A Study Evaluating the Addition of MabThera (Rituximab) to Standard Treatment in Patients With Idiopathic Thrombocytopenic Purpura (ITP)

NCT ID: NCT00770562

Last Updated: 2014-10-22

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

103 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-07-31

Study Completion Date

2008-07-31

Brief Summary

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This study will compare the efficacy, safety, and pharmacokinetics of standard treatment versus standard treatment plus MabThera in patients with ITP. The anticipated time on study treatment is \<3 months, and the target sample size is 100-500 individuals.

Detailed Description

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Conditions

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Idiopathic Thrombocytopenic Purpura

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dexamethasone

Participants received 40 milligrams (mg) dexamethasone, orally, once per day for 4 consecutive days (Days 1, 2, 3, and 4). Participants in this treatment arm who failed to achieve a sustained response and had a platelet count of less than or equal to (≤)20 x 10\^9 platelets per liter (L; from Day 30 up to end of 6 months) were treated with salvage treatment of dexamethasone 40 mg, orally, once per day for 4 consecutive days (Days 1, 2, 3, and 4) and rituximab 375 mg per square meter (mg/m\^2), intravenously (IV), with premedication of oral acetaminophen 500 mg and chlorpheniramine 10 mg IV on Days 7, 14, 21, and 28.

Group Type ACTIVE_COMPARATOR

Dexamethasone

Intervention Type DRUG

Dexamethasone plus Rituximab

Participants received dexamethasone 40 mg, orally, once per day for 4 consecutive days (Days 1, 2, 3, and 4) and rituximab 375 mg/m\^2, IV, with premedication of oral acetaminophen 500 mg and chlorpheniramine 10 mg IV on Days 7, 14, 21, and 28. Nonresponsive participants with platelets less than (\<) 20 x10\^9/L or with active bleeding could have also received an additional treatment course of dexamethasone 40 mg, orally, once per day for 4 consecutive days (Days 1, 2, 3, and 4) and rituximab 375 mg/m\^2, IV on Days 7, 14, 21, and 28 administered with immunoglobulin (IgG) IV (at investigator discretion) and/or low/medium dose steroids (at investigator discretion) on Days 7, 14, 21, and 28.

Group Type EXPERIMENTAL

rituximab

Intervention Type DRUG

Dexamethasone

Intervention Type DRUG

Interventions

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rituximab

Intervention Type DRUG

Dexamethasone

Intervention Type DRUG

Other Intervention Names

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MabThera/Rituxan

Eligibility Criteria

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Inclusion Criteria

* adult patients \>=18 years of age;
* untreated ITP.

Exclusion Criteria

* ITP with relapse;
* positive test result for HIV or hepatitis B or C;
* active infection requiring systemic therapy;
* malignancy within 3 years before study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_CHAIR

Hoffmann-La Roche

Locations

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Bari, , Italy

Site Status

Bologna, , Italy

Site Status

Brescia, , Italy

Site Status

Cagliari, , Italy

Site Status

Cuneo, , Italy

Site Status

Genova, , Italy

Site Status

Milan, , Italy

Site Status

Napoli, , Italy

Site Status

Padua, , Italy

Site Status

Palermo, , Italy

Site Status

Pavia, , Italy

Site Status

Pesaro, , Italy

Site Status

Pescara, , Italy

Site Status

Ravenna, , Italy

Site Status

Reggio Emilia, , Italy

Site Status

Roma, , Italy

Site Status

Roma, , Italy

Site Status

Roma, , Italy

Site Status

Siena, , Italy

Site Status

Taranto, , Italy

Site Status

Udine, , Italy

Site Status

Verona, , Italy

Site Status

Countries

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Italy

References

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Zaja F, Baccarani M, Mazza P, Bocchia M, Gugliotta L, Zaccaria A, Vianelli N, Defina M, Tieghi A, Amadori S, Campagna S, Ferrara F, Angelucci E, Usala E, Cantoni S, Visani G, Fornaro A, Rizzi R, De Stefano V, Casulli F, Battista ML, Isola M, Soldano F, Gamba E, Fanin R. Dexamethasone plus rituximab yields higher sustained response rates than dexamethasone monotherapy in adults with primary immune thrombocytopenia. Blood. 2010 Apr 8;115(14):2755-62. doi: 10.1182/blood-2009-07-229815. Epub 2010 Feb 3.

Reference Type DERIVED
PMID: 20130241 (View on PubMed)

Other Identifiers

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ML18542

Identifier Type: -

Identifier Source: org_study_id

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