NCT07294365

Brief Summary

This is a Phase 2, open-label, randomized, multicenter study to assess the efficacy and safety of DZD8586 in patients with primary immune thrombocytopenia (ITP). The target population of this study is patients with primary ITP who had failed to respond or relapsed after receiving at least one standard therapy. Participants who meet the inclusion criteria and do not meet the exclusion criteria will be randomized to different dose groups.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
60

participants targeted

Target at P50-P75 for phase_2

Timeline
19mo left

Started Jan 2026

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

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress16%
Jan 2026Dec 2027

First Submitted

Initial submission to the registry

December 8, 2025

Completed
11 days until next milestone

First Posted

Study publicly available on registry

December 19, 2025

Completed
27 days until next milestone

Study Start

First participant enrolled

January 15, 2026

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2027

Expected
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2027

Last Updated

January 22, 2026

Status Verified

December 1, 2025

Enrollment Period

1.5 years

First QC Date

December 8, 2025

Last Update Submit

January 21, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Overall response rate (4 weeks)

    The proportion of patients with platelet counts ≥ 50 × 10⁹/L on 2 consecutive visits (with an interval of at least 7 days) within 4 weeks.

    within 4 weeks

Secondary Outcomes (4)

  • Incidence and severity of Adverse Events (AEs)

    30 days after the last dose

  • Overall response rate (12 weeks)

    within 12 weeks

  • Durable response rate

    within 24 weeks

  • Time to response

    within 24 weeks

Study Arms (3)

DZD8586 dose level 1

EXPERIMENTAL

Administered orally, once daily.

Drug: DZD8586 dose level 1

DZD8586 dose level 2

EXPERIMENTAL

Administered orally, once daily.

Drug: DZD8586 dose level 2

DZD8586 dose level 3

EXPERIMENTAL

Administered orally, once daily.

Drug: DZD8586 dose level 3

Interventions

DZD8586 will be administered orally in a 28-day cycle.

Also known as: Birelentinib
DZD8586 dose level 1

DZD8586 will be administered orally in a 28-day cycle.

Also known as: Birelentinib
DZD8586 dose level 2

DZD8586 will be administered orally in a 28-day cycle.

Also known as: Birelentinib
DZD8586 dose level 3

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male and female participants ≥ 18 years of age.
  • Diagnosed with persistent or chronic primary ITP, and an average of two platelet counts \< 30 × 10⁹/L.
  • Have failed at least one standard treatment for ITP (glucocorticoids and/or IVIG).
  • Adequate bone marrow reserve and organ functions.
  • Willing to comply with contraceptive restrictions.

You may not qualify if:

  • Have evidence of secondary causes of immune thrombocytopenia.
  • Have a history of coagulation disorders other than ITP, such as disseminated intravascular coagulation, hemolytic uremic syndrome, or thrombotic thrombocytopenic purpura.
  • Any of previous or current treatment prohibited by protocol.
  • Any of severe cardiac abnormalities.
  • Active infection.
  • Poorly controlled gastrointestinal disorder, inadequate absorption of medication or other systemic diseases.
  • Known allergy to DZD8586 drug excipients or other chemical analogues.
  • Pregnant or breastfeeding female participants.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Qilu Hospital of Shandong University

Jinan, Shandong, 250012, China

RECRUITING

MeSH Terms

Conditions

Purpura, Thrombocytopenic, Idiopathic

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

Study Officials

  • Hou

    Qilu Hospital of Shandong University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

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

December 8, 2025

First Posted

December 19, 2025

Study Start

January 15, 2026

Primary Completion (Estimated)

July 1, 2027

Study Completion (Estimated)

December 1, 2027

Last Updated

January 22, 2026

Record last verified: 2025-12

Data Sharing

IPD Sharing
Will not share

Locations