CClinicalTrials.gg
CompletedNCT02153060Updated Apr 20, 2016

An Investigation of Dexamethasone With Different Doses in the Management of Immune Thrombocytopenia (ITP)

A Phase 2 interventional study of Dexamethasone and Dexamethasone in Immune Thrombocytopenia, 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 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
58
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The project was undertaking by Qilu Hospital of Shandong University and other 7 well-known hospitals in China. In order to report the efficacy and safety of different dose dexamethasone in treating the immune thrombocytopenia (ITP).

Read the detailed description

The investigators are undertaking a parallel group, multicentre, randomised controlled trial of 60 adults with ITP from 7 medical centers in China. Part of the participants are randomly selected to receive dexamethasone (given at a dose of 40mg per day for 4 consecutive days) ,the others are selected to receive dexamethasone(given at a dose of 20 mg daily for 4 days).

Platelet count, bleeding and other symptoms were evaluated before and after treatment. Adverse events are also recorded throughout the study. In order to report the efficacy and safety of different dose dexamethasone for the treatment of adults with immune thrombocytopenia (ITP).

02

Conditions studied

  • Immune Thrombocytopenia

Keywords

  • immune thrombocytopenia
  • dexamethasone
  • efficacy
  • safety
03

In context

Thrombocytopenia

697 studies on the registry are indexed under Thrombocytopenia; 153 are open to participants now.

This study's enrollment of 58 is close to the median of 55 across 472 interventional studies indexed under Thrombocytopenia.

Browse Thrombocytopenia 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.

04

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 \~ 75 years
  3. To show a platelet count \<30 * 10\^9/L, and with bleeding manifestations
  4. 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 second-line ITP-specific treatments (eg, cyclophosphamide, 6-mercaptopurine, vincristine, vinblastine, etc) within 3 months before the screening visit
  3. Received high-dose steroids or IVIG in the 3 weeks prior to the start of the study
  4. Current HIV infection or hepatitis B virus or hepatitis C virus infections
  5. Severe medical condition (lung, hepatic or renal disorder) other than chronic 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)
  6. Female patients who are nursing or pregnant, who may be pregnant, or who contemplate pregnancy during the study period
  7. 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
  8. Patients who are deemed unsuitable for the study by the investigator
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
58 participants (actual)

Study arms

  • Experimental
    20mg dexamethasone group

    Dexamethasone 20 mg per day, 4 consecutive days

    Drug: Dexamethasone

  • Experimental
    40mg dexamethasone group

    Dexamethasone 40 mg per day, 4 consecutive days

    Drug: Dexamethasone

Interventions

  • DrugDexamethasone

    Dexamethasone was given at a dose of 40 mg,daily for 4 consecutive days

  • DrugDexamethasone

    Dexamethasone was given at a dose of 20 mg,daily for 4 consecutive days

06

What researchers measure

Primary outcomes

  1. Proposed criteria for assessing early response to ITP treatments

    1. Complete response (CR): A platelet count ≥ 100 \* 10\^9/L measured on two occasions \> 7 days apart and the absence of bleeding. 2. Response (R): A platelet count ≥ 30 \* 10\^9/L and a greater than two fold increase in platelet count from baseline measured on two occasions \> 7 days apart and the absence of bleeding. 3. No response (NR): A platelet count \< 30 \* 10\^9/L or a less than two fold increase in platelet count from baseline or the presence of bleeding. Platelet count must be measured on two occasions more than a day apart.

    Time frame: 3 months

Secondary outcomes

  1. Safety

    The type and frequency of therapy associated adverse events

    Time frame: 1 years

07

Study locations

1 site
  • Qilu Hospital, Shandong University
    Jinan, Shandong 250012, China
08

References and documents

Publications

  • 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 ↗
  • 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 ↗
  • 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 ↗
09

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 ↗
10

Registry details

Key details

Study ID
NCT02153060
Lead sponsor
Shandong University
Collaborators
Chinese Academy of Medical Sciences, Shandong Provincial Hospital, The First Affiliated Hospital of Dalian Medical University, Peking Union Medical College Hospital, Shandong University of Traditional Chinese Medicine, Anhui Provincial Hospital, Second Hospital of Shanxi Medical University
Responsible party
Ming Hou (Professor and Director, Shandong University) — Principal investigator
First posted
Jun 2, 2014
Start date
May 2014
Primary completion
Jan 2015
Completion
Aug 2015
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 May 2014. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion