primary immune thrombocytopenia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age >= 18 years; 2. Diagnosis of primary immune thrombocytopenia (ITP) in accordance with the Chinese Guidelines for the Diagnosis and Management of Adult Primary Immune Thrombocytopenia (2025 Edition); 3. Previous ineffective response to glucocorticoid therapy or glucocorticoid dependence (requiring prednisone >=5 mg/day or frequent intermittent glucocorticoid administration to maintain platelet count >=30×10^9/L and/or avoid bleeding); 4. Platelet count =2); 5. Voluntary written informed consent obtained from the patient prior to study participation.
Exclusion criteria
Exclusion criteria: 1. Previous exposure to second-line therapies including rhTPO, TPO-RA, rituximab, etc.; 2. Past history of any arterial or venous thrombosis (stroke, transient ischemic attack, myocardial infarction, deep vein thrombosis, or pulmonary embolism); 3. TBIL > 1.5 × ULN; 4. ALT or AST > 3 × ULN; 5. Hepatic insufficiency (Child-Pugh score > 5); 6. Serum creatinine = 1.5 mg/dL; 7. Heart disease, heart failure with New York Heart Association (NYHA) class III or higher, arrhythmias with thrombotic risk; 8. Presence of other malignancies; 9. Patients planning pregnancy or currently pregnant; 10. Any clinical history of human immunodeficiency virus, hepatitis C infection, or chronic hepatitis B infection; or presence of active infection or uncontrolled infection at screening.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The sustained remission rate at 6 months after drug withdrawal; | — |
Secondary
| Measure | Time frame |
|---|---|
| Sustained response rate at 6 months;Overall response rate;Drug tapering and discontinuation rate; | — |
Countries
China
Contacts
The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine)