Patients undergoing workup for suspected newly diagnosed sAA:
* Patients with severe cytopenias and a hypocellular marrow concerning for sAA
* Patients that meet the definition for suspected sAA (Camitta Criteria) as follows:
Marrow Cellularity: \<25%, or 25-50% with \<30% residual hematopoietic cells Peripheral cytopenias (at least 2 of 3) Absolute neutrophil count (ANC): \<500 x 10\^9/L Platelets: \<20 x 10\^9/L Absolute Reticulocyte Count: \<60 x 10\^9/L
Patients that do not have evidence of leukemia or MDS
Patients \< 25 years of age at time of diagnosis
Able to tolerate emapalumab and IST (with standard institutional organ function criteria)
You may not be if
Uncontrolled infection at presentation.
Patients who have undergone previous treatment for sAA.
Patients with known inherited bone marrow failure
Patient who has completed a full workup for sAA including having results back from telomere testing, DEB and genetics (when applicable), as well as having an appropriate willing and available donor and would otherwise be admitted for HSCT within 2 weeks of enrolling on the trial
Patients with leukemia or MDS
Patient or parent or guardian unable to give informed consent or unable to comply with the treatment protocol including research tests.
Clareo Health | A Study of Emapalumab for Pediatric Aplastic Anemia
