Avatrombopag for HCC Patients With Thrombocytopenia Who Intend to Undergo TACE and/or HAIC
A Single-center, Single-arm Study of Avatrombopag for Patients With Hepatocellular Carcinoma and Thrombocytopenia Who Intend to Undergo Transarterial Chemoembolization and/or Hepatic Arterial Infusion Chemotherapy
1 other identifier
interventional
30
1 country
1
Brief Summary
This study is conducted to evaluate the efficacy of avatrombopag for thrombocytopenia in patients with hepatocellular carcinoma (HCC) who intend to undergo transarterial chemoembolization (TACE) and/or hepatic arterial infusion chemotherapy (HAIC).
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 Aug 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
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 7, 2023
CompletedStudy Start
First participant enrolled
August 14, 2023
CompletedFirst Posted
Study publicly available on registry
August 21, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 13, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
August 13, 2024
CompletedSeptember 14, 2023
August 1, 2023
1 year
August 7, 2023
September 12, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Proportion of patients with PLT >75×10^9/L or doubling from baseline
The proportion of patients with PLT \>75×10\^9/L or doubling from baseline
1 year
Secondary Outcomes (5)
Proportion of patients with PLT >75×10^9/L
1 year
Proportion of patients with PLT doubling from baseline
1 year
Increace in PLT
1 year
Proportion of patients who successfully receive TACE/HAIC
1 year
Adverse events (AEs)
1 year
Study Arms (1)
Avatrombopag
EXPERIMENTALPatients receive avatrombopag treatment 5-10 days.
Interventions
Avatrombopag (platelet count \[PLT\] \<40×10\^9/L, 60mg P.O. QD; PLT of 40-75×10\^9/L, 40mg P.O. QD) will be administered to the patients and last 5-10 days. When the PLT reaches ≥100×10\^9/L, the treatment will be discontinued.
Eligibility Criteria
You may qualify if:
- HCC with diagnosis confirmed pathologically or clinically
- Patients who need to receive TACE and/or HAIC, or have plans to undergo another treatment (3-6 weeks after the previous treatment)
- Child Pugh class A or B
- ECOG PS 0-2
- PLT ≤ 75×10\^9/L (10 days before interventional therapy)
You may not qualify if:
- Thrombocytopenia caused by hematological diseases, non chemotherapy related thrombocytopenia (excluding liver cirrhosis with hypersplenism)
- PLT \<30×10\^9/L
- History of hepatic encephalopathy, refractory ascites, or hepatorenal syndrome
- History of arterial or venous thrombosis within 6 months
- Uncontrolled severe infections
- Pregnant or breastfeeding female patients
- Immune deficiencies, such as autoimmune diseases, HIV infected individuals, etc
- Anticoagulation or antiplatelet therapy witch cannot be suspended during the treatment period: heparin, warfarin, rivaroxaban, dipyridamole, non-steroidal anti-inflammatory drugs, aspirin, verapamil, Ticlopidine, clopidogrel, glycoprotein IIb/IIIa antagonists, erythropoietin, etc;
- Administration of blood products within 7 days prior to the baseline visit (excluding albumin infusion)
- Allergy to avatrombopag or any of its formulations
- History (such as gastrointestinal bleeding within 3 months, high risk of thrombosis, such as portal vein main flow velocity\<10cm/s) which may affect the safety of the patients or their ability to complete the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The Second Affiliated Hospital of Guangzhou Medical University
Guangzhou, Guangdong, 510260, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 7, 2023
First Posted
August 21, 2023
Study Start
August 14, 2023
Primary Completion
August 13, 2024
Study Completion
August 13, 2024
Last Updated
September 14, 2023
Record last verified: 2023-08
Data Sharing
- IPD Sharing
- Will not share