Status:

UNKNOWN

The Combination of High-dose Dexamethasone and Acetylcysteine as the Treatment of Newly-diagnosed ITP

Lead Sponsor:

Peking University People's Hospital

Conditions:

Immune Thrombocytopenia

Eligibility:

All Genders

18-80 years

Phase:

PHASE2

Brief Summary

A single-arm, open-label study to evaluate the efficacy and safety of Acetylcysteine plus high-dose Dexamethasone in adults newly diagnosed with primary immune thrombocytopenia (ITP).

Detailed Description

This is a prospective, open-label, Phase II, single-arm interventional trial performed in a single center in China. The investigators explore the efficacy and safety of Acetylcysteine plus high-dose D...

Eligibility Criteria

Inclusion

  • Clinically confirmed immune thrombocytopenic purpura (ITP) newly diagnosed
  • Platelet count less than 30×10\^9/L on two occasions or Platelets above 30×10\^9/L combined with bleeding manifestation (WHO bleeding scale 2 or above)
  • Subject is ≥ 18 years and ≤80years
  • Subject has signed and dated written informed consent.
  • Fertile patients must use effective contraception during treatment and observational period
  • Negative pregnancy test

Exclusion

  • Have an impaired renal function as indicated by a serum creatinine level \> 2.0 mg/dL
  • Have an inadequate liver function as indicated by a total bilirubin level \> 2.0 mg/dL and/or an aspartate aminotransaminase or alanine aminotransferase level \> 3×upper limit of normal
  • Have a New York Heart Classification III or IV heart disease
  • Have a history of severe psychiatric disorder or are unable to comply with study and follow-up procedures
  • Have active hepatitis B or hepatitis C infection
  • Have a HIV infection
  • Have active infection requiring antibiotic therapy within 7 days prior to study entry
  • Are pregnant or lactating women, or plan to become pregnant or impregnated within 12 months of receiving study drug
  • Previous treatment with rituximab
  • Previous splenectomy
  • Had previous or concomitant malignant disease
  • Not willing to participate in the study.
  • Expected survival of \< 2 years
  • Intolerant to murine antibodies
  • Immunosuppressive treatment within the last month
  • Connective tissue disease
  • Autoimmune hemolytic anemia
  • Patients currently involved in another clinical trial with evaluation of drug treatment

Key Trial Info

Start Date :

April 1 2019

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2020

Estimated Enrollment :

44 Patients enrolled

Trial Details

Trial ID

NCT04368598

Start Date

April 1 2019

End Date

December 31 2020

Last Update

April 30 2020

Active Locations (1)

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Peking University Insititute of Hematology, Peking University People's Hospital

Beijing, Beijing Municipality, China, 100044