Safety and Efficacy of Romiplostim in Treatment of Chronic ITP in Children

NCT ID: NCT07214025

Last Updated: 2025-10-09

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

NOT_YET_RECRUITING

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-11-01

Study Completion Date

2027-01-01

Brief Summary

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The aim is to evaluate safety and efficacy of Romiplostim in the treatment of chronic ITP in children

Detailed Description

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Conditions

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Romiplostim N01 ITP

Study Design

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Observational Model Type

OTHER

Study Time Perspective

CROSS_SECTIONAL

Interventions

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Safety and efficacy of Romiplostim in Treatment of chronic ITP in children

Children diagnosed with chronic immune thrombocytopenia (ITP) will receive Romiplostim, a thrombopoietin receptor agonist administered as a once-weekly subcutaneous injection. The initial dose will be 1 µg/kg, with subsequent dose adjustments (up to a maximum of 10 µg/kg weekly) based on platelet response, in order to maintain platelet counts ≥50 × 10⁹/L while minimizing the risk of bleeding. Treatment duration will be determined according to study protocol, and patients will be monitored regularly for efficacy (platelet count response, bleeding events) and safety (adverse events, laboratory parameters).

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients aged between 1 and 18 years
* Diagnosis of chronic ITP
* Refractory to or intolerant of first-line therapies (e.g.corticosteroids , intravenous immunoglobulin \[ IVIG \] , and oral eltrombopag )
* Platelet count\<30,000/µL, or evidence of bleeding or risk of bleeding with platelet count\<50,000/µL.
* Written informed consent (or parental/guardian consent for minors)

Exclusion Criteria

* Evidence of secondary thrombocytopenia (e.g., HIV, HCV, systemic lupus erythematosus)
* congenital thrombocytopenia
* Age \< 1year or more than 18 years
* Aplastic anemia
* Known hypersensitivity to romiplostim or any of its components
Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Mostafa Refat Mostafa Ali

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Mostafa Refat Mostafa, Principal Investigator

Role: CONTACT

+201140514880

References

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Rodeghiero F, Stasi R, Gernsheimer T, Michel M, Provan D, Arnold DM, Bussel JB, Cines DB, Chong BH, Cooper N, Godeau B, Lechner K, Mazzucconi MG, McMillan R, Sanz MA, Imbach P, Blanchette V, Kuhne T, Ruggeri M, George JN. Standardization of terminology, definitions and outcome criteria in immune thrombocytopenic purpura of adults and children: report from an international working group. Blood. 2009 Mar 12;113(11):2386-93. doi: 10.1182/blood-2008-07-162503. Epub 2008 Nov 12.

Reference Type RESULT
PMID: 19005182 (View on PubMed)

Chen F, McDonald V, Newland A. Experts' review: the emerging roles of romiplostim in immune thrombocytopenia (ITP). Expert Opin Biol Ther. 2021 Nov;21(11):1383-1393. doi: 10.1080/14712598.2021.1960979. Epub 2021 Aug 12.

Reference Type RESULT
PMID: 34313512 (View on PubMed)

Vianelli N, Auteri G, Buccisano F, Carrai V, Baldacci E, Clissa C, Bartoletti D, Giuffrida G, Magro D, Rivolti E, Esposito D, Podda GM, Palandri F. Refractory primary immune thrombocytopenia (ITP): current clinical challenges and therapeutic perspectives. Ann Hematol. 2022 May;101(5):963-978. doi: 10.1007/s00277-022-04786-y. Epub 2022 Feb 24.

Reference Type RESULT
PMID: 35201417 (View on PubMed)

Liu XG, Hou Y, Hou M. How we treat primary immune thrombocytopenia in adults. J Hematol Oncol. 2023 Jan 19;16(1):4. doi: 10.1186/s13045-023-01401-z.

Reference Type RESULT
PMID: 36658588 (View on PubMed)

Singh A, Uzun G, Bakchoul T. Primary Immune Thrombocytopenia: Novel Insights into Pathophysiology and Disease Management. J Clin Med. 2021 Feb 16;10(4):789. doi: 10.3390/jcm10040789.

Reference Type RESULT
PMID: 33669423 (View on PubMed)

Sandvad M, Pedersen EA, Frederiksen H, Mannering N. Risk of infection in adult patients with primary immune thrombocytopenia (ITP): a systematic review. Expert Rev Hematol. 2021 Oct;14(10):961-974. doi: 10.1080/17474086.2021.1976635. Epub 2021 Sep 16.

Reference Type RESULT
PMID: 34487679 (View on PubMed)

Other Identifiers

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Romiplostim In treatmentof ITP

Identifier Type: -

Identifier Source: org_study_id

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