High-dose Dexamethasone Plus Hetrombopag vs High-dose Dexamethasone Alone as Frontline Treatment for Newly Diagnosed Adult Primary Immune Thrombocytopenia: A Prospective, Multicenter, Randomized Trial
1 other identifier
interventional
100
1 country
1
Brief Summary
The project was undertaking by Qilu Hospital of Shandong University in China. In order to report the efficacy and safety of Hetrombopag plus high-dose dexamethasone for the treatment of adults with newly-diagnosed primary immune thrombocytopenia (ITP).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Sep 2023
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
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 5, 2023
CompletedFirst Posted
Study publicly available on registry
July 13, 2023
CompletedStudy Start
First participant enrolled
September 15, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 10, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
December 10, 2024
CompletedSeptember 26, 2023
September 1, 2023
10 months
July 5, 2023
September 24, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
26 week sustained overall response to ITP treatments
Complete response was defined as a platelet count of 100 000 per μL or higher and an absence of bleeding. Partial response was defined as a platelet count of 30000 per μL or higher,and at least a doubling of the baseline platelet count and an absence of bleeding. No response was defined as a platelet count of less than 30000 per μL, or less than two-times increase from baseline platelet count, or bleeding.
26-week after treatment started
Secondary Outcomes (7)
28-day initial complete response to ITP treatment
28 days after treatment started]
28-day initial overall response to ITP treatment
28 days after treatment started
8-week complete response to ITP treatment
8 weeks after treatment started
8-week overall response to ITP treatment
8 weeks after treatment started
time to response
an average of 6 months
- +2 more secondary outcomes
Study Arms (2)
Hetrombopag plus High-dose Dexamethasone
EXPERIMENTALHetrombopag 5mg po qd; HD-DEX 40mg qd for 4 days
High-dose Dexamethasone
ACTIVE COMPARATORHD-DEX 40mg qd for 4 days
Interventions
hetrombopag 5mg po qd for 8 weeks, combining with dexamethasone 40 mg qd for 4 days
dexamethasone 40 mg qd for 4 days
Eligibility Criteria
You may qualify if:
- Older than 18 years
- Meet the diagnostic criteria for newly diagnosed immune thrombocytopenia (diagnosed within 3 month);
- platelet count \<30\*10\^9/L, or \< 50\*10\^9/L with bleeding manifestations, both;
- Willing and able to sign written informed consent
You may not qualify if:
- secondary thrombocytopenia or graded MF≥2 myelofbrosis based on the European Consensus Scale
- Previous history of treatment for ITP, except Platelet transfusion, ITP-directed Prednisone therapy no more than 2 weeks or TPO therapy no more than 1 week and stopped ≥1 week before randomization
- No response to TPO-RA or rhTPO
- HIV, hepatitis C or B virus infection
- pregnancy or lactation;
- arterial or venous thromboembolism within the 6 months before screening
- total bilirubinalanine, aminotransferase or aspartate transaminase\>3×upper limit of normal (ULN), serum creatinine\>1.5×ULN
- congestive heart failure (New York Heart Association \[NYHA\] class III/IV);
- neoplastic disease within the past 5 years;
- liver cirrhosis
- people who could not adhere to the protocol or were planning to have a surgical procedure in 6 months.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Shengli Oilfield Central Hospital
Dongying, Shandong, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor and Director
Study Record Dates
First Submitted
July 5, 2023
First Posted
July 13, 2023
Study Start
September 15, 2023
Primary Completion
July 10, 2024
Study Completion
December 10, 2024
Last Updated
September 26, 2023
Record last verified: 2023-09