This study will collect samples of blood, stool, bone marrow, or other tissues from patients with hepatitis-associated aplastic anemia to investigate a possible association between exposure to viruses and the development of aplastic anemia in these patients. Cells from the samples obtained may be grown in the laboratory for future studies. Patients' samples may be used to:

- Study abnormalities that occur in hepatitis-associated aplastic anemia;

- Test for various viruses;

- Test immune function;

- Measure factors related to the patients' disease or diseases they may be at risk for;

- Evaluate the effectiveness of current therapies, refine treatment approaches, and identify potential new therapies;

- Identify possible measures for disease prevention;

- Identify possible genetic factors associated with hepatitis-associated aplastic anemia.

Patients 2 years of age and older with severe aplastic anemia that developed within 6 months of an episode of hepatitis may be eligible for this study.

Participants will complete questionnaires and provide tissue samples as described below.

Questionnaires

All patients (or another respondent for the patient) will fill out a questionnaire including demographic information (age, gender, race, ethnic group, education level, state of residence), current symptoms, medications, medical history, and history of possible exposures to toxins or viruses. A second questionnaire, which includes questions related to mental health, sexual behavior, alcohol and drug use, is optional for participants age 21 and older. These questionnaires are designed to uncover features of hepatitis-associated aplastic anemia and possibly reveal a common cause of the disease.

Sample Collections

- Blood- will be collected at the time of the patient's initial evaluation or upon enrollment into the study and possibly periodically during the study. Blood will be drawn through a needle in an arm vein.

- Bone marrow- may be collected as part of the patient's standard medical care or specifically for research purposes of this study. For this procedure, the skin over the hipbone and the outer surface of the bone itself are numbed with an injection of a local anesthesia. Then, a larger needle is inserted into the hipbone and marrow is drawn into a syringe. Marrow cells are suctioned two to six times during the 15-minute procedure.

- Stool- will be provided by the patient.

Liver- tissue may be biopsied as part of the patient's general medical care or for NIH patients, as part of their enrollment in a treatment protocol.

Condition
Aplastic Anemia

Our laboratory has a long-standing interest in viruses that affect the bone marrow, especially those causing bone marrow failure. One specific syndrome, hepatitis-associated aplastic anemia, suggests that the same agent is responsible for the severe and sometimes fulminate hepatitis as well as the profound bone marrow failure. This study is designed to collect patient clinical data, questionnaire data, and samples from patients with hepatitis-associated aplastic anemia, in order to learn more about the clinical features of the disease, its epidemiology, and possible etiological associations, as well as to collect blood, liver, bone marrow and stool samples where possible for ongoing virological studies. For liver and bone marrow samples, material will only be obtained when the liver or bone marrow are biopsied for other medical indications, or during the removal of the liver at the time of transplantation. No additional risk to the patient should result from either procedure.

Genders Eligible for Study:  Both

Criteria

INCLUSION CRITERIA
Presumptive clinical diagnosis of hepatitis-associated aplastic anemia. That is, severe aplastic anemia within 12 months of an episode of hepatitis
Age equal to or greater than 2 years old
Ability to comprehend the investigational nature of the study and provide informed consent.
EXCLUSION CRITERIA
Suspected cholestatic or obstructed liver disease
Current diagnosis or past history of myelodysplastic syndrome, Fanconi's anemia, dyskeratosis congenita or other congenital forms of aplastic anemia.
Diagnosis of Diamond-Blackfan anemia or a constitutional marrow failure disease.
Underlying carcinoma, recent history of radiation or chemotherapy
Age less than 2 years old

Maryland
      National Heart, Lung and Blood Institute (NHLBI), 9000 Rockville Pike,  Bethesda,  Maryland,  20892,  United States; Recruiting

Study ID Numbers:  030051; 03-H-0051
Record last reviewed:  October 16, 2003
Last Updated:  October 16, 2003
Record first received:  November 21, 2002
ClinicalTrials.gov Identifier:  NCT00050115
Health Authority: United States: Federal Government
ClinicalTrials.gov processed this record on 2004-10-27