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Not yet recruitingNCT07925398Updated Nov 9, 2026

Hetrombopag for Thrombocytopenia in Patients Scheduled for Elective Hepatic Interventional Diagnostic and Therapeutic Procedures: A Clinical Study

A Phase 3 interventional study of Hetrombopag and Placebo in Thrombocytopenia and Hepatic Interventional Procedure, sponsored by Zhongda Hospital. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by Zhongda Hospital · Phase 3, Interventional, and Treatment

Updated Nov 9, 2026Newly registeredGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
108
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a prospective, multicenter, open-label, randomized controlled clinical study. It includes three phases: screening period, treatment period and follow-up period. A total of 108 adult patients with thrombocytopenia (PLT \< 50×10⁹/L) scheduled for elective hepatic interventional procedures will be enrolled.

02

Conditions studied

  • Thrombocytopenia
  • Hepatic Interventional Procedure

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Keywords

  • Hetrombopag
  • Thrombocytopenia Hepatic interventional procedure
  • Elective surgery Platelet count
03

In context

Thrombocytopenia

482 studies on the registry are indexed under Thrombocytopenia; 100 are open to participants now.

This study's planned enrollment of 108 is above the median of 54 across 334 interventional studies indexed under Thrombocytopenia.

Browse Thrombocytopenia studies →

Lead sponsor

Zhongda Hospital is the lead sponsor of 104 studies on the registry; 42 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

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

  • Patients aged ≥ 18 years
  • class A or B
  • Baseline count (PLT) \< 50 × 10⁹/L
  • Scheduled for elective liver interventional procedures meeting the following criteria: performed between Day 7 and Day 15 after enrollment, including mainly transvascular interventional procedures (TACE/HAIC ± systemic anti-tumor therapy, TAE, Yttrium-90 radioembolization, TIPS, PTVE, etc.) and percutaneous non-vascular interventional procedures (RFA, MWA, cryoablation, liver , etc.)
  • performance status 0 or 1
  • Female subjects of must have a negative serum pregnancy test within 7 days prior to the first dose, not be breastfeeding, and must agree to use effective throughout the study period and for 7 days after the last dose of study drug
  • Voluntarily participating in this study, providing signed , and having good compliance

Exclusion criteria

Exclusion Criteria:

  • Presence of other diseases that may cause thrombocytopenia, including but not limited to: aplastic anemia, myelodysplastic syndromes, chronic myeloproliferative neoplasms, congenital thrombocytopenia, drug-induced thrombocytopenia, immune thrombocytopenia, thrombocytopenia secondary to rheumatic immune diseases, etc.
  • Previous or current arterial or venous thrombosis, including partial or complete thrombosis
  • History of portal vein thrombosis and/or main portal vein tumor thrombus; and/or evidence of portal vein thrombosis on ultrasound, CT, or MRI during screening; and/or absence of hepatopetal portal venous flow on Doppler ultrasound; and/or portal venous flow velocity \< 10 cm/s
  • Scheduled for open abdominal surgery such as hepatectomy or liver transplantation
  • Received -increasing procedures within 90 days prior to randomization, including partial splenic artery embolization, splenic radiofrequency/microwave ablation, high-intensity focused ultrasound (HIFU) of the spleen, three-dimensional conformal therapy of the spleen, etc.
  • Previous history of liver transplantation or splenectomy
  • At screening, any of the following: significant liver function abnormality with /AST >3× or TBL >2×ULN; hepatic encephalopathy with hepatic encephalopathy score of 3 (occasional coma), irrespective of hepatic encephalopathy treatment; medication- ascites
  • Bleeding score ≥ grade 2 according to the WHO bleeding scale prior to randomization, or history or evidence of diseases with bleeding risk
  • Received platelet transfusion or platelet-containing blood products (excluding red blood cells) within 3 days prior to randomization
  • Received any of the following medications within 14 days prior to randomization: TPO (e.g., rhTPO), other TPO-RA agents, recombinant human interleukin-11 (IL-11), etc.
  • Any other condition deemed unsuitable for inclusion in the study by the investigator
Terms in these criteria, in plain language(10)

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.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

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.

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.

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.

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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
108 participants (estimated)

Study arms

  • Experimental
    Experimental arm (N=72)

    Hetrombopag 10 mg once daily for 5 consecutive days.

    Drug: Hetrombopag

  • Placebo comparator
    Control arm (N=36)

    Drug: Placebo

Interventions

  • Hetrombopag 10 mg orally once daily for 5 consecutive days

  • DrugPlacebo

    Placebo 10 mg orally once daily for 5 consecutive days.

06

What researchers measure

Primary outcomes

  1. The proportion of participants with PLT ≥50×10⁹/L at 24 hours preoperatively and no rescue bleeding treatment within 7 days postoperatively.

    The primary endpoint is the percentage of subjects who achieve platelet count ≥50×10⁹/L within 24 hours before operation and do not receive rescue treatment for bleeding during the first 7 days after surgery.

    Time frame: Perioperative, up to postoperative Day 7

Secondary outcomes

  1. The proportion of participants with PLT ≥50×10⁹/L at 24 hours preoperatively.

    The percentage of subjects whose platelet count reaches ≥50×10⁹/L within 24 hours before surgery.

    Time frame: Within 24 hours before surgery

  2. The proportion of participants with an increase in PLT ≥20×10⁹/L from baseline at 24 hours preoperatively.

    The percentage of subjects with platelet count elevation of at least 20×10⁹/L compared with baseline at 24 hours before surgery.

    Time frame: Baseline and within 24 hours before surge

  3. The proportion of participants without platelet transfusion during the study period.

    The percentage of subjects who do not receive any platelet transfusion throughout the study.

    Time frame: Through study completion, an average of 35 days

  4. Duration of platelet count maintaining PLT ≥50×10⁹/L.

    The length of time that platelet count remains at or above 50×10⁹/L.

    Time frame: Through study completion, an average of 35 days

  5. Change in platelet count at different visit time points.

    The change from baseline in platelet count assessed at each scheduled study visit.

    Time frame: Baseline and at all scheduled study visits through study completion, an average of 35 days

  6. The proportion of participants without delay, cancellation or discontinuation of systemic anti-tumor therapy due to thrombocytopenia.

    The percentage of subjects whose systemic anti-tumor therapy is not delayed, cancelled or discontinued because of thrombocytopenia.

    Time frame: Through study completion, an average of 35 days

  7. The proportion of participants requiring rescue treatment for bleeding.

    The percentage of subjects who receive rescue therapy for bleeding events.

    Time frame: Through study completion, an average of 35 days

  8. Number and dose of platelet transfusions.

    The total number and administered dose of platelet transfusions received by subjects during the study.

    Time frame: Through study completion, an average of 35 days

  9. Number of participants with at least one treatment-related adverse event, clinically significant laboratory abnormality or vital sign abnormality assessed by CTCAE v5.0

    The count of subjects who develop at least one treatment-related adverse event, clinically significant laboratory abnormality or abnormal vital sign.

    Time frame: Through study completion, an average of 35 days

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 9, 2026
Show all 1 update
  1. Nov 9, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07925398
Lead sponsor
Zhongda Hospital
Responsible party
Gao-jun Teng (President, Zhongda Hospital) — Principal investigator
First posted
Nov 9, 2026
Start date
Oct 15, 2026 (estimated)
Primary completion
Sep 15, 2027 (estimated)
Completion
Aug 30, 2028 (estimated)
Last update
Nov 9, 2026

Study contacts

Gao-Jun Teng
Contact
gjteng@vip.sina.com
+86-02583272121
Gao-jun Teng
principal investigator · Zhongda hospital, Southeast university, Nanjing, China

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 not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Hetrombopag

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