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CompletedNCT06071520Updated Oct 17, 2023

Andalusian Experience in the Use of Fostamatinib in Patients With ITP. FOSTASUR Study

An observational study in Primary Immune Thrombocytopenia, sponsored by Fundación Pública Andaluza para la gestión de la Investigación en Sevilla. Completed at 14 sites in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-10-17.

Sponsored by Fundación Pública Andaluza para la gestión de la Investigación en Sevilla · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
50
Ages
18 Years and older
Sex
All
01

Study summary

Description of the use of fostamatinib in patients with PTI in the Andalusian region.

Read the detailed description

Fostamatinib is a splenic tyrosine kinase (SYK) inhibitor whose indications include the treatment of chronic primary immune thrombocytopenia (PTI) refractory to first-line treatments. Data from two phase 3 studies in PTI, together with supporting safety data from a comprehensive program in 3,437 subjects with rheumatoid arthritis, led to the approval and registration of fostamatinib by health authorities in the US and in Europe.

Given the recent commercialization of fostamatinib for PTI, there is little data in real clinical practice that helps its general management: how to perform tapering, response rates in less refractory patients, experience in subjects with associated immunosuppressive therapies or thrombopoietin analogues, etc. These studies outside the clinical trial environment are relevant to plan needs, consumption, efficacy, and safety results in real clinical practice in our environment, the Andalusian region. The pivotal studies present experience on 102 cases and the real-life experience is of case series of less than 5 patients, with the population of patients treated in the Andalusian region as of December 31st being greater than 40 cases. For all these reasons the Andalusian Group of Congenital Coagulopathies proposes collecting what the experience has been like in their environment. Participation in this study is not intended to change the routine treatment patients receive as determined by their prescribing physicians. No clinic visits, procedures, evaluations, or tests will be required for the purposes of the study. This is multicenter retrospective data that will be collected from information generated during routine examinations and treatments performed by the investigator according to the standard of care.

02

Conditions studied

  • Primary Immune Thrombocytopenia
03

In context

Thrombocytopenia

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

This study's enrollment of 50 is below the median of 120 across 183 observational studies indexed under Thrombocytopenia.

Browse Thrombocytopenia studies →

Lead sponsor

Fundación Pública Andaluza para la gestión de la Investigación en Sevilla is the lead sponsor of 119 studies on the registry; 26 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 and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients treated with fostamatinib for ITP between October 2021 (marketing date in Spain) and December 2022 in the Andalusian region.

Inclusion criteria

  1. Patients aged 18 years or older.
  2. Patients with ITP criteria according to clinical practice guidelines.

Exclusion criteria

Exclusion Criteria:

  1. Patients with any medical or psychological condition that prevents them from following the procedures of normal clinical practice as determined by the investigator.
  2. Subjects with other concomitant hemostatic defects.
  3. Documented history or clinical evidence of medical conditions (other than ITP) that consider the underlying cause of thrombocytopenia.
  4. Diagnosis of secondary immune thrombocytopenia.
  5. Subject has a known allergy to fostamatinib or any of the ingredients included in its formulation.
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
50 participants (actual)
Patient registry
No

Groups and cohorts

  • PTI patients treated with fostamatinib

    Patient with criteria of PTI who has been treated with fostamatinib in the time described

    Drug: Fostamatinib

Interventions

  • DrugFostamatinib

    Patient treated with fostamatinib in the period described

    Also known as: Andalusian PTI fostamatinib patients

06

What researchers measure

Primary outcomes

  1. Description of fostamatinib use

    Description of dose and treatment duration of fostamatinib in patients primary immune thrombocytopenia (PTI)

    Time frame: From fostamatinib prescription first date

Secondary outcomes

  1. Response

    Platelets count greater than 30x10\^9/L and greater than 50X10\^9/L at least once during treatment in the absence of combination treatment or rescue therapy.

    Time frame: Whenever it occurs after the start of treatment with fostamatinib

  2. Response duration

    Duration in weeks of response greater than 30x10\^9/L, 50x10\^9/L and 100x10\^9/L.

    Time frame: Whenever it occurs after the start of treatment with fostamatinib

  3. Response failure rate

    Platelets count less than 30x10\^9/L after four weeks of treatment.

    Time frame: Whenever it occurs after the start of treatment with fostamatinib

  4. Efficiency

    Identify situations that limits the effectiveness of fostamatinib.

    Time frame: Whenever it occurs after the start of treatment with fostamatinib

  5. Rescue treatment

    Percentage of patients who required rescue therapy.

    Time frame: Whenever it occurs after the start of treatment with fostamatinib

  6. Associated therapies

    Percentage of patients who have required therapy for ITP associated with fostamatinib.

    Time frame: Whenever it occurs after the start of treatment with fostamatinib

  7. Bleeding

    Description of hemorrhagic events.

    Time frame: Whenever it occurs after the start of treatment with fostamatinib

  8. Side effects

    Description of side effects associated with the use of fostamatinib.

    Time frame: Whenever it occurs after the start of treatment with fostamatinib

  9. Security

    Number of emergencies, unscheduled visits or hospitalizations for PTI related causes during treatment with fostamatinib.

    Time frame: Whenever it occurs after the start of treatment with fostamatinib

07

Study locations

14 sites
  • Hospital Puerta del Mar
    Cadiz, Cádiz 11009, Spain
  • Hospital Universitario de Jerez de la Frontera
    Jerez De La Frontera, Cádiz 11407, Spain
  • Hospital de Puerto Real
    Puerto Real, Cádiz 11510, Spain
  • Hospital de Riotinto
    Minas de Riotinto, Huelva 21660, Spain
  • Hospital de la Serranía de Ronda
    Ronda, Málaga 29400, Spain
  • Hospital de la Merced de Osuna
    Osuna, Sevilla 41640, Spain
  • Hospital Universitario Virgen de las Nieves
    Granada, 18014, Spain
  • Hospital Universitario San Cecilio
    Granada, 18016, Spain
  • Hospital Universitario Juan Ramón Jiménez
    Huelva, 21005, Spain
  • Hospital Universitario de Jaén
    Jaén, 23007, Spain
  • Hospital Regional Universitario de Málaga
    Málaga, 29010, Spain
  • Hospital Virgen de la Victoria
    Málaga, 29010, Spain
  • Hospital Universitario Virgen Macarena
    Sevilla, 41009, Spain
  • Hospital Universitario Virgen del Rocío
    Sevilla, 41013, Spain
08

References and documents

Individual participant data

Plan to share: Yes — Summaries or oral presentations will be presented with descriptive, preliminary results, by subgroups and finals of the study at international and national congresses of Hematology Societies.

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 Oct 17, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06071520
Lead sponsor
Fundación Pública Andaluza para la gestión de la Investigación en Sevilla
Responsible party
Sponsor
First posted
Oct 6, 2023
Start date
Mar 1, 2023
Primary completion
Apr 1, 2023
Completion
Jun 30, 2023
Last update
Oct 17, 2023

Study contacts

María Eva Mingot Castellano, MD-PhD
principal investigator · Universisty Hospital Virgen del Rocío

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 Oct 2023. You cannot join it, but the record below documents what was studied.

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