Phase I Study of Eltrombopag for Promoting Thrombopoiesis in Patients Undergoing Stem Cell Transplantation After Total Body Irradiation

Inclusion Criteria:

1. Age ≥ 18

2. Able to give written informed consent for a clinical trial

3. Scheduled to undergo an autologous or an allogeneic stem cell transplantation from a
sibling, related donor, or unrelated donor using a conditioning regimen containing at
least 400 cGy TBI

4. Transplantation is being performed for one of the following medical conditions:

- Acute myelogenous leukemia

- Acute lymphoblastic leukemia

- Chronic myelogenous leukemia in chronic, accelerated, or blastic phase

- Myelodysplastic syndrome

- Myeloproliferative diseases such as chronic myelomonocytic leukemia, agnogeneic
myeloid metaplasia with myelofibrosis, polycythemia vera, or essential
thrombocythemia

- Hodgkin's lymphoma

- Non-Hodgkin's lymphoma

- Multiple myeloma

- Chronic lymphocytic leukemia

- Other malignancies or marrow disease such as aplastic anemia where transplant
would be appropriate with approval of principal investigator

5. Patients with therapy-related AML or MDS may be included if their prior malignancy
has been in remission for at least 12 months. If the remission is less than 12
months, approval of the principal investigator is required. Entry could be allowed if
the malignancy is controlled and not expected to relapse e.g. localized prostate
cancer treated with XRT.

6. Patients must meet all other pre-transplantation criteria of the transplant center
including acceptable tests of heart, liver, kidney, and lung function (Standard
screening for HSCT per PI, and co-investigators).

7. Karnofsky performance status must be ≥70%.

Exclusion Criteria:

1. TBI dose less than 400 cGY

2. Cord blood transplantation

3. HIV infection

4. Pregnancy or breastfeeding

5. Creatinine or bilirubin or ALT or AST greater than two times the upper limit of
normal, unless the abnormal bilirubin is due to Gilbert's syndrome

6. Active infection requiring systemic antibiotic therapy with antibacterial,
antifungal, or antiviral agents

7. Concomitant enrollment in another therapeutic clinical study except with PI approval

8. Must not have previously received eltrombopag

9. Patients with moderate or severe liver disease (ALT, AST, or bilirubin ≥ 2X the upper
limit of normal, unless the abnormal bilirubin is due to Gilbert's syndrome) will be
excluded

10. Patients with high risk of thromboembolism based on genetic syndromes , or past
thromboembolic disease in the past 6 months will be excluded from the study, with the
exception of those with catheter related clots