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CompletedNCT01734044Updated Apr 20, 2016

rhTPO Combining Dexamethasone Versus High-dose Dexamethasone for Initial Treatment of ITP

A Phase 3 interventional study of recombinant human thrombopoietin (rhTPO); dexamethasone and Dexamethasone in Purpura and Idiopathic Thrombocytopenic Purpura, sponsored by Shandong University. Completed at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2016-04-20.

Sponsored by Shandong University · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
158
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
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Study summary

The project was undertaking by Qilu Hospital of Shandong University and other 13 well-known hospitals in China. In order to report the efficacy and safety of Recombinant Human thrombopoietin combining with Dexamethasone for the treatment of adults with primary immune thrombocytopenia (ITP), compared to High-dose Dexamethasone therapy.

Read the detailed description

The investigators are undertaking a parallel group, multicentre, randomised controlled trial of 200 primary ITP adult patients from 14 medical centers in China. One part of the participants are randomly selected to receive recombinant human thrombopoietin (given subcutaneously at a dose of 300Units/kg for7-14 consecutive days, following with a flexible dosage depending on platelet count until the 28th day), combining with dexamethasone (given intravenously at a dose of 40 mg per day for 4days, the others are selected to receive high-dose of dexamethasone treatment (given intravenously at a dose of 40 mg daily for 4 days). Platelet count was evaluated before and after treatment, in order to report the conversion ratio of primary ITP to chronic ITP.

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Conditions studied

  • Purpura
  • Idiopathic Thrombocytopenic Purpura

Keywords

  • Recombinant Human Thrombopoietin
  • rhTPO
  • Dexamethasone
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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 158 is above the median of 50 across 171 interventional studies indexed under Purpura.

Browse Purpura studies →

Lead sponsor

Shandong University is the lead sponsor of 284 studies on the registry; 59 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Meet the diagnostic criteria for immune thrombocytopenia.
  2. Untreated hospitalized patients, may be male or female, between the ages of 18 \~ 80 years.
  3. To show a platelet count \< 30×10\^9/L, and with bleeding manifestations.
  4. Eastern Cooperative Oncology Group(ECOG)performance status ≤ 2.
  5. Willing and able to sign written informed consent.

Exclusion criteria

Exclusion Criteria:

  1. Received chemotherapy or anticoagulants or other drugs affecting the platelet counts within 3 months before the screening visit.
  2. Received high-dose steroids or [2] intravenous immunoglobulin transfusion(IVIG)in the 3 weeks prior to the start of the study.
  3. Current HIV infection or hepatitis B virus or hepatitis C virus infections.
  4. Severe medical condition (lung, hepatic or renal disorder) other than ITP. Unstable or uncontrolled disease or condition related to or impacting cardiac function (e.g., unstable angina, congestive heart failure, uncontrolled hypertension or cardiac arrhythmia)
  5. Female patients who are nursing or pregnant, who may be pregnant, or who contemplate pregnancy during the study period.
  6. Have a known diagnosis of other autoimmune diseases, established in the medical history and laboratory findings with positive results for the determination of antinuclear antibodies, anti-cardiolipin antibodies, lupus anticoagulant or direct Coombs test.
  7. Patients who are deemed unsuitable for the study by the investigator.
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
158 participants (actual)

Study arms

  • Experimental
    combination treatment group

    100 enrolled patients are randomly picked up to take rhTPO in combination with dexamethasone at the indicated dose.

    Drug: recombinant human thrombopoietin (rhTPO); dexamethasone

  • Active comparator
    single treatment group

    100 enrolled patients are randomly picked up to take dexamethasone at the indicated dose.

    Drug: Dexamethasone

Interventions

  • Drugrecombinant human thrombopoietin (rhTPO); dexamethasone

    Patients in recombination treatment group take rhTPO( subcutaneously , 300U/kg for 14 consecutive days, followed by flexible treating dosage so as to keep the platelet count above 50×10\^9/L until the 28th day), in combination with dexamethasone(intravenously , 40mg/d for 4 consecutive days)

    Also known as: Recombinant Human Thrombopoietin, Recombinant Human TPO, rhTPO combine with Dexamethasone, Recombinant Human Thrombopoietin combine with Dexamethasone, Recombinant Human TPO combine with Dexamethasone

  • DrugDexamethasone

    Patients in single treatment group take dexamethasone intravenously at 40 mg daily for 4 consecutive days.

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What researchers measure

Primary outcomes

  1. Evaluation of platelet response

    Chronic ITP is defined as having platelet count less than 100×10\^9/L,lasting for more than 12 months.

    Time frame: up to 1 year per subject

  2. Evaluation of platelet response (R)

    R. A response (R) was defined as a sustained (≥ 3 months) platelet count ≥ 30×10\^9/L without recurrence of thrombocytopenia

    Time frame: up to 1 year per subject

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Study locations

1 site
  • Qilu Hospital, Shandong University
    Jinan, Shandong, China
08

References and documents

Publications

  • Provan D, Stasi R, Newland AC, Blanchette VS, Bolton-Maggs P, Bussel JB, Chong BH, Cines DB, Gernsheimer TB, Godeau B, Grainger J, Greer I, Hunt BJ, Imbach PA, Lyons G, McMillan R, Rodeghiero F, Sanz MA, Tarantino M, Watson S, Young J, Kuter DJ. International consensus report on the investigation and management of primary immune thrombocytopenia. Blood. 2010 Jan 14;115(2):168-86. doi: 10.1182/blood-2009-06-225565. Epub 2009 Oct 21. PubMed 19846889 ↗
  • 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. PubMed 19005182 ↗
  • Cheng Y, Wong RS, Soo YO, Chui CH, Lau FY, Chan NP, Wong WS, Cheng G. Initial treatment of immune thrombocytopenic purpura with high-dose dexamethasone. N Engl J Med. 2003 Aug 28;349(9):831-6. doi: 10.1056/NEJMoa030254. PubMed 12944568 ↗
  • Mazzucconi MG, Fazi P, Bernasconi S, De Rossi G, Leone G, Gugliotta L, Vianelli N, Avvisati G, Rodeghiero F, Amendola A, Baronci C, Carbone C, Quattrin S, Fioritoni G, D'Alfonso G, Mandelli F; Gruppo Italiano Malattie EMatologiche dell'Adulto (GIMEMA) Thrombocytopenia Working Party. Therapy with high-dose dexamethasone (HD-DXM) in previously untreated patients affected by idiopathic thrombocytopenic purpura: a GIMEMA experience. Blood. 2007 Feb 15;109(4):1401-7. doi: 10.1182/blood-2005-12-015222. Epub 2006 Oct 31. PubMed 17077333 ↗
  • Yu Y, Wang M, Hou Y, Qin P, Zeng Q, Yu W, Guo X, Wang J, Wang X, Liu G, Chu X, Yang L, Feng Y, Zhou F, Sun Z, Zhang M, Wang X, Wang Z, Ran X, Zhao H, Wang L, Zhang H, Bi K, Li D, Yuan C, Xu R, Wang Y, Zhou Y, Peng J, Liu XG, Hou M. High-dose dexamethasone plus recombinant human thrombopoietin vs high-dose dexamethasone alone as frontline treatment for newly diagnosed adult primary immune thrombocytopenia: A prospective, multicenter, randomized trial. Am J Hematol. 2020 Dec;95(12):1542-1552. doi: 10.1002/ajh.25989. Epub 2020 Oct 19. PubMed 32871029 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 20, 2016, 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
NCT01734044
Lead sponsor
Shandong University
Collaborators
The Affiliated Hospital of the Chinese Academy of Military Medical Sciences, Anhui Medical University, The First Affiliated Hospital of Dalian Medical University, Shandong Provincial Hospital, Shenzhen Second People's Hospital, China Medical University, China, Zhejiang Provincial Hospital of TCM
Responsible party
Ming Hou (Professor and Director, Shandong University) — Principal investigator
First posted
Nov 27, 2012
Start date
Jul 2012
Primary completion
Jul 2014
Completion
Nov 2014
Last update
Apr 20, 2016

Study contacts

Ming Hou, Dr.
principal investigator · Shandong University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2012. You cannot join it, but the record below documents what was studied.

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