ClinicalTrials.gg
CompletedNCT03469661Updated Aug 18, 2021

Differential Diagnostic of Immune ThrombocytoPenia (ITP) and Myelodysplastic Syndrome (MDS)

An observational study in Immune Thrombocytopenia and Myelodysplastic Syndromes, sponsored by Fundacion CRIS de Investigación para Vencer el Cáncer. Completed at 6 sites in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-08-18.

Sponsored by Fundacion CRIS de Investigación para Vencer el Cáncer · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
63
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 50 studies in Purpura, Thrombocytopenic, Idiopathic with a site in Spain — 14 open to participants now, 18 under way, 9 of them phase 3. Purpura, Thrombocytopenic, Idiopathic · Spain.

Started
2018
with 2 others
Observational
6 of 50
1 open now
Registered
15th of 50
by date

Among the 50 studies in Purpura, Thrombocytopenic, Idiopathic with a site in Spain, this one is one of 3 that started in 2018, is one of 6 observational ones, and was the 15th registered.

Purpura, Thrombocytopenic, Idiopathic

504 studies on the registry are indexed under Purpura, Thrombocytopenic, Idiopathic; 159 are open to participants now.

Browse Purpura, Thrombocytopenic, Idiopathic studies →

Open to participants now

14 of the 50 studies in Purpura, Thrombocytopenic, Idiopathic with a site in Spain are open now. Recruiting first, the newest first:

9 more — sign in →

All 14 open studies →

A study can be open while its sites in Spain have not opened yet or have stopped. Only those recruiting at a site in Spain →

Who these studies take

Of the 103 Purpura, Thrombocytopenic, Idiopathic studies recruiting now, 49 (48%) set no upper age limit and 42 (41%) stop at 75 or younger; 27 take children under 18; 4 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Current diagnostic criteria for Immune ThrombocytoPenia (ITP) are mainly based on the presence of low numbers of platelets, excluding other multiple causes of thrombocytopenia, including immunodeficiencies, constitutional or acquired thrombocytopenia, hypersplenism and clonal hematological disorders such as MDS, disorders lymphoproliferative and acute myeloid leukemia (AML), among others. The analysis complementary tests for the diagnosis of ITP include studies basic systematic hematology, together with autoimmune assays and microbiological tests, while the evaluation of bone marrow is limited to elderly patients and/or patients resistant to treatment. Previous research has described the development of Myelodysplastic Syndrome (MDS) in patients with a previous diagnosis of ITP, and even the presence of MDS associated with genetic background. Therefore, it is conceivable fact that a percentage of cases with clinical signs of ITP in the moment of appearance may actually correspond to the first stages of MDS development in which bone marrow cells are not systematically evaluated in the initial presentation.

The anomalous immunophenotypic patterns between multiple compartments of bone marrow cells and peripherally blood (PB) platelets have been characterized through flow cytometry. The flow cytometry currently represents an important complementary tool for diagnosis of MDS that has shown great effectiveness and applicability in the differential diagnosis of non-clonal cytopenias against early MDS and for the detection of stages prior to MDS. Besides, the flow cytometry has made it possible to detect the presence of coexisting features related to MDS in patients with other malignancies hematologic conditions such as multiple myeloma, AML, and lymphocytic leukemia chronic. Therefore, the immunophenotypic analysis of the cells of the bone marrow of patients with ITP at the time of appearance would help to identify the cases that underlie clonal hematopoiesis MDS type. In the present study it is planned a broad characterization immunophenotyping of multiple compartments of bone marrow cells and PB platelets from patients with recently diagnosed ITP and investigate their morphological antecedents, in order to identify those patients who show compatible clonal hematopoietic patterns with MDS evident (or at risk of development), as candidates to receive most appropriate therapeutic methods.

03

Conditions studied

  • Immune Thrombocytopenia
  • Myelodysplastic Syndromes
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

It is estimated that approximately 60 patients will be included in the study, 30 newly diagnosed ITP patients and 30 newly diagnosed MDS cases.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients aged ≥ 18 years old at diagnosis
  • in writing
  • Newly diagnosed primary ITP patients, or
  • Newly diagnosed MDS patients

Exclusion criteria

Exclusion Criteria:

  • Patients who participated in a interventional thrombopoietin receptor agonists (TPO-RA) clinical trial since TPO-RA treatment initiation
  • Patients with secondary immune thrombopenia
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
63 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Immune Thrombocytopenia Diagnosis
  • Myelodysplastic Syndrome Diagnosis
06

What researchers measure

Primary outcomes

  1. Morphological profile

    Bone marrow cell compartment profiles

    Time frame: Baseline

  2. Morphological profile

    Peripheral blood platelets profiles

    Time frame: Baseline

  3. Immunological profile

    Bone marrow cell compartment profiles

    Time frame: Baseline

  4. Immunological profile

    Peripheral blood platelets profiles

    Time frame: Baseline

Secondary outcomes

  1. Immunophenotypic abnormalities

    Evaluation of abnormal immunophenotypic profiles

    Time frame: Baseline

  2. Morphological abnormalities

    Evaluation of abnormal morphological profiles.

    Time frame: Baseline

07

Study locations

6 sites
  • Complejo Hospitalario de A Coruña
    A Coruña, Spain
  • Hospital de Burgos
    Burgos, Spain
  • Hospital Universitario Insular de Gran Canaria
    Las Palmas De Gran Canaria, Spain
  • Hospital Ramon y Cajal
    Madrid, Spain
  • Hospital Regional de Málaga
    Málaga, Spain
  • Hospital Virgen de la Victoria
    Málaga, Spain
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2018 to primary completion in Apr 2021, 35 months.

Of 31 observational studies under Purpura, Thrombocytopenic, Idiopathic, half reached primary completion within 55 months of starting (the median), counting those still running; a quarter within 35. This study's 35 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 2, 2018
First posted
Mar 19, 2018
StartActual
Apr 25, 2018
Primary completionActual
Apr 19, 2021
CompletionActual
Apr 19, 2021
Last update
Aug 18, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 18, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03469661
Lead sponsor
Fundacion CRIS de Investigación para Vencer el Cáncer
Collaborators
Amgen
Responsible party
Sponsor
First posted
Mar 19, 2018
Start date
Apr 25, 2018
Primary completion
Apr 19, 2021
Completion
Apr 19, 2021
Last update
Aug 18, 2021

Study contacts

Tomás González
principal investigator · Hospital de Burgos

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2021. You cannot join it, but the record below documents what was studied.

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Discussion

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