Avatrombopag for the Treatment of Chemotherapy-Induced Thrombocytopenia in Adults With Active Non-Hematological Cancers

NCT ID: NCT03471078

Last Updated: 2023-09-28

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

122 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-12

Study Completion Date

2023-01-31

Brief Summary

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Phase 3 randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of avatrombopag in subjects with chemotherapy-induced thrombocytopenia receiving chemotherapy for the treatment of ovarian, lung (small cell and non-small cell) and bladder cancer.

Detailed Description

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Subjects will receive placebo controlled test treatment for one cycle of chemotherapy followed by an observational cycle. Subjects will have the option to continue into an open label extension period for all remaining chemotherapy cycles within the current regimen. After the follow-up visit, all subjects will continue to a long-term safety follow-up period.

Conditions

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Chemotherapy-induced Thrombocytopenia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Avatrombopag

Study is 2:1 randomization ratio (avatrombopag to placebo). Investigational product administered orally once daily for 5 days prior to chemotherapy and 5 days following chemotherapy treatment.

Group Type EXPERIMENTAL

Avatrombopag

Intervention Type DRUG

Oral avatrombopag tablet

Placebo

Study is 2:1 randomization ratio (avatrombopag to placebo). Investigational product administered orally once daily for 5 days prior to chemotherapy and 5 days following chemotherapy treatment.

Group Type PLACEBO_COMPARATOR

Placebo Oral Tablet

Intervention Type DRUG

Placebo comparator tablet

Interventions

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Avatrombopag

Oral avatrombopag tablet

Intervention Type DRUG

Placebo Oral Tablet

Placebo comparator tablet

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Men and women greater than or equal to 18 years of age;
* A diagnosis of ovarian, lung (small cell or non-small cell) or bladder cancer requiring systemic chemotherapy
* Participant receiving a chemotherapy regimen given in a 21 or 28-day cycle, including 1 or more of the following agents or class of agents:

* Nucleoside analog, including gemcitabine and fluorouracil;
* Carboplatin or cisplatin;
* Anthracycline; or
* Alkylating agent;
* Participant experienced severe thrombocytopenia, defined as 2 platelet counts \<50 x 109/L measured at least 24 hours apart, during the qualifying chemotherapy cycle, of their current chemotherapy regimen
* ECOG performance status \<=2

Exclusion Criteria

* Participant has experienced \>=Grade 2 CIT other than during the current chemotherapy treatment regimen within 6 months of Screening;
* Participant has any history of hematologic malignancies, including leukemia, myeloma, myeloproliferative disease, lymphoma, or myelodysplastic diseases;
* Participant has received \>2 previous lines of chemotherapy or is receiving whole brain radiation during the study treatment period;
* Participant has a known medical history of genetic prothrombotic syndromes
* Participant has a history of arterial or venous thrombosis within 3 months of screening;
* Use of vitamin K antagonists;
* Participant has previously received a thrombopoietin receptor agonist or recombinant human thrombopoietin for the treatment of CIT within 3 months of screening
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sobi, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Dova Site

Anaheim, California, United States

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Bakersfield, California, United States

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Riverside, California, United States

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Santa Monica, California, United States

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Augusta, Georgia, United States

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Harvey, Illinois, United States

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Skokie, Illinois, United States

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Bloomington, Indiana, United States

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Wichita, Kansas, United States

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Ashland, Kentucky, United States

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Boston, Massachusetts, United States

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Minneapolis, Minnesota, United States

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Canton, Ohio, United States

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Gettysburg, Pennsylvania, United States

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Harbin, , China

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Linyi, , China

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Neijiang, , China

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Shanghai, , China

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Tianjin, , China

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Budapest, , Hungary

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Debrecen, , Hungary

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Nyíregyháza, , Hungary

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Törökbálint, , Hungary

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Lublin, , Poland

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Olsztyn, , Poland

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Prabuty, , Poland

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Tomaszów Mazowiecki, , Poland

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Warsaw, , Poland

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Arkhangelsk, , Russia

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Kazan', , Russia

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Kursk, , Russia

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Moscow, , Russia

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Novosibirsk, , Russia

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Omsk, , Russia

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Pyatigorsk, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saransk, , Russia

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Sochi, , Russia

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Belgrade, , Serbia

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Kamenitz, , Serbia

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Kragujevac, , Serbia

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Cherkasy, , Ukraine

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Chernihiv, , Ukraine

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Chernivtsi, , Ukraine

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Ivano-Frankivsk, , Ukraine

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Kharkiv, , Ukraine

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Kherson, , Ukraine

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Kropyvnytskyi, , Ukraine

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Kyiv, , Ukraine

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Odesa, , Ukraine

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Sumy, , Ukraine

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Ternopil, , Ukraine

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Uzhhorod, , Ukraine

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Dova Site

Vinnytsia, , Ukraine

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Countries

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United States China Hungary Poland Russia Serbia Ukraine

References

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Al-Samkari H, Kolb-Sielecki J, Safina SZ, Xue X, Jamieson BD. Avatrombopag for chemotherapy-induced thrombocytopenia in patients with non-haematological malignancies: an international, randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Haematol. 2022 Mar;9(3):e179-e189. doi: 10.1016/S2352-3026(22)00001-1.

Reference Type BACKGROUND
PMID: 35240074 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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AVA-CIT-330

Identifier Type: -

Identifier Source: org_study_id

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