Avatrombopag to Promote Platelet Engraftment After Allo-HSCT

NCT ID: NCT05143892

Last Updated: 2022-12-23

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-01

Study Completion Date

2023-11-30

Brief Summary

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The purpose of the study is to evaluate the efficacy and safety of avatrombopag for the promotion of platelet engraftment after Allo-HSCT.

Detailed Description

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Patients with thrombocytopenia (PLT\<20×10\^9/L) after allogenic hematopoietic stem cell transplantation (Allo-HSCT) who meet Eligibility Criteria were assigned into the avatrombopag group for 4 weeks' treatment.

Conditions

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Platelet Disorder

Keywords

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Avatrombopag thrombocytopenia allogenic hematopoietic stem cell transplantation engraftment

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients will be randomized into avatrombopag group or supportive care group at the ratio of 1:1.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Avatrombopag

In the 4-weeks'study,the initial dose of avatrombopag is 20 mg/d. If the patient's PLT count remains less than 20\*10\^9/L after one week, the maximum dose was increased to 40 mg/d. Avatrombopag will be taken orally with food.

Group Type EXPERIMENTAL

Avatrombopag

Intervention Type DRUG

Avatrombopag administered at the described frequency to achieve a target platelet count

Supportive care

Patients in this arm receive same treatment as in the avatrombopag group,except any TPO-RAs or recombinant human thrombopoietin.

Group Type OTHER

Supportive care

Intervention Type OTHER

Supportive care other than TPO-RAs or recombinant human thrombopoietin.

Interventions

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Avatrombopag

Avatrombopag administered at the described frequency to achieve a target platelet count

Intervention Type DRUG

Supportive care

Supportive care other than TPO-RAs or recombinant human thrombopoietin.

Intervention Type OTHER

Other Intervention Names

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Doptelet support

Eligibility Criteria

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Inclusion Criteria

* Male or female, aged between 18-60 years;
* PLT\<20×10\^9/L after 14 days of allo-HSCT;
* Expected survival time \> 3 months;
* ECOG performance status 0-2;
* Agree to receive the treatment of avatrombopag after Allo-HSCT and must sign the informed consent form.

Exclusion Criteria

* Pregnant or lactating;
* With severe and uncontrollable infection;
* With graft-versus-host disease (GVHD) with steroid resistance;
* With thrombotic microangiopathy; With active thromboembolism requiring anticoagulation
* With detected disease recurrence due to chimerism by flow cytometry;
* With chronic active hepatitis B and C virus infection;
* With secondary or multiple transplantation, or multiple organ transplantation;
* With severe heart disease, lung disease, diabetes and metabolic diseases;
* HIV positive;
* With a history of PLT dysfunction or bleeding disorders
* With the active hepatic venous occlusion disease, or a history of clinically significant hepatic venous occlusion disease (The disease was defined as the abnormal condition of painful hepatomegaly after transplantation with bilirubin ≥ 6.0 mg/dL);
* With progressive solid tumor;
* With severe bleeding requiring transfusion of more than 2 units of red blood cells, or sudden drop of blood cell volume ≥10% within 7 days prior to screening;
* With any other clinical trial of investigational product or device within 30 days prior to the baseline visit, except for observational study;
* With treatment of thrombopoietin receptor agonist (TPO-RA) one month before enrollment;
* Deemed unsuitable for enrollment by the investigator.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The First Affiliated Hospital of Soochow University

OTHER

Sponsor Role lead

Responsible Party

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HAN Yue

Director of hematology department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yue Han

Role: PRINCIPAL_INVESTIGATOR

The First Affiliated Hospital of Soochow University

Locations

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The first affiliated hospital of Soochow University

Suzhou, Jiangsu, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Yue Han, MD PhD

Role: CONTACT

Phone: (0086)51267781856

Email: [email protected]

Depei Wu, MD PhD

Role: CONTACT

Phone: (0086)51267781856

Email: [email protected]

Facility Contacts

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Meng Zhou, MD

Role: primary

References

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Zhou M, Qi J, Gu C, Wang H, Zhang Z, Wu D, Han Y. Avatrombopag for the treatment of thrombocytopenia post hematopoietic stem-cell transplantation. Ther Adv Hematol. 2022 Sep 28;13:20406207221127532. doi: 10.1177/20406207221127532. eCollection 2022.

Reference Type BACKGROUND
PMID: 36185780 (View on PubMed)

Provided Documents

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Document Type: Study Protocol, Statistical Analysis Plan, and Informed Consent Form

View Document

Other Identifiers

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SOOCHOW-HY-2021-11

Identifier Type: -

Identifier Source: org_study_id