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RecruitingNCT07446491Updated Mar 3, 2026

A Study to Evaluate the Safety and Efficacy of PN20 in the Treatment of Thrombocytopenia in Patients With Chronic Liver Disease Undergoing an Elective Procedure

A Phase 1/2 interventional study of PN20 and Placebo in Thrombocytopenia Associated With Chronic Liver Disease, sponsored by Chongqing Peg-Bio Biopharm Co., Ltd.. Recruiting at 8 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-03.

Sponsored by Chongqing Peg-Bio Biopharm Co., Ltd. · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by May 2026, 4 months ago, but the record still lists the study as recruiting.
  • Registered 8 months after the study started (first participant enrolled Jun 2025, registered Feb 2026).
  • Started Jun 2025; still recruiting 1 year 4 months later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
54
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The main aim of this clinical trial is to assess the safety and efficacy of a single dose of PN20 in treatment of thrombocytopenia in adult patients with chronic liver disease undergoing an elective procedure. The main questions it aims to answer are:

  • How effective is PN20 in treating thrombocytopenia in patients with chronic liver disease?
  • Is PN20 safe in these patients? Participants will
  • Receive a single subcutaneous injections of PN20 or placebo according to weight before an elective procedure,
  • Visit the clinic for assessment.
Read the detailed description

This is aan open-label, single-dose, dose-escalation phase Ib/II study conducted in two stages, Phase Ib and Phase II, designed to evaluate the safety, tolerability, efficacy, PK, PD, and immunogenicity of PN20 in patients with CLDT in patients with CLDT.

Phase Ib stage is an open-label, single-dose, dose-escalation study. Three dose levels (8 participants per group) will be administered sequentially from low to high.

Phase 2 stage is a randomized, double-blind, single-dose, placebo-controlled study. Eligible patients are randomized in a 1:1 ratio to the treatment or placebo group following informed consent. The dosing regimen in the treatment group is selected based on the Phase Ib results, with one or two dose levels selected. If two PN20 dose levels are selected, randomization follows a 1:1:1 ratio to one of the two treatment groups or to the placebo group.

02

Conditions studied

  • Thrombocytopenia Associated With Chronic Liver Disease

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Keywords

  • PN20
  • Thrombocytopenia
  • Chronic Liver Disease
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 54 is close to the median of 55 across 472 interventional studies indexed under Thrombocytopenia.

Browse Thrombocytopenia studies →

Lead sponsor

Chongqing Peg-Bio Biopharm Co., Ltd. is the lead sponsor of 11 studies on the registry; 6 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

  • Age ≥ 18 years, Male or female
  • Diagnosed with chronic liver disease-related thrombocytopenia (baseline platelet count \< 50 × 10⁹/L), Child-Pugh score A or B;
  • Planned elective invasive procedure or minor surgery within Days 7-15 post-enrollment, excluding laparotomy, thoracotomy, craniotomy, open-heart surgery, organ resection, or partial organ resection (for tissue biopsy and other types of tissue resection, enrollment is permitted if the investigator considers the risk of bleeding and invasiveness to be comparable to or lower than that of the procedures listed in the surgical examples list);
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1;
  • Women of childbearing potential must have a negative pregnancy test
  • Agree to use reliable contraception through 3 months post-study.
  • Participants must understand the study requirements and provide written informed consent.

Exclusion criteria

Exclusion Criteria:

  • The following conditions or medical history:

    • Presence of other conditions that may lead to thrombocytopenia;
    • History of thrombotic or significant cardiovascular events;
    • Uncontrolled bleeding;
    • Advanced liver cancer;
    • Severe comorbidities;
  • Currently using or with a history of the following treatments:

    • Recent major surgery or splenectomy;
    • Liver transplant;
    • Recent therapies affecting platelet counts;
  • Significant lab abnormalities;
  • Recent participation in other clinical trials;
  • Known hypersensitivity to the investigational productstudy drug;
  • Active substance abuse;
  • Any condition deemed by the investigator to compromise safety or study integrity.
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
54 participants (estimated)

Study arms

  • Experimental
    PN20 treatment group (1~2 dose goups)

    A single subcutaneous injection

    Drug: PN20

  • Placebo comparator
    Placebo

    A single subcutaneous injection

    Drug: Placebo

Interventions

  • DrugPN20

    subcutaneous injection

  • DrugPlacebo

    subcutaneous injection

06

What researchers measure

Primary outcomes

  1. The proportion of responders

    Based on the results of hematology tests, calculate the proportion of participants whose platelet counts remained ≥50×10⁹/L from 24 hours pre-surgery through 7 days post-surgery without requiring rescue treatment for bleeding.

    Time frame: 8 days (from 24 hours pre-surgery through 7 days post-surgery)

Secondary outcomes

  1. Adverse Events

    Incidence and severity of all adverse events related to PN20 observed through vital signs, physical examinations, 12-lead ECGs, clinical laboratory tests (including hematology, urinalysis, blood chemistry, coagulation function, and pregnancy tests for women of childbearing potential)

    Time frame: From dosing of PN20 (Day 1) to Day 28

  2. Cmax

    Maximum Plasma Concentration

    Time frame: From pre-dose to 8 days after dosing

  3. AUC

    Area Under the Plasma Concentration-time Curve

    Time frame: From pre-dose to 8 days after dosing

  4. Immunogenicity of PN20

    Using a validated ELISA assay to detect ADAs against the thrombopoietic peptide and polyethylene glycol

    Time frame: From pre-dose to 28 days after dosing

07

Study locations

8 of 8 sites recruiting
  • Capital Medical University Affiliated Beijing Ditan Hospital
    Beijing, Beijing Municipality 100015, China
    • Yao Xie · Principal investigator
    Recruiting
  • The Second Affiliated Hospital of Chongqing Medical University
    Chongqing, Chongqing Municipality 400072, China
    • Dazhi Zhang · Principal investigator
    • Xian Yu · Principal investigator
    Recruiting
  • The Eighth Affiliated Hospital of Guangzhou Medical University
    Guangzhou, Guangdong 510405, China
    • Yujuan Guan · Principal investigator
    • Kaipeng Huang · Principal investigator
    Recruiting
  • Henan Provincial People's Hospital
    Zhengzhou, Henan 450003, China
    • Jia Shang · Principal investigator
    Recruiting
  • Zhenjiang Third People's Hospital
    Zhenjiang, Jiangsu 212021, China
    • Youwen Tan · Principal investigator
    Recruiting
  • Jilin University First Hospital
    Changchun, Jilin 130033, China
    • Yanhang Gao · Principal investigator
    Recruiting
  • Liaocheng People's Hospital
    Chaozhou, Shandong 252000, China
    • SiKui Wang · Principal investigator
    Recruiting
  • Qingdao Municipal Hospital
    Qingdao, Shandong 266001, China
    • Wenwen Jin · Principal investigator
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07446491
Lead sponsor
Chongqing Peg-Bio Biopharm Co., Ltd.
Responsible party
Sponsor
First posted
Mar 3, 2026
Start date
Jun 6, 2025
Primary completion
May 30, 2026 (estimated)
Completion
Jun 28, 2026 (estimated)
Last update
Mar 3, 2026

Study contacts

Jing Sun
Contact
sunj@pegbiocq.com
86-13983367811

Oversight

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

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