Triple therapy for primary immune thrombocytopenia
- Conditions
- Primary immune thrombocytopeniaBlood - Haematological diseases
- Registration Number
- ACTRN12611000015943
- Lead Sponsor
- Professor Beng Hock Chong
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot yet recruiting
- Sex
- All
- Target Recruitment
- 15
Primary ITP as diagnosed according to IWG guidelines (Provan et, 2010)
Platelet count <30x10^9/L or 30-50x10^9/L with either 1. evidence of ongoing bleeding secondary to thrombocytopenia or 2. treatment dependence including corticosteroids, IVIG, second-line immunosuppressants and TPO-agonists.
Fully informed written consent
Treatment in the last 6 months with combination therapy of high dose corticosteroids (methylprednisolone >30mg/kg/day for 3 days or high dose dexamethasone 40mg/day for 4 days) and either anti-CD 20 antibody (rituximab) or anti-T cell therapy with cyclosporine or mycophenolate mofetil
Active malignant disease - except BCC or SCC of skin
Untreated hepatitis B infection
Active opportunistic infection or untreated tuberculosis
Life expectancy of less than 12 months
Moderate-severe renal impairment (eGFR<50mL/min)
Poorly controlled hypertension (BP>140/80)
Pregnancy in females of child-bearing age
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Response rate (platelet count >30x10^9/L, at least 2 fold increase in baseline platelet count and absence of bleeding)[6 months];Complete response rate (platelet count >100x10^9/L, at least 2 fold increase in platelet count and absence of bleeding)[6 months]
- Secondary Outcome Measures
Name Time Method