Phase II Trial of Romiplostim With Danazol in Patients With Eltrombopag-resistant Immune Thrombocytopenia

NCT ID: NCT04289207

Last Updated: 2020-02-28

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

55 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-03-01

Study Completion Date

2021-03-01

Brief Summary

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In this study, we tried to demonstrate clinical benefit of additive danazol to romiplostim therapy in patients with eltrombopag-resistant immune thrombocytopenia

Detailed Description

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The patients with eltrombopag-resistant immune thrombocytopenia are treated with romiplostim and danazol. The efficacy and toxicity of treatment will be evaluated.

Conditions

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Immune Thrombocytopenia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Romiplostim and danazol

Treatment group (romiplostim and danazol)

Group Type EXPERIMENTAL

Romiplostim and danazol

Intervention Type DRUG

Treatment with romiplostim and danazol

Interventions

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Romiplostim and danazol

Treatment with romiplostim and danazol

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* aged over 18 years
* diagnosed with immune thrombocytopenia (bone marrow examination is not necessary)
* failed to achieve platelet count over 50X10\^9/L with eltrombopag
* ECOG performance status 0,1,2
* available to obtain informed consent

Exclusion Criteria

* Hepatitis B or C carriers
* HIV positive patients
* diagnosed with systemic lupus erythematosus or other autoimmune disorders
* unable to intake orally or absorb through gastrointestinal tract
* pregnant or breast-feeding
* diagnosed with uncontrolled seizure or other neuropsychiatric disorders
* diagnosed with clinically significant cardiovascular events within 6 months or dyspnea on exertion evaluated to New York Heart Association Functional Classification III or IV
* diagnosed with clinically significant cerebrovascular disorders
* previously diagnosed or treated with thromboembolism
* current treating malignant diseases
* currently accompanied by uncontrolled infection or active bleeding
* with blood test results as follows; total bilirubin \> 2xUNL(upper normal limit), AST/ALT \> 1.5xUNL, creatinine \> 1.5xUNL, glomerular filtration rate \< 30ml/min/1.73m\^2
* registered to other clinical trials for treatment of immune thrombocytopenia
* judged to be inappropriate for clinical trial by doctor in charge
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kyowa Kirin Korea Co., Ltd.

INDUSTRY

Sponsor Role collaborator

Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Youngil Koh

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Youngil Koh

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Hospital

Central Contacts

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Youngil Koh

Role: CONTACT

Phone: 82-02-2072-7217

Email: [email protected]

References

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Cooper N, Bussel J. The pathogenesis of immune thrombocytopaenic purpura. Br J Haematol. 2006 May;133(4):364-74. doi: 10.1111/j.1365-2141.2006.06024.x.

Reference Type BACKGROUND
PMID: 16643442 (View on PubMed)

Bussel JB, Kuter DJ, Pullarkat V, Lyons RM, Guo M, Nichol JL. Safety and efficacy of long-term treatment with romiplostim in thrombocytopenic patients with chronic ITP. Blood. 2009 Mar 5;113(10):2161-71. doi: 10.1182/blood-2008-04-150078. Epub 2008 Nov 3.

Reference Type BACKGROUND
PMID: 18981291 (View on PubMed)

Wong RSM, Saleh MN, Khelif A, Salama A, Portella MSO, Burgess P, Bussel JB. Safety and efficacy of long-term treatment of chronic/persistent ITP with eltrombopag: final results of the EXTEND study. Blood. 2017 Dec 7;130(23):2527-2536. doi: 10.1182/blood-2017-04-748707. Epub 2017 Oct 17.

Reference Type BACKGROUND
PMID: 29042367 (View on PubMed)

Khellaf M, Viallard JF, Hamidou M, Cheze S, Roudot-Thoraval F, Lefrere F, Fain O, Audia S, Abgrall JF, Michot JM, Dauriac C, Lefort S, Gyan E, Niault M, Durand JM, Languille L, Boutboul D, Bierling P, Michel M, Godeau B. A retrospective pilot evaluation of switching thrombopoietic receptor-agonists in immune thrombocytopenia. Haematologica. 2013 Jun;98(6):881-7. doi: 10.3324/haematol.2012.074633. Epub 2013 Feb 26.

Reference Type BACKGROUND
PMID: 23445876 (View on PubMed)

Other Identifiers

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0620200130

Identifier Type: -

Identifier Source: org_study_id