Status:

COMPLETED

The Combination of ATRA and Eltrombopag as the Treatment of Steroid-resistant/Relapse ITP Based on MSC-C5b-9

Lead Sponsor:

Peking University People's Hospital

Collaborating Sponsors:

Beijing Friendship Hospital

Beijing Tongren Hospital

Conditions:

Purpura, Thrombocytopenic, Idiopathic

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

A Prospective, Randomized, Open-Label, Multicenter Clinical Trial study to compare the efficacy and safety of ATRA plus eltrombopag compared to eltrombopag monotherapy in the treatment of steroid-resi...

Detailed Description

The investigators are undertaking a parallel group, multicenter, randomized controlled trial of patients with ITP in China. Patients were tested for MSCs, and they were divided into MSC-C5b-9+ group a...

Eligibility Criteria

Inclusion

  • 1\. Isolated thrombocytopenia (platelet count \<30 × 109/L); 2. age \> 18 years; 3. normal white blood cells and red blood cells on bone marrow examination; 4. increased number of megakaryocytes (bone marrow examination was performed in all patients except for myelofibrosis or other conditions that can cause thrombocytopenia disease); 5. the spleen was normal in size; 6. Eastern Cooperative Oncology Group status score (ECOG score) ≤ 2; 7. ineffective or relapsed after at least 1 course of full-dose full-course hormone therapy; 8. Failure of prior ITP therapy (eg, hormones, splenectomy, and cyclosporine) and at least 4 weeks from enrollment.

Exclusion

  • 1\. Secondary ITP such as drug-related thrombocytopenia; 2. thrombocytopenia due to viral infection (HIV, hepatitis B virus, or hepatitis C virus); 3. severe cardiac, renal, hepatic, or respiratory insufficiency; 4. severe immunodeficiency; 5. pregnancy or lactation; 6. myelodysplasia or Myelofibrosis; 7. history of malignancy; 8. ongoing immunosuppressive therapy for other diseases; 9. patients previously treated with eltrombopag were excluded from this study.

Key Trial Info

Start Date :

October 12 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 30 2024

Estimated Enrollment :

96 Patients enrolled

Trial Details

Trial ID

NCT05438875

Start Date

October 12 2022

End Date

November 30 2024

Last Update

September 9 2025

Active Locations (5)

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Page 1 of 2 (5 locations)

1

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

Beijing, Beijing Municipality, China, 100010

2

Beijing Tongren hospital

Beijing, Beijing Municipality, China

3

Department of Hematology, Beijing Friendship Hospital, Capital Medical University

Beijing, China

4

Department of Hematology, Beijing Hospital

Beijing, China