immune trombocytopenia ITP
Conditions
Interventions
1 year TPO-RA use, then tapering off in 6 weeks.
Sponsors
Hagaziekenhuis
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: Persistent or chronic ITP, 18 years old, in need of second line therapy after initial treatment with corticosteroids, informed consent
Exclusion criteria
Exclusion criteria: Previous splenectomy, Bone marrow disease, Other bleeding disorder, Liver disease (Child Pugh above 7), Pregnancy, Secondary ITP, prior TPO-RA use (longer than 3 months of therapy)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome: Treatment success after 1 year of TPO-RA therapy. Success is durable response 4 weeks after tapering TPO-RA off at T3. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes: Predictive value of 4 predictors defined in the figure above for successful tapering off. Remission rate after cessation TPO-RA at 12 months after cessation, QoL, Cost of drugs, Hospitalisation, Bleeding grade 3 or 4. | — |
Countries
Netherlands
Outcome results
None listed