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A Clinical study to compare effects and safety of Recombinant Human Thrombopoietin (rhTPO) Injection with Romiplostim injection in Indian Patients with Immune Thrombocytopenia

Phase 3
Not yet recruiting
Conditions
Immune thrombocytopenic purpura,
Registration Number
CTRI/2020/06/025707
Lead Sponsor
Eris Lifesciences Ltd
Brief Summary

This study is A Phase III, Randomized, Open-Label, Multicentre Clinical Trial to evaluate the efficacy and safety of Recombinant Human Thrombopoietin (rhTPO) Injection compared with Romiplostim injection in Indian Patients with Immune Thrombocytopenia.

The Primary endpoints are:

1.Compare the complete response rate; Platelet count ≥ 100 X 109 /L and absence of bleeding between two groups.

2.Compare the response rate ; Platelet count between ≥ 30 X 109 /L and 100 X 109 /L and at least double of the baseline count and absence of bleeding between two groups

3.Compare the total response rate between two groups.



The Secondary endpoints are:

1.Compare the maximum value and increment in platelet count between two groups

2.Compare the frequencies and total volume of platelet transfusion between two groups

3.Observe the time of platelet count to complete response (reaching ≥100×109/L) and maintenance duration.

4.Occurrence of non neutralizing or neutralizing TPO antibodies.



Safety Endpoint

1.The assessment of safety will be based on the frequency of Adverse Event. Change in vital signs and laboratory parameters

Detailed Description

Not available

Recruitment & Eligibility

Status
Not Yet Recruiting
Sex
All
Target Recruitment
108
Inclusion Criteria
  • Male and Female, aged 18 to 65 years old 2.
  • Meeting the following criteria of ITP: a.
  • Thrombocytopenia by repeated lab tests.
  • Bone marrow examination shows megakaryocyte count increasing or at normal level with dysmaturity.
  • Patients with Platelet count ≤ 20×109/L at any time during the screening period, who are non-responsive to standard or high-dose glucocorticoids.
  • Patients without splenectomy.
  • Patients willing to give written validinformed and signed consent.
Exclusion Criteria
  • Pregnant or lactating women or patients not willing to adopt contraceptive measures during the trial.
  • Patient with Thrombosis history.
  • Patients with a diagnosis of secondary thrombocytopenia.
  • Patients with hepatorenal dysfunction (serum transaminase and bilirubin are over 1.5 folds of normal upper limit, and creatinine ≥1.5mg/dl).
  • Patients with severe cardiorespiratory dysfunction.
  • Patients who have active malignancy.
  • Patient with hypersensitivity to study drug or any of its excipients.
  • Patients on other thrombopoietin receptor agonists (Eltrombopag) as they compete with TPIAO for TPO receptor binding.
  • Patients with concurrent participation in another clinical trial or any investigational therapy within 30 days prior to signing informed consent.
  • 10.Patients with suspected inability to comply with the study procedure.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1.Compare the complete response rate; Platelet count ≥ 100 X 109 /L and14 days
absence of bleeding between two groups.14 days
2. Compare the response rate ;Platelet count between ≥ 30 X 109 /L and 100 X 109 /L and at least double of the baseline count and absence of bleeding between two groups14 days
3.Compare the total response rate between two groups.14 days
Secondary Outcome Measures
NameTimeMethod
1.Compare the maximum value and increment in platelet count between two groups2.Compare the frequencies and total volume of platelet transfusion between two groups
5.The assessment of safety will be based on the frequency of Adverse Event. Change in vital signs and laboratory parameters28 days
4.Occurrence of non neutralizing or neutralizing TPO antibodies.28 days

Trial Locations

Locations (19)

All India Institute of Medical Sciences

🇮🇳

Delhi, DELHI, India

All India Institute of Medical Sciences, Bhubaneswar

🇮🇳

Khordha, ORISSA, India

Aman Hospital and Research Centre,

🇮🇳

Vadodara, GUJARAT, India

Amrita Institute of Medical Sciences

🇮🇳

Ernakulam, KERALA, India

Columbia Asia Referral Hospital Yeshwanthpur

🇮🇳

Bangalore, KARNATAKA, India

KLE Dr Prabhakar Kore Hospital and MRC

🇮🇳

Belgaum, KARNATAKA, India

Lilavati Hospital and Research Centre

🇮🇳

Mumbai, MAHARASHTRA, India

Mahatma Gandhi Missions Medical College & Hospital

🇮🇳

Aurangabad, MAHARASHTRA, India

Mazumdar Shaw Medical center, A unit of Narayana Hrudayalaya Ltd

🇮🇳

Bangalore, KARNATAKA, India

Meenakshi Mission Hospital and Research Centre

🇮🇳

Madurai, TAMIL NADU, India

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All India Institute of Medical Sciences
🇮🇳Delhi, DELHI, India
Dr Tulika Seth
Principal investigator
9811262092
drtulikaseth@gmail.com

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