supportive care, and allogeneic stem cell transplantation for severe cases. China's hematology centers have extensive experience treating aplastic anemia with both IST and transplant approaches, with particular expertise in haploidentical HSCT for patients lacking matched donors, offering cure rates of 80-90% in young patients.
Diagnostic Confirmation & Severity Grading
Bone marrow biopsy with cellularity assessment, flow cytometry to exclude MDS/PNH, and genetic testing for inherited forms
Duration: 3-5 daysTreatment Strategy Decision
Age-based algorithm: HSCT preferred for young patients with matched donor; IST for older patients or those without donors
Duration: 1 weekTreatment Delivery
Horse ATG + cyclosporine + eltrombopag for IST pathway, or conditioning and allogeneic HSCT for transplant pathway
Duration: IST: 5-day ATG course; HSCT: 4-6 weeksResponse Monitoring & Supportive Care
Regular blood counts, transfusion support, infection management, and assessment for clonal evolution
Duration: 3-12 months- High cure rates with HSCT in young patients (80-90%)
- Haploidentical transplant option for patients without matched donors
- Eltrombopag addition improves IST response rates to 80%+
- Comprehensive supportive care and blood product availability
- ATG can cause severe allergic reactions and serum sickness
- HSCT carries graft failure and GVHD risks
- Clonal evolution to MDS or AML in 10-15% of IST patients
- Prolonged immunosuppression increases infection vulnerability
Prices shown are approximate ranges for reference only. Actual costs vary by hospital, complexity, and individual patient needs. Always consult with healthcare professionals for medical decisions.