ClinicalTrials.gg
RecruitingNCT07559331Updated Apr 30, 2026

High-Dose Dexamethasone Combined With Orelabrutinib Versus High-Dose Dexamethasone Combined With Placebo in Adult Patients With Newly Diagnosed Primary Immune Thrombocytopenia

A Phase 3 interventional study of High-Dose Dexamethasone Combined with Orelabrutinib and High-Dose Dexamethasone Combined with Placebo in Primary Immune Thrombocytopenia (ITP), sponsored by Shandong University. Recruiting at 1 site in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-04-30.

Sponsored by Shandong University · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2026; still recruiting 7 months later.

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Phase
Phase 3
Study type
Interventional
Enrollment
86
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 17 studies testing dexamethasone in Purpura, Thrombocytopenic, Idiopathic — 1 open to participants now, 2 under way, 2 of them phase 3. Dexamethasone · Purpura, Thrombocytopenic, Idiopathic.

Planned enrollment
8th of 17
86 · median 60
Started
2026
the only one that year
Phase 3
7 of 17
1 open now
Registered
18th of 17
by date
Lead sponsor
4 of 17
Shandong University

Among the 17 studies testing dexamethasone in Purpura, Thrombocytopenic, Idiopathic, this one is the 8th largest by planned enrollment, is the only one that started in 2026, is one of 7 in phase 3, and was the 18th 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

1 of the 17 studies testing dexamethasone in Purpura, Thrombocytopenic, Idiopathic is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

About dexamethasone

Dexamethasone: first FDA approval 1958 (DECADRON), first EMA approval 2010. What it is approved for, and how studies give it, is on its page →

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 to 80 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 17 studies testing dexamethasone in Purpura, Thrombocytopenic, Idiopathic, or all of them as a file.
02

Study summary

This is a randomized controlled study of high-dose Dexamethasone combined with Orelabrutinib versus high-dose Dexamethasone combined with placebo in adult patients with newly diagnosed Primary Immune Thrombocytopenia.

03

Conditions studied

  • Primary Immune Thrombocytopenia (ITP)
04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  1. Subjects must thoroughly understand the nature, significance, potential benefits, possible inconveniences, and potential risks of the trial prior to enrollment. They must understand the study procedures and voluntarily sign the form.
  2. Male or female subjects aged 18-80 years (inclusive).
  3. Body weight ≥35 kg at screening.
  4. Adult patients with newly diagnosed, untreated primary ITP, with count (PLT) \<30×10⁹/L and no active bleeding in vital organs.
  5. Subjects who responded to prior treatment with oral dexamethasone 40 mg/day for 4 days, defined as meeting all three of the following criteria on any day between Day 5 and Day 7 post-treatment: ① PLT ≥30×10⁹/L; ② ≥2-fold increase from baseline; and ③ no active bleeding. Between Week 2 and Week 12, any abnormal PLT result meeting any of the following criteria must be confirmed by repeat testing at Qilu Hospital within 24-48 hours: ① PLT \<30×10⁹/L; ② \<2-fold increase from baseline; or ③ active bleeding.
  6. Women of must use an effective method of during the screening period, throughout the entire trial, and for 90 days following the last dose of study medication.

Exclusion criteria

Exclusion Criteria:

  1. Subjects with severe ITP at screening (e.g., life-threatening thrombocytopenia, major bleeding events, or requiring urgent treatment including intravenous immunoglobulin, high-dose , or plasma exchange), whom the investigator anticipates will require rescue treatment within 2 weeks after enrollment.
  2. Subjects with systemic diseases other than ITP, unless the investigator determines that such conditions will not affect the evaluation of study outcomes.
  3. Subjects who failed to respond to prior treatment with oral dexamethasone 40 mg/day for 4 days, defined as meeting any of the following criteria on any day between Day 5 and Day 7 post-treatment: ① \<30×10⁹/L; ② \<2-fold increase from baseline; or ③ active bleeding.
  4. History of intracranial hemorrhage within 6 months prior to screening.
  5. Subjects with a history of coagulation disorders other than ITP, such as disseminated intravascular coagulation, hemolytic uremic syndrome, or thrombotic thrombocytopenic purpura.
  6. Subjects with a known to any component of the study drugs described in this protocol.
  7. Known (HIV) infection, or positive serologic test results.
  8. Subjects with positive tuberculosis screening test (based on interferon-gamma release assay, including T-SPOT®, etc.), or active, latent, or incompletely appropriately treated tuberculosis at screening.
  9. (aPTT) ≥1.5× (ULN) or international normalized ratio (INR) ≥1.5 at screening.
  10. Organ dysfunction, with the following laboratory findings at screening: (ANC) \<1.5×10⁹/L; \<90 g/L; lymphocyte count \<0.8×10⁹/L. Total >1.2×ULN; (AST) or alanine aminotransferase (ALT) >ULN. Amylase or lipase >2×ULN. Estimated (eGFR) \<40 mL/min/1.73 m² calculated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula. Immunoglobulin IgG \<6 g/L.
  11. Pregnant or lactating women.
  12. Subjects unable to undergo blood collection, or with to phlebotomy.
  13. Any other condition that the investigator considers unsuitable for participation in this trial.
Terms in these criteria, in plain language(16)

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
86 participants (estimated)

Study arms

  • Active comparator
    Control Group

    Dexamethasone plus Placebo Group

    Drug: High-Dose Dexamethasone Combined with Placebo

  • Experimental
    Experimental Group

    High-Dose Dexamethasone Combined with Orelabrutinib

    Drug: High-Dose Dexamethasone Combined with Orelabrutinib

Interventions

  • DrugHigh-Dose Dexamethasone Combined with Orelabrutinib

    Drug pages: Dexamethasone · Orelabrutinib

    Orelabrutinib 50 mg once daily (QD) (for 3 consecutive months) combined with Dexamethasone 40 mg/day for 4 days

  • DrugHigh-Dose Dexamethasone Combined with Placebo

    Placebo 50 mg once daily (QD) (for 3 consecutive months) combined with Dexamethasone 40 mg/day for 4 days

06

What researchers measure

Primary outcomes

  1. Overall Response Rate (ORR)

    Time frame: Throughout the study period, an average of 6 months

Secondary outcomes

  1. Overall Response Rate (ORR)

    Time frame: Throughout the study period, an average of 1/2/3 months

Other outcomes

  1. Occurrence of adverse events and serious adverse events according to CTCAE V5.0

    Time frame: Up to 2 years

07

Study locations

1 of 1 sites recruiting
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

Started Apr 2026 (actual). Primary completion is estimated for Apr 2027, 12 months after the start.

Of 57 phase 3 interventional studies under Purpura, Thrombocytopenic, Idiopathic, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 49. This study's planned 12 months is below that.

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

Registered
Apr 23, 2026
First posted
Apr 30, 2026
StartActual
Apr 8, 2026
Primary completionEst.
Apr 8, 2027
CompletionEst.
Dec 31, 2028
Last update
Apr 30, 2026
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 Apr 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07559331
Responsible party
Ming Hou (Professor, Qilu Hospital of Shandong University) — Principal investigator
First posted
Apr 30, 2026
Start date
Apr 8, 2026
Primary completion
Apr 8, 2027 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Apr 30, 2026

Study contacts

Min Hou, Professor
Contact
qlhouming@sina.com
18560087007

Oversight

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

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Studies of the drugs tested here: Dexamethasone · Orelabrutinib

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