Status:

RECRUITING

Safety and Efficacy of Zanubrutinib in the Treatment of Antiphospholipid Syndrome With Secondary Thrombocytopenia

Lead Sponsor:

Institute of Hematology & Blood Diseases Hospital, China

Conditions:

Antiphospholipid Syndrome

Thrombocytopenia

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

To evaluate the safety and efficacy of zanubrutinib in the treatment of antiphospholipid syndrome with secondary thrombocytopenia in 10 patients.

Detailed Description

Antiphospholipid syndrome (APS) is a disease spectrum characterized by thrombosis and/or pathological pregnancy, and characterized by persistent antiphospholipid antibodies (APL) positive in laborator...

Eligibility Criteria

Inclusion

  • Age 18 and above, male or female;
  • Diagnosis of antiphospholipid syndrome;
  • Failure to receive glucocorticoid treatment in the past (the curative effect cannot be maintained, or recurs, or cannot be tolerated); Can not choose other second-line treatment, such as rituximab, cyclosporine, cyclophosphamide, etc.; Or rituximab, cyclosporine and other treatments are ineffective, relapsed or intolerable;
  • Plt \< 30×10\^9/L;
  • Liver and kidney function, such as ALT, AST, BUN, SCR \< 1.5 × upper limit of normal value, passing physical examination;
  • ECOG physical state score ≤ 2 points;
  • Cardiac function of the New York Society of Cardiac Function ≤ 2;
  • Signed and dated written informed consent.

Exclusion

  • Uncontrollable primary diseases of important organs, such as malignant tumors, liver failure, heart failure, renal failure and other diseases;
  • HIV positive;
  • Accompanied by uncontrollable active infection, including hepatitis B, hepatitis C, cytomegalovirus, EB virus and syphilis positive;
  • Accompanied by extensive and severe bleeding, such as hemoptysis, upper gastrointestinal hemorrhage, intracranial hemorrhage, etc.;
  • At present, there are heart diseases, arrhythmias that need treatment or hypertension that researchers judge is poorly controlled;
  • Patients with thrombotic diseases such as new pulmonary embolism and unstable period of various arteriovenous thrombosis;
  • Those who have received allogeneic stem cell transplantation or organ transplantation in the past;
  • Patients with mental disorders who cannot normally obtain informed consent and conduct trials and follow-up;
  • Patients whose toxic symptoms caused by pre-trial treatment have not disappeared;
  • Other serious diseases that may limit the subject's participation in this test (such as diabetes; Severe cardiac insufficiency; Myocardial obstruction or unstable arrhythmia or unstable angina pectoris in recent 6 months; Gastric ulcer,etc.);
  • Patients with septicemia or other irregular severe bleeding;
  • Pregnant women, suspected pregnancies (positive pregnancy test for human chorionic gonadotropin in urine at screening) and lactating patients.

Key Trial Info

Start Date :

January 25 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 30 2025

Estimated Enrollment :

10 Patients enrolled

Trial Details

Trial ID

NCT05199909

Start Date

January 25 2022

End Date

June 30 2025

Last Update

February 24 2025

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Chinese Academy of Medical Science and Blood Disease Hospital

Tianjin, Tianjin Municipality, China, 300020

2

Institute of Hematology & Blood Diseases Hospital

Tianjin, Tianjin Municipality, China, 300020