Efficacy of Immunomudulatory Therapy With All-trans Retinoid Acid for Adults With Chronic Immune Thrombocytopenia

NCT ID: NCT01668615

Last Updated: 2012-10-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

35 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-01-31

Study Completion Date

2012-08-31

Brief Summary

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The purpose of this study is to determine whether All-trans retinoic acid (ATRA) are effective in the treatment of refractory idiopathic thrombocytopenic purpura (RITP).

Detailed Description

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Idiopathic thrombocytopenic purpura(ITP), an acquired immune disease is characterized by impaired generation of autoantibody-specific platelet. At least 30% adult patients turn into refractory ITP. The pathogenesis of ITP remains to be elucidated. Now ,CD4+ helper cells have been classified as belong to T-helper 1(TH1), T-helper 2(TH2), T-helper17and Regulory T cell(Tregs). All-trans retinoic acid(ATRA) mainly applied in skin disease and acute promyelocytic leukemia. Recently, ATRA is also a immunomodulator which can induce differentiation, proliferation, apoptosis of cells, and immunomudulatory. In the international, the investigators first treat RITP with ATRA. To investigate the therapeutic effects of ATRA on RITP, and using new index in the cells, cytokines and molecular biology of three in-depth study of its mechanism.

Conditions

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Immune Thrombocytopenic Purpura

Keywords

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idiopathicthrombocytopenic purpura all-trans retinoic acid regulory T cells

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Interventions

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all-trans-retinoid acid

10 mg three times a day oral administration for 4 months

Intervention Type DRUG

Other Intervention Names

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Tretinoin

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of refratory idiopathic thrombocytopenic purpura
* Hormone and immune suppression, splenectomy is invalid

Exclusion Criteria

* Other autoimmune diseases
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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First Affiliated Hospital of Suzhou Medical College

OTHER

Sponsor Role lead

Responsible Party

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Zhaoyue Wang

Jiangsu Institute of hematology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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zhaoyue wang, doctor

Role: STUDY_DIRECTOR

Locations

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Jiangsu Institute of Hematology

Suzhou, Jiangsu, China

Site Status

Countries

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China

Other Identifiers

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jsxys-123

Identifier Type: -

Identifier Source: org_study_id