Status:

UNKNOWN

Hetrombopag for Lower-risk MDS With Thrombocytopenia: a Prospective,Open-label, Single-arm Study.

Lead Sponsor:

Tongji Hospital

Conditions:

Myelodysplastic Syndromes

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

The is a phase 2, single-arm, open-label clinical study assessing the efficacy and safety of hetrombopag to increase platelet count in lower-risk MDS patients with thrombocytopenia.

Detailed Description

The is a phase 2, single-arm, open-label clinical study assessing the efficacy and safety of hetrombopag to increase platelet count in patients with very low, low, or intermediate risk myelodysplastic...

Eligibility Criteria

Inclusion

  • 18 years or older;
  • Confirmed diagnosis of MDS based on 2016 WHO (World Health Organization) and classification with very low, low or intermediate (score ≤ 3.5) risk according to the revised International Prognostic Scoring System (IPSS-R).
  • Platelets \< 30 x 10\^9/L or platelets \< 50 x 10\^9/L with active bleeding at screening.
  • Eastern Cooperative Oncology Group (ECOG) performance score ≤ 2;
  • Ability to understand information material and written informed consent.

Exclusion

  • Severe active bleeding/infection or any other uncontrolled severe condition;
  • History of treatment with thrombopoietin receptor agonists (eltrombopag, avatrombopag, romiplostim, etc.) or recombinant human thrombopoietin with 1 month prior;
  • Patients with known active hepatitis B, hepatitis C, or human immunodeficiency virus (HIV) at screening(If hepatitis B surface antigen or hepatitis B core antibody are positive, HBV-DNA testing are needed. If positive, it suggests a viral replication and subjects will be excluded. If hepatitis C antibody are positive, HCV-RNA testing are needed. If positive, it suggests a viral replication and subjects will be excluded);
  • Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) \>2.5 x upper limit of normal (ULN), total bilirubin \>2.5 x ULN, creatinine \>1.5 x ULN;
  • History of portal hypertension or cirrhosis;
  • History of any types of solid tumors within 5 years prior, whether the tumors has been treated, metastasized or relapsed (except basal cell carcinoma);
  • History of congestive heart failure requiring medical management, cardiac arrhythmias, peripheral arteriovenous thrombosis within 1 years prior, or myocardial infarction or cerebral infarction within 3 months prior;
  • ECOG performance score ≥ 3;
  • Female subjects who are pregnant or breastfeeding, or subjects who are planning pregnancy within 6 months;
  • Women of child-bearing potential and men must agree to use contraception prior to study entry and for the duration of study participation;
  • Participated in other clinical trials within 3 months prior;
  • Any condition which, in the investigator's opinion, deems the subject an unsuitable candidate to receive study drug.

Key Trial Info

Start Date :

July 1 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2024

Estimated Enrollment :

28 Patients enrolled

Trial Details

Trial ID

NCT05392647

Start Date

July 1 2022

End Date

December 31 2024

Last Update

May 26 2022

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