NCT05522465

Brief Summary

Comparison of the efficacy and safety of short-course high-dose prednisone and dexamethasone in the treatment of children with newly diagnosed immune thrombocytopenia (ITP)

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
608

participants targeted

Target at P75+ for phase_4

Timeline
4mo left

Started Oct 2022

Longer than P75 for phase_4

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress92%
Oct 2022Aug 2026

First Submitted

Initial submission to the registry

August 29, 2022

Completed
2 days until next milestone

First Posted

Study publicly available on registry

August 31, 2022

Completed
1 month until next milestone

Study Start

First participant enrolled

October 11, 2022

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 31, 2025

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2026

Expected
Last Updated

May 16, 2024

Status Verified

February 1, 2024

Enrollment Period

2.9 years

First QC Date

August 29, 2022

Last Update Submit

May 14, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • initial treatment response

    Platelet count after glucocorticoid therapy 1 month

    30 days after treatment

Secondary Outcomes (1)

  • Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

    1 month

Study Arms (2)

prednisone group

EXPERIMENTAL

prednisone 4mg/kg.d

Drug: Prednisone

Dexamethasone

ACTIVE COMPARATOR

Dexamethasone 0.6mg/kg.d

Drug: Dexamethasone

Interventions

Prednisone 4mg/kg.d, d1-4

prednisone group

Dexamethasone 0.6mg/kg.d, d1-4

Dexamethasone

Eligibility Criteria

Age29 Days - 14 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Meet the ITP diagnostic criteria, within 3 months of the first diagnosis
  • Age \> 28 days and ≤ 14 years old
  • Untreated PLT\<20×109/L, or PLT\<30×109/L after 1 week of intravenous gamma globulin (IVIG) treatment
  • Have signed the informed consent

You may not qualify if:

  • Intracranial hemorrhage or severe gastrointestinal or urinary tract hemorrhage requiring emergency treatment, such as simultaneous use of platelet transfusion and thrombopoietic drugs (recombinant human thrombopoietin, eltrombopag, etc.)
  • Received glucocorticoid therapy within 6 months
  • Menstrual female children
  • Patients with underlying diseases such as tumor diseases, autoimmune diseases or genetic diseases
  • Patients who have received radiotherapy and chemotherapy
  • There are contraindications to the use of glucocorticoids (hypertension, glaucoma, peptic ulcer, etc.)
  • There are any significant abnormal coexisting diseases or mental illnesses that affect the patient's life safety and compliance, and affect informed consent, research participation, follow-up or interpretation of results

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Children with newly dignosed ITP

Fujian, Fujian, China

RECRUITING

MeSH Terms

Conditions

Purpura, Thrombocytopenic, Idiopathic

Interventions

PrednisoneDexamethasone

Condition Hierarchy (Ancestors)

Purpura, ThrombocytopenicPurpuraBlood Coagulation DisordersHematologic DiseasesHemic and Lymphatic DiseasesThrombotic MicroangiopathiesThrombocytopeniaBlood Platelet DisordersCytopeniaHemorrhagic DisordersAutoimmune DiseasesImmune System DiseasesHemorrhagePathologic ProcessesPathological Conditions, Signs and SymptomsSkin ManifestationsSigns and Symptoms

Intervention Hierarchy (Ancestors)

PregnadienediolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsPregnadienetriolsSteroids, Fluorinated

Central Study Contacts

Yongzhi Zheng, PhD

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 29, 2022

First Posted

August 31, 2022

Study Start

October 11, 2022

Primary Completion

August 31, 2025

Study Completion (Estimated)

August 31, 2026

Last Updated

May 16, 2024

Record last verified: 2024-02

Locations