Status:
ACTIVE_NOT_RECRUITING
Romiplostim Plus Dexamethasone vs Dexamethasone in Patients With Newly Diagnosed Primary Immune Thrombocytopenia
Lead Sponsor:
Fundación Pública Andaluza para la gestión de la Investigación en Sevilla
Conditions:
Primary Immune Thrombocytopenia
Eligibility:
All Genders
18+ years
Phase:
PHASE3
Brief Summary
Phase III, open-labeled, randomized and multicenter clinical trial to evaluate the superiority of romiplostim plus dexamethasone vs dexamethasone alone in patients with newly diagnosed primary immune ...
Detailed Description
The main objective of the study is to evaluate the superiority of romiplostim plus dexamethasone versus dexamethasone alone in the treatment of primary immune thrombocytopenia, with sustained response...
Eligibility Criteria
Inclusion
- Main inclusion criteria:
- Age ≥ 18 years of age at the time of signing informed consent.
- Newly diagnosis of primary ITP according to the International Working Group assessment \[1\] and previously untreated for ITP.
- Platelet counts \<30x109/L or ITP with platelet counts \<50x109/L and concomitant bleeding symptoms.
- Serum creatinine concentration ≤1.5 mg/dL.
- Main exclusion criteria:
- World Health Organization's performance status \>2.
- Previous therapy with rituximab (within 3 months previous of study enrollment), corticosteroids or, therapy with other immunomodulating agents within 1 month before of enrolment;,prior use of hematopoietic analogs and or fostamatinib for any other reason despite ITP three months before enrolment.
- Previous use of romiplostim, polyethylene glycol-recombinant human megakaryocyte growth and development factor, Eltrombopag, recombinant human anti-thrombopoietin, or any platelet-producing agent three months before enrolment.
- Alkylating agents within 8 weeks before the screening visit or anticipated use during the time of the proposed study.
- Splenectomy within 3 months of the screening visit or planned splenectomy during study period.
- Abnormal renal function (serum creatinine \> 1.5 mg/dL).
- Active hepatic disease (evidenced by alanine aminotransferase \[ALT\] or aspartate aminotransferase \[AST\] levels \>5 times the upper limit of normal (it will only be necessary to determine one of the two transaminases
- Severe chronic liver disease as evidenced by, but not limited to, any of the following: International Normalized Ratio \>1.4, hypoalbuminemia, portal vein hypertension including presence of otherwise unexplained splenomegaly and history of esophageal varices.
- Patients with known immunoglobulin M seropositive tests for cytomegalovirus and/or Epstein-Barr virus in the previous month.
- Patients with an active viral infection at screening with: Hepatitis B Virus, Hepatitis C Virus, detectable virus charge of HIV.
- Intolerance to dexamethasone.
- History of a bone marrow stem cell disorder.
- Active or prior malignancy except adequately treated (ie, complete surgical excision with negative margins) basal cell carcinoma.
- History of helicobacter pylori by urea breath test or stool antigen test within 6 months of enrollment, if available.
- History of myelodysplastic syndrome, systemic lupus erythematosus, or autoimmune cytopenia.
- History of antiphospholipid antibody syndrome.
- History of disseminated intravascular coagulation, hemolytic uremic syndrome, or thrombotic thrombocytopenic purpura.
- History of deep or superficial venous thromboembolism in the last 12 months or stroke, acute ischaemic heart disease or acute peripheral vascular disease in the last 6 months.
- Hypersensitivity to any recombinant Escherichia coli-derived product (eg, Infergen, Neupogen, Somatropin, and Actimmune) or known sensitivity to any of the products to be administered during dosing
- Currently enrolled in another investigational device or drug study or \< 30 days since ending another investigational device or drug studies, or receiving other investigational agents.
- Will have any other investigational procedures performed while enrolled in this clinical study.
- Pregnant or breastfeeding, or planning to become pregnant or breastfeed during treatment or within 1 month after the end of treatment.
- Female subject of childbearing potential is not willing to use, in combination with her partner, an acceptable method of effective contraception during treatment and for 1 month after the end of treatment. Females of childbearing potential should only be included after a negative, pregnancy test.
- Will not be available for protocol-required study visits, to the best of the subject's and investigator's knowledge.
- Any kind of disorder that, in the opinion of the investigator, may compromise the ability of the subject to give written informed consent and/or to comply with all required study procedures.
- Other serious comorbidities at investigator criteria.
Exclusion
Key Trial Info
Start Date :
December 2 2022
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
October 24 2026
Estimated Enrollment :
129 Patients enrolled
Trial Details
Trial ID
NCT05325593
Start Date
December 2 2022
End Date
October 24 2026
Last Update
June 17 2025
Active Locations (30)
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1
IRCCS AOU di Bologna, Seràgnoli Institute of Hematology
Bologna, Italy
2
ASST Fatebenefratelli Sacco - Ospedale L. Sacco
Milan, Italy
3
Grande Ospedale Metropolitano Niguarda
Milan, Italy
4
Azienda Ospedaliero-Universitaria Policlinico Umberto I / SAPIENZA Universitá di Roma
Rome, Italy