Status:

RECRUITING

Prednisone Plus IVIg vs. Prednisone for ITP During Pregnancy

Lead Sponsor:

Peking University People's Hospital

Conditions:

Immune Thrombocytopenia

Eligibility:

FEMALE

18-50 years

Phase:

PHASE2

Brief Summary

This is a prospective, randomized, open-label, multicenter clinical trial study to compare the efficacy and safety of prednisone plus IVIg to prednisone monotherapy in the treatment of immune thromboc...

Detailed Description

The investigators are undertaking a prospective, parallel group, multicenter, randomized controlled trial in pregnant patients with treat-naive ITP. A total of 100 participants are randomized to two g...

Eligibility Criteria

Inclusion

  • Age 18-50 years old;
  • Meet the diagnostic criteria for immune thrombocytopenia;
  • Pregnant women with ITP without ITP-specific treatments during pregnancy;
  • Gestational weeks ≥12 weeks;
  • Platelet count \<30×10\^9/L, accompanied with or without bleeding symptoms.
  • Willing and able to sign written informed consent.

Exclusion

  • Have a known diagnosis of other autoimmune diseases, confirmed medical history or laboratory findings within positive anti-nuclear antibodies (\>1:80), anti-cardiolipin antibodies, lupus anticoagulant factors or direct Coombs' test.
  • Thrombocytopenia caused by pregnancy-specific conditions, such as gestational thrombocytopenia, preeclampsia, the HELLP syndrome and acute fatty liver of pregnancy.
  • Secondary thrombocytopenia such as drug-related thrombocytopenia, vaccine-related thrombocytopenia, lymphoproliferative disorders, severe infection, hepatic cirrhosis and so on.
  • With other underlying diseases that may cause thrombocytopenia, such as: malignant disease, megaloblastic anemia, aplastic anemia, myelodysplasia syndrome, myeloid fibrosis, disseminated intravascular coagulation, thrombotic thrombocytopenic purpura, Hemolytic uremic syndrome, disseminated intravascular coagulation and so on;
  • Current HIV infection or hepatitis B virus or hepatitis C virus infections;
  • With severe heart, kidney, liver or respiratory dysfunction;
  • With the medical history of mental illness;
  • Have allergic reaction to prednisone or IVIg;

Key Trial Info

Start Date :

October 19 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2025

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT06577909

Start Date

October 19 2023

End Date

December 31 2025

Last Update

August 29 2024

Active Locations (1)

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

Beijing, Beijing Municipality, China, 100010