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RecruitingNCT05943691Updated Sep 26, 2023

High-dose Dexamethasone Plus Hetrombopag vs High-dose Dexamethasone Alone as Frontline Treatment for Newly Diagnosed Adult Primary Immune Thrombocytopenia: A Prospective, Multicenter, Randomized Trial

A Phase 2 interventional study of hetrombopag 5mg po qd and High-dose Dexamethasone in ITP - Immune Thrombocytopenia, sponsored by Shandong University. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-09-26.

Sponsored by Shandong University · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jul 2024, 2 years 2 months ago, but the record still lists the study as recruiting.
Phase
Phase 2
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The project was undertaking by Qilu Hospital of Shandong University in China. In order to report the efficacy and safety of Hetrombopag plus high-dose dexamethasone for the treatment of adults with newly-diagnosed primary immune thrombocytopenia (ITP).

Read the detailed description

The investigators anticipate to undertaking a parallel group, randomised controlled trial of 100 ITP patients. One part of the participants are randomly selected to receive hetrombopag with starting dose 5mg po qd for 8 weeks(increase daily dose to a maximum of 7.5 mg/day if platelet count\<50000 per μL following at least 2 weeks of treatment) combining with dexamethasone (given at a dose of 40 mg qd for 4 consecutive days). The others are selected to receive high-dose of dexamethasone alone. Patients who do not respond to dexamethasone may receive another cycle of high-dose dexamethasone therapy within 2 weeks. Platelet count, bleeding and other symptoms were evaluated before and after treatment. Adverse events are also recorded throughout the study. The purpose of this study is to report the efficacy and safety of Hetrombopag combining with high-dose dexamethasone therapy for the treatment of newly diagnosed ITP.

02

Conditions studied

  • ITP - Immune Thrombocytopenia

Keywords

  • Hetrombopag, Dexamethasone
03

In context

Thrombocytopenia

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

This study's planned enrollment of 100 is above 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 and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Older than 18 years
  • Meet the diagnostic criteria for newly diagnosed immune thrombocytopenia (diagnosed within 3 month);
  • platelet count \<30*10\^9/L, or \< 50*10\^9/L with bleeding manifestations, both;
  • Willing and able to sign written informed consent

Exclusion criteria

Exclusion Criteria:

  • secondary thrombocytopenia or graded MF≥2 myelofbrosis based on the European Consensus Scale
  • Previous history of treatment for ITP, except Platelet transfusion, ITP-directed Prednisone therapy no more than 2 weeks or TPO therapy no more than 1 week and stopped ≥1 week before randomization
  • No response to TPO-RA or rhTPO
  • HIV, hepatitis C or B virus infection
  • pregnancy or lactation;
  • arterial or venous thromboembolism within the 6 months before screening
  • total bilirubinalanine, aminotransferase or aspartate transaminase>3×upper limit of normal (ULN), serum creatinine>1.5×ULN
  • congestive heart failure (New York Heart Association [NYHA] class III/IV);
  • neoplastic disease within the past 5 years;
  • liver cirrhosis
  • people who could not adhere to the protocol or were planning to have a surgical procedure in 6 months.
05

Study design

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

Study arms

  • Experimental
    Hetrombopag plus High-dose Dexamethasone

    Hetrombopag 5mg po qd; HD-DEX 40mg qd for 4 days

    Drug: hetrombopag 5mg po qd · Drug: High-dose Dexamethasone

  • Active comparator
    High-dose Dexamethasone

    HD-DEX 40mg qd for 4 days

    Drug: High-dose Dexamethasone

Interventions

  • Drughetrombopag 5mg po qd

    hetrombopag 5mg po qd for 8 weeks, combining with dexamethasone 40 mg qd for 4 days

  • DrugHigh-dose Dexamethasone

    dexamethasone 40 mg qd for 4 days

06

What researchers measure

Primary outcomes

  1. 26 week sustained overall response to ITP treatments

    Complete response was defined as a platelet count of 100 000 per μL or higher and an absence of bleeding. Partial response was defined as a platelet count of 30000 per μL or higher,and at least a doubling of the baseline platelet count and an absence of bleeding. No response was defined as a platelet count of less than 30000 per μL, or less than two-times increase from baseline platelet count, or bleeding.

    Time frame: 26-week after treatment started

Secondary outcomes

  1. 28-day initial complete response to ITP treatment

    Complete response was defined as a platelet count of 100 000 per μL or higher and an absence of bleeding. Partial response was defined as a platelet count of 30000 per μL or higher,and at least a doubling of the baseline platelet count and an absence of bleeding. No response was defined as a platelet count of less than 30000 per μL, or less than two-times increase from baseline platelet count, or bleeding.

    Time frame: 28 days after treatment started]

  2. 28-day initial overall response to ITP treatment

    Complete response was defined as a platelet count of 100 000 per μL or higher and an absence of bleeding. Partial response was defined as a platelet count of 30000 per μL or higher,and at least a doubling of the baseline platelet count and an absence of bleeding. No response was defined as a platelet count of less than 30000 per μL, or less than two-times increase from baseline platelet count, or bleeding.

    Time frame: 28 days after treatment started

  3. 8-week complete response to ITP treatment

    Complete response was defined as a platelet count of 100 000 per μL or higher and an absence of bleeding. Partial response was defined as a platelet count of 30000 per μL or higher,and at least a doubling of the baseline platelet count and an absence of bleeding. No response was defined as a platelet count of less than 30000 per μL, or less than two-times increase from baseline platelet count, or bleeding.

    Time frame: 8 weeks after treatment started

  4. 8-week overall response to ITP treatment

    No response was defined as a platelet count of less than 30000 per μL, or less than two-times increase from baseline platelet count, or bleeding.

    Time frame: 8 weeks after treatment started

  5. time to response

    the time from treatment initiation to achieve a complete response or a partial response

    Time frame: an average of 6 months

  6. duration of response

    the time from achievement of a complete response or a partial response to the loss of response

    Time frame: through study completion, an average of one year

  7. therapy associated adverse events

    Time frame: through study completion, an average of one year

07

Study locations

1 of 1 sites recruiting
  • Shengli Oilfield Central Hospital
    Dongying, Shandong, China
    • Liang Wang, MD · Contact · 18654620224
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 26, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05943691
Lead sponsor
Shandong University
Responsible party
Ming Hou (Professor and Director, Shandong University) — Principal investigator
First posted
Jul 13, 2023
Start date
Sep 15, 2023 (estimated)
Primary completion
Jul 10, 2024 (estimated)
Completion
Dec 10, 2024 (estimated)
Last update
Sep 26, 2023

Study contacts

Yan Shi
Contact
shiyansjj@163.com
8682169896

Oversight

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

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