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CompletedNCT02267993Updated May 30, 2025

Efficacy and Safety of rhTPO for the Treatment of Thrombocytopenia After Chemotherapy in AML Patients

A Phase 4 interventional study of recombinant human thrombopoietin in Thrombocytopenia, sponsored by Institute of Hematology & Blood Diseases Hospital, China. Completed at 1 site in China. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2025-05-30.

Sponsored by Institute of Hematology & Blood Diseases Hospital, China · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
58
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
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Study summary

In this single-center, randomized, open-label, crossover, prospective clinical trial, a total of 120 AML patients who achieved remission will be randomized into two groups, of 60 cases in each group. Each subject is required to undergo two cycles of chemotherapy. At the treatment cycle, patients received subcutaneous injection of rhTPO. At the control cycle, rhTPO therapy is not given.The safety of rhTPO is evaluated by the monitoring of liver and renal functions, blood coagulation, and TPO-neutralizing antibody, and adverse events associated with rhTPO treatment are recorded during the study period.

Read the detailed description

In this single-center, randomized, open-label, crossover, prospective clinical trial, a total of 120 AML patients who achieved remission following induction chemotherapy will be recruited and randomized into two groups, of 60 cases in each group. For one group, the treatment cycle is in the first chemotherapy cycle and the control cycle is in the second one. For another group, the treatment cycle is in the second chemotherapy cycle and the control cycle is in the first one.

Each subject is required to undergo two cycles of chemotherapy. At the treatment cycle, patients received subcutaneous injection of rhTPO at a dose of 300 U/kg body weight once daily at a platelet count of \< 50×109/L, and rhTPO treatment ceased at a platelet count of ≥20×109/L if platelet is not transfused. At the control cycle, rhTPO therapy is not given.

Each subject is required to be followed up for successive two chemotherapy cycles following inclusion in this study. During the follow-up period, routine blood test is performed once every other day, and platelet transfusion is recorded.

The safety of rhTPO is evaluated by the monitoring of liver and renal functions, blood coagulation, and TPO-neutralizing antibody, and adverse events associated with rhTPO treatment are recorded during the study period.

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Conditions studied

  • Thrombocytopenia

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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

Institute of Hematology & Blood Diseases Hospital, China is the lead sponsor of 398 studies on the registry; 293 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 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age of 18-55 years;
  2. Patients that meet the diagnostic criteria of acute myeloid leukemia (except M3 and M7 subtypes), and achieve complete remission following induction chemotherapy and undergo consolidation therapy;
  3. Patients who require two successive cycles of DA (Ara-c 1.5 g/m2/q12 h and DNR 40 mg/m2/d on days 1-3) or MA regimen (Ara-C 1.5 g/m2/q12 h and MTZ 6 mg/m2/d on days 1-3) at the phase of consolidation therapy, or underwent consolidation therapy with administration of Ara-C 3 g/m2/q12 h alone, with dose adjustment of less than 10% Ara-C dose;
  4. Patients with the minimum platelet count of \< 30´109/L at the final cycle of chemotherapy during the induction stage;
  5. Patients without apparent liver or renal dysfunctions (serum levels of urea nitrogen, creatinine, aminotransferase and bilirubin were all ≤ 1.5 times of the normal upper limit);
  6. Patients without severe heart or lung dysfunctions;
  7. Patients with life expectancy of > 12 weeks;
  8. Patients with ECOG score of ≤ 2;
  9. Patients are willing to participate in the study and sign the informed consent.

Exclusion criteria

Exclusion Criteria:

  1. Patients with a medical history of severe allergy to biologics;
  2. Patients with thromboembolic or hemorrhagic disease, or a recent medical history of thrombosis;
  3. Patients with a history of mental disorders;
  4. Pregnant or lactating patients, or patients with failure in use of contraception during the study period;
  5. Patients with M3 or M7 subtype;
  6. Patients with a platelet count of 1000 ´109/L at the start of the study;
  7. Patients with other factors which were considered not to be suitable to participate in the study by the investigators.
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
58 participants (actual)

Study arms

  • Experimental
    Arm A

    At the first chemotherapy cycle (treatment cycle), patients receive recombinant human thrombopoietin treatment. At the second chemotherapy cycle (control cycle), recombinant human thrombopoietin therapy is not given.

    Drug: recombinant human thrombopoietin

  • Experimental
    Arm B

    At the first chemotherapy cycle (control cycle), recombinant human thrombopoietin therapy is not given; at the second chemotherapy cycle (treatment cycle), patients receive recombinant human thrombopoietin treatment.

    Drug: recombinant human thrombopoietin

Interventions

  • Drugrecombinant human thrombopoietin

    Patients received subcutaneous injection of recombinant human thrombopoietin at a dose of 300 U/kg body weight once daily at a platelet count of \< 50×109/L, and recombinant human thrombopoietin treatment ceased at a platelet count of ≥20×109/L if platelet is not transfused.

    Also known as: rhTPO

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What researchers measure

Primary outcomes

  1. Duration of platelet count of < 20 ´ 109/Lat each cycle of chemotherapy.

    Time frame: From Day1 after chemotherapy up to Day21 after chemotherapy

Secondary outcomes

  1. Time and dose of platelet transfusion at each cycle of chemotherapy

    Time frame: From Day1 after chemotherapy up to Day21 after chemotherapy

  2. The minimum platelet count at each cycle of chemotherapy

    Time frame: From Day1 after chemotherapy up to Day21 after chemotherapy

  3. Duration from the minimum platelet count to ≥ 20´109/L at each cycle of chemotherapy according to CTCAE(v4.0)

    Time frame: From Day1 after chemotherapy up to Day21 after chemotherapy

  4. Number and grade of bleeding Adverse Events at each cycle of chemotherapy

    Time frame: From Day1 after chemotherapy up to Day21 after chemotherapy

  5. Duration of hospital stay (from the first day of chemotherapy to discharge from hospital) at each cycle of chemotherapy

    Time frame: From Day1 after chemotherapy up to Day21 after chemotherapy

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Study locations

1 site
  • Institute of Hematology & Blood Diseases Hospital
    Tianjin, Tianjin 300020, China
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References and documents

Individual participant data

Plan to share: No

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 May 30, 2025, 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
NCT02267993
Lead sponsor
Institute of Hematology & Blood Diseases Hospital, China
Responsible party
Sponsor
First posted
Oct 20, 2014
Start date
Oct 2014
Primary completion
Aug 1, 2018
Completion
Aug 31, 2018
Last update
May 30, 2025

Study contacts

Jianxiang Wang, Dr
principal investigator · Institute of Hematology & Blood Diseases Hospital, China

Oversight

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

Not currently enrolling

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

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