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TerminatedNCT00547066Updated Aug 16, 2021

Study of Veltuzumab (hA20) at Different Doses in Patients With ITP

A Phase 1/2 interventional study of veltuzumab in Purpura, Thrombocytopenic, Idiopathic, Autoimmune Thrombocytopenic Purpura and Purpura, Thrombocytopenic, Autoimmune, sponsored by Gilead Sciences. Terminated at 8 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-08-16.

Sponsored by Gilead Sciences · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
48
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

This trial will study different dose levels of hA20 (IMMU-106) to see if they are safe and effective for treating ITP.

Read the detailed description

The goal of current treatment guidelines for most patients with chronic adult ITP is to maintain platelet levels above 30 x 109/L. The conventional first-line therapy is corticosteroids with or without intravenous immunoglobulins, but many patients relapse when steroids are tapered. Standard therapy then is splenectomy, but patients with refractory ITP who do not respond require further therapy. Unfortunately, immunosuppressive agents or other available treatments typically produce only short-term responses. Because of the lack of medical options after first-line therapy, the target population for this first study of anti-CD20 immunotherapy with hA20 are adult patients with chronic ITP who failed at least one standard ITP therapy (i.e., received at least one standard ITP therapy and now present with platelet levels below 30 x 109/L).

In autoimmune disease, rituximab as well as other anti-CD20 antibodies currently being considered for commercialization have focused on a different dosing schedule in rheumatoid arthritis, and use fixed dosages rather than variable doses based on body surface area. In addition, recent studies of these newer anti-CD20 antibodies in rheumatoid arthritis have reported that lower doses indeed appear effective when administered twice, 2 weeks apart. Based upon these considerations, patients in this study will receive hA20 twice, 2 weeks apart, and administered at one of 3 dose levels.

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Conditions studied

  • Purpura, Thrombocytopenic, Idiopathic
  • Autoimmune Thrombocytopenic Purpura
  • Purpura, Thrombocytopenic, Autoimmune

Keywords

  • ITP
  • hA20
  • Treatment
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In context

Purpura

263 studies on the registry are indexed under Purpura; 27 are open to participants now.

This study's enrollment of 48 is close to the median of 50 across 171 interventional studies indexed under Purpura.

Browse Purpura studies →

Lead sponsor

Gilead Sciences is the lead sponsor of 680 studies on the registry; 24 are open to participants now.

Of its 259 completed or terminated interventional studies of FDA-regulated products, 249 (96%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male or female, >18 years old, with or without prior splenectomy
  • Signed written informed consent obtained prior to study entry
  • ITP according to ASH guidelines, with other potential causes of thrombocytopenia excluded
  • Platelet levels \< 150 x 109/L for more than 6 months
  • Received an adequate course of at least one standard ITP treatment (an inadequate course of standard ITP therapy does not qualify as meeting this requirement)
  • Platelet count \< 30 x 109/L at study entry and on at least one other occasion at least 1 week apart within the past month. (Phase I only: platelet count also > 10 x 109/L at study entry).
  • Bleeding assessment score of Grade 0 or 1. See full protocol for all inclusion criteria

Exclusion criteria

Exclusion Criteria:

See full protocol for exclusion criteria or contact study staff for details

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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
48 participants (actual)

Study arms

  • Experimental
    veltuzumab

    veltuzumab is a humanized CD20 antibody administered subcutaneously.

    Biological: veltuzumab

Interventions

  • Biologicalveltuzumab

    hA20 will be administered intravenously in two doses over two weeks

    Also known as: IMMU-106, hA20, humanized anti-CD20

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What researchers measure

Primary outcomes

  1. Primary - Safety

    Hematology laboratory results and adverse events will be followed closely for one year.

    Time frame: 1 year

  2. Secondary - Efficacy

    Platelet responses will be followed for up to 5 years.

    Time frame: 5 years

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Study locations

8 sites
  • University of Southern California- Keck School of Medicine
    Los Angeles, California 90033, United States
  • Center of Hope for Cancer and Blood Disorders
    Riverdale, Georgia 30274, United States
  • Georgia Cancer Specialtists
    Tucker, Georgia 30084, United States
  • Goshen Center for Cancer Care
    Goshen, Indiana 46526, United States
  • Hematology Oncology Specialists
    Metairie, Louisiana 70006, United States
  • Denville, New Jersey 07834, United States
  • Hematology/Oncology Specialists
    Buffalo, New York 14215, United States
  • New York Presbyterian Hospital Weill Cornell Medical Center
    New York, New York 10021, United States
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References and documents

Publications

  • Liebman HA, Saleh MN, Bussel JB, Negrea OG, Horne H, Wegener WA, Goldenberg DM. Comparison of two dosing schedules for subcutaneous injections of low-dose anti-CD20 veltuzumab in relapsed immune thrombocytopenia. Haematologica. 2016 Nov;101(11):1327-1332. doi: 10.3324/haematol.2016.146738. Epub 2016 Aug 11. PubMed 27515248 ↗
  • Liebman HA, Saleh MN, Bussel JB, Negrea OG, Horne H, Wegener WA, Goldenberg DM. Low-dose anti-CD20 veltuzumab given intravenously or subcutaneously is active in relapsed immune thrombocytopenia: a phase I study. Br J Haematol. 2013 Sep;162(5):693-701. doi: 10.1111/bjh.12448. Epub 2013 Jul 6. PubMed 23829485 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 16, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00547066
Lead sponsor
Gilead Sciences
Responsible party
Sponsor
First posted
Oct 19, 2007
Start date
Nov 2007
Primary completion
Nov 2011
Completion
Nov 2011
Last update
Aug 16, 2021

Study contacts

William Wegener, MD, PHD
study chair · Gilead Sciences

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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