Chronic Idiopathic Thrombocytopenic Purpura refractory, immune, thrombocytopenia,
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with thrombocytopenia (platelet count <30*10(9) /L) although in spite of treatment-line for ITP for more than 6 months. Patients with symptoms of ITP althouth theit platelet count is more than 30*10(9) /L. Patients who are difficult to continue their present treatment-line for ITP due to theside effects. Patients with agreements with the documents of this study.
Exclusion criteria
Exclusion criteria: Patients with severe drug allergy Patients with severe kidney failure(Ccr7.5) Patients with active infection Patients with mental illness Patients with gustric ulcer Pregnancy, breastfeeding or patients with possibility of pregnancy Patients with liver dysfunction(at least 1 criterion: AST>100 IU/L,ALT>100 IU/L,T.Bil>2 mg/dL) High stature(hight>190cm), short stature(hight30) Severe emaciation(BMI<16) Cases that cannot obtain sufficient information or data due to short life spans expected by severe illness other than ITP. Other conditions considered not suitable for the study by doctors.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Symptoms of bleeding Complete blood count and the results of coagulations parameters(Platelet, FDP, Fibrinogen, PT-INR, TAT,Soluble fibrin, PIC, D-dimer): before start of medication, after one week of medication, after three weeks of medication, after six weeks of medication, after ten weeks of medication, after eighteen weeks of medication, and after one year of medication Changing of present treatment of ITP Outcome of the patatients | — |
Secondary
| Measure | Time frame |
|---|---|
| Safety of Dexamethasone palmitate for patients with chronic ITP. Adverse event 1. Increased risk of an infection 2. Changes in blood sugar levels 3. Swollen hands and feet 4. Mood changes 5. Difficulty sleeping 6. Indigestion or heartburn 7. Increased appetite and weight gain 8. Osteoporosis | — |
Contacts
Aichi Medical University Hospital