Immune thrombocytopenic purpura (ITP) MedDRA version: 9.1 Level: LLT Classification code 10021245 Term: Idiopathic thrombocytopenic purpura
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria (for randomisation): 1. ITP with platelet count 30 x 10e9 /l. d. Other patient related factors necessitating higher platelet count as occupation, hobby, psychological intolerability. e. Age >75 years. 2. Previous treatment with corticosteroids for a minimum duration of 2 weeks as recommended by the protocol (prednisone or prednisolone 1-2 mg/kg/day) with either no response (i.e. failed to achieve an initial increase in Platelet count >30 x 10e9 /l) or relapse (Platelet count falls to or equal = 18 years. 4. Subject has signed and dated written informed consent. 5. Subject is able to understand and comply with protocol requirements and instructions, and intends to complete the study as planned. 6. Females in child-bearing age should accept to use of contraceptive means for at least 6 months following the administration of the study drugs. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Exclusion criteria: 1. Previous splenectomy, chemotherapy, treatment with anti-D Ig, rituximab, or immune-suppressive treatments other than corticosteroids, Dapsone or Danazol. 2. Underlying malignancy or previous history of malignancy in the past 5 years (except skin carcinoma). 3. Pregnancy and lactation. 4. Not willing to participate in the study. 5. Expected survival of or = 4 of the American College of Rheumatology Criteria) (Tan et al, 1982;Hochberg, 1997). 10. Patients currently involved in another clinical trial with evaluation of drug treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Primary objective: To assess in both treatment arms the rate of splenectomy at 1.5 years. ;Secondary Objective: Secondary objectives: 1. Response rates. 2. Relapse rate and duration of response. 3. Mortality rate. 4. Complications` rate: bleeding, infection and thromboembolic events. 5. Cost-effectiveness analysis. 6. Consumption of corticosteriods and IVIG in both arms. 7. Immune-reconstruction at 1.5 years. ;Primary end point(s): Primary endpoint: Splenectomy during the follow-up period after randomisation. | — |
Countries
France, Sweden, United Kingdom