A Clinical Study of Herombopag in Tumors-associated Thrombocytopenia

NCT ID: NCT05350956

Last Updated: 2022-04-28

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: PHASE2
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-06-01
• Study Completion Date: 2023-10-30

Brief Summary

The purpose of this study is to confirm the safety and efficacy of Herombopag in tumors-associated thrombocytopenia

Detailed Description

CIT is one of the most common complications of tumor treatment, which is caused by the inhibition of anticancer chemotherapy drugs on megakaryocytes in bone marrow, resulting in platelet count lower than 100×109/L in peripheral blood, and is a common hematological toxic reaction in clinic. CIT leads to an increased risk of bleeding and transfusion, and severe CIT can cause intracranial bleeding and death. The use of platelet infusion is limited and ineffective in 25% of patients. rhIL-11 increases the incidence of cardiovascular events and rhTPO may produce immunogenicity. Currently, TPO-RA is recommended for the treatment of CIT by consensus guidelines at home and abroad. The study was designed to explore the safety and efficacy of Herombopag in the treatment of tumour-associated thrombocytopenia.

Conditions

Tumor Therapy-related Thrombocytopenia

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: SEQUENTIAL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Herombopag monotherapy

Group Type: EXPERIMENTAL

TPO-RA (Herombopag)

Intervention Type: DRUG

During the correction period, subjects will receive a dose of Herombopag starting at 5-7.5mg once daily, orally for 14 days, subject to dosing adjustment (or discontinuation) depending on their platelet response or at the investigator's discretion. In the secondary prophylaxis phase, Herombopag 5mg once daily, starting 5 days before antineoplastic therapy and continuing for 10-14 days.

Herombopag is treated in combination with rhTPO(Recombinant human thrombopoietin)

Group Type: EXPERIMENTAL

TPO-RA (Herombopag) and rhTPO(Recombinant human thrombopoietin)

Intervention Type: DRUG

During the correction period, subjects will receive a combination of Herombopag and rhTPO, Herombopag starting at a recommended dose of 5mg once daily for 14 days. The recombinant human thrombopoietin dose is 300U/kg. bw/day or 15000U/day per person, once daily, for 14 consecutive days (or as determined by the investigator). In the secondary prophylaxis phase, Herombopag 5mg once daily, starting 5 days before antineoplastic therapy and continuing for 10-14 days.

Interventions

TPO-RA (Herombopag)

During the correction period, subjects will receive a dose of Herombopag starting at 5-7.5mg once daily, orally for 14 days, subject to dosing adjustment (or discontinuation) depending on their platelet response or at the investigator's discretion. In the secondary prophylaxis phase, Herombopag 5mg once daily, starting 5 days before antineoplastic therapy and continuing for 10-14 days.

Intervention Type: DRUG

TPO-RA (Herombopag) and rhTPO(Recombinant human thrombopoietin)

During the correction period, subjects will receive a combination of Herombopag and rhTPO, Herombopag starting at a recommended dose of 5mg once daily for 14 days. The recombinant human thrombopoietin dose is 300U/kg. bw/day or 15000U/day per person, once daily, for 14 consecutive days (or as determined by the investigator). In the secondary prophylaxis phase, Herombopag 5mg once daily, starting 5 days before antineoplastic therapy and continuing for 10-14 days.

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

1. Age ≥18, no gender limitation;

2. Participants with solid tumors confirmed by histopathological or cytological examination;

3. During the current tumor treatment cycle, the participants whose PLT<50×109/L, and will receive the current tumor treatment regimen for at least 1 cycle;

4. Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2.

5. Voluntarily participated in the study and signed the informed consent with good compliance.

Exclusion Criteria

1. Suffering from any of the following diseases of the hematopoietic system other than thrombocytopenia caused by tumor therapy, including but not limited to leukemia, primary immune thrombocytopenia, myeloid proliferative disease, multiple myeloma and myelodysplastic syndrome;

2. Suffering from thrombocytopenia (not caused by tumor treatment), including but not limited to chronic liver disease, hypersplenism, infection, and bleeding, within 6 months prior to screening;

3. Bone marrow invasion or bone marrow metastasis;

4. Received radiation therapy to the pelvis, spine and bone field within 3 months prior to screening; or is/is expected to receive radiation therapy.

5. Received TPO-RA drugs (such as altrepopal and romistine), or rhTPO or rhIL-11 in the current cancer treatment cycle;

6. Received platelet transfusion within 3 days prior to randomization;

7. Participants with known or expected allergy or intolerance to the active ingredient or excipient of Herombopag Olamine tablets;

8. Pregnant or lactating women;

9. Participants who are participating in other clinical trials.

10. Other conditions that the investigator determines are not suitable for inclusion in the study.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Jiangsu HengRui Medicine Co., Ltd.

INDUSTRY

Sponsor Role: collaborator

The First Affiliated Hospital of Zhengzhou University

OTHER

Sponsor Role: lead

Responsible Party

Hong Zong

The First Affiliated Hospital of Zhengzhou University, Oncology Department， Chief Physician

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Zong Hong, Professor

Role: PRINCIPAL_INVESTIGATOR

The First Affiliated Hospital of Zhengzhou University

Central Contacts

Zong Hong, Professor

Role: CONTACT

fcczongh@zzu.edu.cn

13523586882

Other Identifiers

HQBP-ZH-001

Identifier Type: -

Identifier Source: org_study_id