Evaluating the Efficacy and Safety of QL0911 in Chemotherapy- Induced Thrombocytopenia
A Multicenter, Randomized, Double Blind, Placebo Controlled Phase 3 Study Evaluating the Efficacy and Safety of Recombinant Human Thrombopoietin Mimetic Peptide-Fc Fusion Protein for Injection (QL0911) in Chemotherapy- Induced Thrombocytopenia
1 other identifier
interventional
50
1 country
1
Brief Summary
To evaluate the efficacy and safety of QL0911 in Chemotherapy- Induced Thrombocytopenia. Thrombocytopenia is a low number of platelets in the blood. Sometimes, thrombocytopenia is a side effect of chemotherapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Jan 2021
Shorter than P25 for phase_2
1 active site
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 Start
First participant enrolled
January 15, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 10, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
September 10, 2021
CompletedFirst Submitted
Initial submission to the registry
April 23, 2023
CompletedFirst Posted
Study publicly available on registry
May 9, 2023
CompletedMay 9, 2023
April 1, 2023
8 months
April 23, 2023
May 5, 2023
Conditions
Outcome Measures
Primary Outcomes (2)
The effective response rate of QL0911 on the 21st day (21-days chemotherapy cycle) after administration.
21 days
The effective response rate of QL0911 on the 28th day (28-days chemotherapy cycle) after administration.
28 days
Secondary Outcomes (2)
Changes of platelet count from baseline in each visit(21-days chemotherapy cycle)
21 days
Changes of platelet count from baseline in each visit(28-days chemotherapy cycle)
28 days
Study Arms (3)
QL0911 Group 1
EXPERIMENTALStarting dose 1μg/kg;PLT 100\~200×10\^9/L
QL0911 Group 2
EXPERIMENTALStarting dose 2μg/kg;PLT 100\~200×10\^9/L
QL0911 Group 3
EXPERIMENTALStarting dose 2μg/kg;PLT \<100×10\^9/L
Interventions
Qilu investigational product (QL0911 or placebo) will be administered in the clinic by a qualified healthcare provider as a subcutaneous injection.
Eligibility Criteria
You may qualify if:
- At least 18 years old when signing the informed consent form;
- Histopathological or cytological examination, confirmed as solid tumor or lymphoma (including NSCLC, breast cancer, bladder cancer, pancreatic cancer, etc.), the chemotherapy cycle is 21 days or 28 days, and one or more of the following chemotherapy drugs are needed: anti-metabolic drugs, including gemcitabine, etc.; Platinum, including carboplatin, nedaplatin, cisplatin, lobaplatin, etc. Anthracyclines, including adriamycin, daunorubicin, epirubicin, etc. Alkylating agent, including cyclophosphamide, ifosfamide, etc. Other cytotoxic chemotherapy drugs that can cause thrombocytopenia;
- In the last regular chemotherapy cycle, the subject had a decrease in platelet count below 75× 109/L;
- Platelet count ≤ 200× 109/L one day before chemotherapy;
- The estimated survival time at screening is ≥12 weeks, and the current chemotherapy regimen can be accepted for at least 2 cycles (at least 1 cycle in PartA);
- According to the score standard of physical fitness of the Eastern Cancer Cooperative Group (ECOG), it is 0-2;
- Fully understand and abide by the requirements of this study, and sign the informed consent form voluntarily.
You may not qualify if:
- Suffering from other hematopoietic diseases except lymphoma, including leukemia, primary immune thrombocytopenia, myeloproliferative diseases, multiple myeloma and myelodysplastic syndrome;
- Thrombocytopenia caused by non-tumor chemotherapy drugs occurred within 6 months before screening, including but not limited to EDTA-dependent pseudothrombocytopenia, hypersplenism, infection and bleeding;
- Bone marrow invasion or bone marrow metastasis occurs;
- Being receiving radiotherapy or having received abdominal or pelvic radiotherapy within 3 months;
- There have been any arterial or venous thrombosis events within 6 months before screening;
- Screening patients with severe cardiovascular disease (NYHA cardiac function score III-IV) and arrhythmia that increases the risk of thrombosis, such as atrial fibrillation, after coronary stent implantation, angioplasty and coronary artery bypass grafting;
- Clinical manifestations of severe bleeding (such as gastrointestinal bleeding, etc.) within 2 weeks before screening;
- Received platelet transfusion within 2 days before randomization;
- Patients have been treated with thrombopoietin receptor agonists (such as romistine and itrapoppa) or human recombinant thrombopoietin (rhTPO) or rhIL-11 within 4 weeks before the first administration;
- Anticoagulant drugs such as heparin, warfarin and aspirin have been used within 7 days before the first administration;
- Received bone marrow transplantation or stem cell infusion within one year before screening;
- Patients with chronic hepatitis B or hepatitis C in active period, and patients with positive antibodies to human immunodeficiency virus;
- The absolute value of neutrophils in the screening period is less than 1.5× 109/L, and hemoglobin is less than 90g/L;
- The total bilirubin in the screening period is more than 3 times the upper limit of the normal range; Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were higher than the upper limit of normal range by 3 times. For patients with liver metastasis, alanine aminotransferase (ALT) and aspartate aminotransferase (AST)≥ 5 times the upper limit of the normal range;
- Blood creatinine concentration ≥1.5ULN or EGFR ≤ 60 ml/min;
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Shanghai East Hospital
Shanghai, Shanghai Municipality, 200120, China
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 23, 2023
First Posted
May 9, 2023
Study Start
January 15, 2021
Primary Completion
September 10, 2021
Study Completion
September 10, 2021
Last Updated
May 9, 2023
Record last verified: 2023-04