Status:

UNKNOWN

Efficacy of Helicobacter Pylori Eradication, Anti-D and Danazol Combination in Steroid Dependant or Refractory Immune Thrombocytopenia (ITP)

Lead Sponsor:

Cooperative Study Group A for Hematology

Conditions:

Thrombocytopenia

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

Proportion who would avoid splenectomy at 6 months of follow up

Detailed Description

1. If urea breath test (+); omeprazole 20mg bid, amoxicillin 1000mg bid and clarithromycin 500mg bid for 1 week. Second line Helicobacter pylori eradication will be permitted after failure of firs...

Eligibility Criteria

Inclusion

  • ITP is defined by
  • (a) a true thrombocytopenia on blood smear, (b) adequate megakaryopoiesis on bone marrow examination, (c) the absence of clinically apparent associated conditions or cause of thrombocytopenia
  • Steroid dependant ITP: more than 10 mg of prednisolone per day is required to maintain a platelet count above 20X109/L (minimum follow up duration: 3 months after diagnosis)
  • Steroid refractory ITP: a platelet count less than 20X109/L despite of treatment with full dose of steroid (prednisolone 1mg/kg for at least 4 weeks)
  • 18 years old or more

Exclusion

  • Patients who have a cause of thrombocytopenia such as HIV infection, lymphoproliferative disease, liver disease, definite SLE or drug
  • Pregnancy
  • Splectomized patients
  • Rh- blood type
  • Hemoglobin \< 10g/dL
  • Known hypersensitivity to immunoglobulins
  • A positive direct antiglobulin test
  • Clinically relevant hepatic or renal disease

Key Trial Info

Start Date :

February 1 2010

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 1 2012

Estimated Enrollment :

38 Patients enrolled

Trial Details

Trial ID

NCT01162941

Start Date

February 1 2010

End Date

January 1 2012

Last Update

July 15 2010

Active Locations (1)

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1

Asan Medical Center

Seoul, Asanbyeongwon-gil, Songpa-gu, South Korea, 138-736