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CompletedNCT00621894Updated Dec 16, 2024

Oral LGD-4665 Versus Placebo in Adults With Immune Thrombocytopenic Purpura (ITP) for 6 Weeks Plus Open Treatment Continuation

A Phase 2 interventional study of LGD-4665 and Placebo in Immune Thrombocytopenic Purpura, sponsored by GlaxoSmithKline. Completed at 15 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-12-16.

Sponsored by GlaxoSmithKline · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
23
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to assess the ability of LGD-4665 given daily by mouth to increase platelet counts in the treatment of patients with ITP (immune thrombocytopenic purpura). LGD-4665 increased platelet counts safely and tolerably compared to placebo in healthy volunteers. This study will examine the safety, tolerability and efficacy of 7.5 mg capsules of LGD-4665 to increase platelets compared to placebo, randomized 2:1, during blinded treatment for 6 weeks. Evaluation of platelet counts, bleeding scores and safety parameters will be done weekly. All patients are eligible to continue on active, open LGD-4665 treatment for an additional 12 weeks with optimal adjustment of dose for each patient.

Read the detailed description

This is a Phase IIA study with two parts to the design.

  • Part 1 is a randomized, double-blinded, placebo-controlled treatment of 7.5 mg/day LGD-4665 versus placebo in approximately 24 patients with ITP who have been treated with at least one prior therapy for ITP. Patients will be randomized in a ratio of 1:2 (placebo: 7.5 mg/day LGD-4665) for 6 weeks of treatment. Platelet counts, bleeding scores, vital signs, physical exams and laboratory tests will be assessed weekly. Treatment groups will be analyzed for efficacy by the percentage of patients with platelet counts two times baseline and ≥ 50,000/uL at 6 weeks of treatment, and for safety by adverse events, vital signs, physical exams, laboratory tests and use of ITP rescue medications or transfusions.
  • Part 2 is an extension of study treatment with open label LGD-4665. All patients who participate in the Part 1 randomized double-blind treatment of this Ph IIA trial are eligible to continue open label treatment with LGD-4665 for up to 3 months at an appropriate dose for the safe maintenance of platelet counts (≥ 50,000/uL to ≤ 200,000/uL). Assessments of effectiveness and safety will be made at 2 and 4 week intervals.
02

Conditions studied

  • Immune Thrombocytopenic Purpura

Keywords

  • Immune thrombocytopenic purpura
  • thrombopoietin mimetic
  • ITP
03

In context

Purpura

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

This study's enrollment of 23 is below the median of 50 across 171 interventional studies indexed under Purpura.

Browse Purpura studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,562 studies on the registry; 117 are open to participants now.

Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • Adults 18 years or older
  • Diagnosis of ITP for at least 3 months consistent with ASH guidelines
  • Treated with one or more prior therapies for ITP and platelet counts \< 30,000/µL or \< 50,000/µL if on a stable oral corticosteroid for ≥ 4 weeks, supported by 2 platelet counts in prior 30 days
  • Laboratory results within normal range except for the following analytes

    • Hemoglobin ≥ 10 g/dL
    • Absolute neutrophil counts > 1000/mL
    • ALT ≤ 1.5X ULN
    • AST ≤ 1.5X ULN
    • Creatinine \< 1.5X ULN
    • Bilirubin \< 1.5X ULN
    • BUN \< 1.5X ULN
    • PT \< 1.5X ULN
    • aPTT \<1.5X ULN
  • Women of child-bearing potential must have a negative serum pregnancy test within 4 days prior to the first dose of study treatment and agree to practice an approved method of contraception or abstinence from sexual intercourse.
  • Willing to sign a written informed consent

Exclusion criteria

Exclusion criteria:

  • History of heart attack or cardiovascular disease
  • Known history of arterial or venous thrombosis
  • More than 3 risk factors for thromboembolic events (diabetes, smoker, using oral contraception, using estrogen therapy, hypertriglyceridemia, average cholesterol > 240 mg/dL, treatment for hypertension)
  • Active cancer or a history of bone marrow disorders
  • Women who are pregnant or nursing
  • History of alcohol/drug abuse or dependence within one year
  • Listed medications dosed within:

    • 4 weeks of the first dose of the study treatment:

      • Use of Rituximab
      • Use of cytotoxic agents
      • Use of Cyclosporine and other immunomodulators
      • Use of an investigational drug
    • 2 weeks of the first dose of the study treatment:

      • Use of Danazol
      • Use of Azathioprine
      • Use of Mycophenolate mofetil and pulsed-dose steroids
    • 1 week of the first dose of the study treatment:

      • Use of Anti-D (WinRho®)
      • Use of IVIG
      • Had a platelet transfusion
      • Use of herbal/dietary supplements (excluding vitamins and mineral supplements)
    • 3 days of the first dose of the study treatment

      • Use of aspirin, aspirin containing compounds
      • salicylates
      • milk of magnesia
      • non-steroidal anti-inflammatory drugs (unless prescribed for heart disease)
  • History of platelet aggregation that would prevent measurement of platelet counts
  • Known active infection with HIV, hepatitis B, or hepatitis C
  • In the Investigator's opinion, the patient is not able to comply with requirements of the study
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
23 participants (actual)

Study arms

  • Experimental
    LGD4665

    LGD-4665: Experimental Thrombopoietin mimetic

    Drug: LGD-4665

  • Placebo comparator
    Placebo

    Placebo

    Drug: Placebo

Interventions

  • DrugLGD-4665

    LGD-4665 Thrombopoietin mimetic

  • DrugPlacebo

    Placebo

06

What researchers measure

Primary outcomes

  1. Percentage of participants with platelet count >= 50000/µL

    Response was defined as platelet count \>= 50 x1000/uL for participants without Baseline steroid uses; or platelet counts \>= 50 x1000/uL and doubling the Baseline platelet counts for participants with baseline steroid uses. Confidence interval of response rate was computed using exact method of binomial proportion.

    Time frame: At Week 6

Secondary outcomes

  1. Number of participants with time to response by Platelet Counts (platelet counts >= 50,000/µL)

    Response was defined as platelet count \>= 50 x1000/uL for participants without baseline steroid uses; or platelet counts \>= 50 x1000/uL and doubling the Baseline platelet counts for participants with baseline steroid uses.

    Time frame: Week 1, 2, 4 and 6 of part 1

  2. Change From Baseline to Last Bleeding Observation During Double-Blind Treatment

    ITP Bleeding Severity Scale was used for the analysis of bleeding score. Bleeding scores were, 0=None, 1=minor, and 2=major. Body sites and bleeding grade analysis was as follows: cutaneous (1= 1-5 bruises; scattered petechiae and 2= \> 5 bruises, \>2 centimeter \[cm\]; petechiae), oral mucosa (1= 1 blood blister or \> 5 petechiae, gum bleeding \< 5 minute\[min\], 2= multiple blood blisters; gum bleeding \> 5 min), epistaxis (1= blood on blowing nose or epistaxis \< 5 min, 2= bleeding \> 5 min), gastrointestinal (1= occult blood, 2= gross blood), gynecological (1= spotting not at time of period, 2= bleeding not at time of period or very heavy period), urinary (1= microscopic (+ by dipstick), 2= macroscopic), pulmonary(1= possible symptoms but mild, 2= yes), subconjunctival (1= yes, 2= both eyes significantly involved), Intracranial (1= possible symptoms, 2= yes, clinically confirmed). Change from Baseline was calculated as Baseline value minus post-randomization value. Baseline was Day 1value.

    Time frame: Day 1 (Baseline) and Week 6

  3. Duration of platelet counts >= 50,000/µL of LGD4665

    Response was defined as platelet count \>= 50 x1000/uL for participants without baseline steroid uses; or platelet counts \>= 50 x1000/uL and doubling the Baseline platelet counts.A Kaplan-Meier projection of time to response by platelet counts was analyzed.

    Time frame: Up to Week 6

07

Study locations

15 sites
  • University of California San Diego Medical Center
    San Diego, California 92103-8409, United States
  • University of California, San Francisco
    San Francisco, California 94143-1270, United States
  • Davis, Posteraro and Wasser, MD's LLP
    Manchester, Connecticut 06040, United States
  • Baptist Cancer Institute
    Jacksonville, Florida 32207, United States
  • Cancer Center of Florida
    Orlando, Florida 32806, United States
  • Georgia Cancer Specialists
    Atlanta, Georgia 30341, United States
  • Karmanos Cancer Center, Wertz Clinical Cancer Center 4HWCRC
    Detroit, Michigan 48201, United States
  • Henry Ford Health System
    Detroit, Michigan 48202, United States
  • Washington University School of Medicine - St Louis, MO
    Saint Louis, Missouri 63110, United States
  • New Mexico Oncology Hematology Consultants
    Albuquerque, New Mexico 87109, United States
  • Joan and Sanford I. Weill Medical College, Cornell University
    New York, New York 10021, United States
  • Mount Sinai School of Medicine
    New York, New York 10029, United States
  • Case Western Reserve University School of Medicine
    Cleveland, Ohio 44106-7284, United States
  • Cleveland Clinic Foundation, Univ. of Ohio
    Cleveland, Ohio 44195, United States
  • Hematology Oncology Associates of South Texas
    San Antonio, Texas 78229, United States
08

References and documents

Individual participant data

Plan to share: No — GSK will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.gsk-studyregister.com/About_GSK_Patient_Level_Data_Sharing_Final_13July2023.pdf.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00621894
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Feb 22, 2008
Start date
Mar 15, 2008
Primary completion
May 1, 2009
Completion
May 15, 2009
Last update
Dec 16, 2024

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

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

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This study is completed, as verified in Dec 2024. You cannot join it, but the record below documents what was studied.

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