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CompletedNCT06665308Updated Jan 26, 2026

Cognitive Status, Fatigue and Inflammation in Patients With Immune Thrombocytopenia (ITP)

An observational study in Chronic Immune Thrombocytopenia, Primary Immune Thrombocytopenia and Adult Immune Thrombocytopenia, sponsored by Sanofi. Completed at 4 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-01-26.

Sponsored by Sanofi · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
97
Ages
18 Years and older
Sex
All
01

Study summary

This is a multi-center, hospital based, cross-sectional study based on data from patient medical records, including laboratory results. The study will include adult patients with chronic (> 1 year duration) primary Immune Thrombocytopenia (ITP) only. Patients will be identified based on a laboratory confirmed diagnosis of ITP in the medical records, where there is also a physician-confirmed diagnosis of primary ITP. If patients consent to take part in the study, a routine clinical visit will also serve as the study visit. Patients who do not have a routine visit scheduled during the study period but who would otherwise be eligible may be contacted by the site. In such cases, clinicians may use their discretion to schedule a visit specifically for study purposes.

All study participants will have a routine blood test as part of their standard clinical care at the study visit, and this same procedure will be used to collect supplementary blood samples to assess a variety of biomarkers.

Data will be collected using a combination of chart review, clinical outcome assessment administration, and laboratory results through blood tests.

02

Conditions studied

  • Chronic Immune Thrombocytopenia
  • Primary Immune Thrombocytopenia
  • Adult Immune Thrombocytopenia
03

In context

Purpura, Thrombocytopenic, Idiopathic

517 studies on the registry are indexed under Purpura, Thrombocytopenic, Idiopathic; 161 are open to participants now.

This study's enrollment of 97 is below the median of 131 across 108 observational studies indexed under Purpura, Thrombocytopenic, Idiopathic.

Browse Purpura, Thrombocytopenic, Idiopathic studies →

Lead sponsor

Sanofi is the lead sponsor of 1,508 studies on the registry; 90 are open to participants now.

Of its 198 completed or terminated interventional studies of FDA-regulated products, 118 (60%) have results posted.

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
Sampling method
Probability sample

Study population

The source population for this study will be patients treated for primary chronic Immune Thrombocytopenia at one of the four study centers in two countries (3 centers in the USA, 1 center in the UK).

Inclusion criteria

  • Patient diagnosed with chronic (ITP with > 1 year duration) primary ITP living in the USA or the UK:

    • On ITP pharmacologic treatment, , including on-demand treatment strategy, regardless of last platelet count (below or above 100 x 10\^9 counts/L);
    • Patients with their most recent platelet count >50 x 109 counts/L) and without any ITP-specific treatment for 1 year or less.
  • Adult patient who are 18 years or older at index date
  • Patient who has received at least one initial first line ITP therapy (CS/ IVIg/ANTI d) with initial response as of index date and indicated by one of the following:

    • Platelet count ≥ 50 x 10\^9 counts /L; OR
    • Platelet count ≥ 30 x 10\^9 counts /L with at least a two-fold increase from baseline within 1 month since start of treatment, as per ASH 2019 guidelines; OR
    • A medical record of initial response as determined by clinical judgement, considering documented platelet count along with overall patient condition and relevant medical factors.
  • Patients whose medical history related to the study objectives are available from the site covering 12 months prior to index date.
  • Patient provided informed consent to participate in the study.

Exclusion criteria

Exclusion Criteria:

  • Secondary ITP.
  • Patients with their most recent platelet count >50 x 10\^9 counts/L and without any ITP-specific treatment for more than 1 year.
  • Patients with recent or active infection recorded 14 days or less before index date; patients with uncontrolled chronic infections or who were recently diagnosed with a chronic infection (≤14 days of index date).
  • Patients with vaccination in 28 days before index date.
  • Patients treated with rilzabrutinib on or before index date.
  • Patients who participated in an interventional clinical trial for any investigational drug in the 180 days prior to index date.
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
97 participants (actual)
Patient registry
No

Interventions

  • OtherNo intervention

    No intervention will be administered to study participants. Data will be collected using a combination of chart review, clinical outcome assessment administration, and laboratory results through blood tests.

06

What researchers measure

Primary outcomes

  1. Prevalence of impaired cognitive status among adult Immune Thrombocytopenia patients

    Impaired cognitive status is defined as a CBB (CogState Brief Battery) z-score of -1 or less on at least one of 2 composite domains (attention/psychomotor composite and memory/learning composite domains). The CBB is a computerized outcome measure of cognitive function in human subjects aged 6 to 99 years and has been previously used in ITP. The CBB test for psychomotor function, attention, visual learning and working memory.

    Time frame: Day 1 (Index date)

Secondary outcomes

  1. Age, sex, ethnicity, educational attainment

    Time frame: Day 1 (Index date)

  2. Smoking, alcohol, marijuana, cocaine use

    Time frame: Day 1 (Index date)

  3. Comorbidities at index categorical

    Time frame: Day 1 (Index date)

  4. Current medications

    ITP-specific treatments, antiplatelet,anticoagulant, psychiatric and pain medications

    Time frame: Day 1 (Index date)

  5. ITP-PAQ

    A validated, disease-specifictool to measure health-related quality of life HRQoL in adult ITP patients

    Time frame: Day 1 (Index date)

  6. ITP Bleeding Scale (IBLS)

    Time frame: Day 1 (Index date)

  7. Medical history

    Family history of dementia, family history of cognitive impairment, ITP medication and treatment history, age of ITP diagnosis, duration of ITP, history of clinically relevant or severe bleeding complications, history of thromboembolism complications, history of brain injury or neurological sequalae, history of COVID-19, brain imaging results, platelet counts results

    Time frame: Day 1 (Index date)

  8. Laboratory characteristics

    Complete Blood Count

    Time frame: Day 1 (Index date)

  9. Assessment of key inflammatory biomarkers

    Transferrin, Ferritin, Iron, Prothrombin fragment, Fibrinogen, D dimer, Interleukin (IL)-1 beta, IL-6, IL-10, IL-18, TNF alpha, Gamma Interferon, high-sensitivity C-reactive protein (hsCRP), MCP1, NETosis markers (cell-free deoxyribonucleic acid (DNA), neutrophil elastase (NE), myeloperoxidase (MPO)), antinuclear antibodies (ANA), Lupus anticoagulant, Anticardiolipin antibodies (ACA), thrombopoietin level, soluble P-selectin, L-selectin, ICAM-1; whole blood RNA sequencing (transcriptome), C1q, sC5b-9

    Time frame: Day 1 (Index date)

  10. FACIT (Functional Assessment of Chronic Illness Therapy) - Fatigue score

    The FACIT-Fatigue is a 13-item tool that measures self-reported fatigue and its impact on daily life. Each question is rated by the participant on a Likert-like scale of 0 ('not at all') to 4 ('very much'). A higher FACIT-Fatigue score represents greater quality of life (QoL).

    Time frame: Day 1 (Index date)

07

Study locations

4 sites
  • USC Norris Comprehensive Cancer Center- Site Number : 8400002
    Los Angeles, California 90033, United States
  • Massachusetts General Hospital- Site Number : 8400001
    Boston, Massachusetts 02114, United States
  • University of Washington-Fred Hutchinson Cancer Center_Site Number: 8400003
    Seattle, Washington 98109, United States
  • Investigational Site Number: 8260001
    London, London, City of W12 0HS, United Kingdom
08

References and documents

Individual participant data

Plan to share: Yes — Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

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 Jan 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06665308
Lead sponsor
Sanofi
Responsible party
Sponsor
First posted
Oct 30, 2024
Start date
Jan 13, 2025
Primary completion
Nov 26, 2025
Completion
Nov 26, 2025
Last update
Jan 26, 2026

Oversight

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

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This study is completed, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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