Undersøgelse af Ianalumab versus placebo i tillæg til første-line kortikosteroider ved primær immun trombocytopeni (ITP) (VAYHIT1)
En fase III, randomiseret, dobbeltblind undersøgelse af Ianalumab (VAY736) versus placebo i tillæg til førstelinjes kortikosteroider i primær immun trombocytopeni (VAYHIT1)
The purpose of this study is to evaluate the effect of two different doses of ianalumab versus placebo in addition to first-line corticosteroids in increasing the rate of stable response off treatment at 12 months (SROT-12) in adult participants with primary ITP.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
This is a multi-center, randomized, double-blind Phase 3 study to assess the efficacy and safety of two different doses of ianalumab compared to placebo in adults with primary ITP (platelets count <30 G/L) who require first-line standard-of-care corticosteroids.
After completion of the screening period, the participants will enter the randomized treatment period (ianalumab/placebo with standard of care corticosteroids).
After the treatment period, all participants will enter the follow-up period to be monitored for efficacy and safety or safety only depending on how they respond to the study treatment.
The efficacy and safety follow-up period will last until treatment failure or up to 39 months after randomization of the last patient, whichever occurs first. Safety follow-up period will be performed for at least 20 weeks and up to 2 years after the last ianalumab/placebo dose.
The primary endpoint was updated in May 2026 to stable response off treatment at 12 months (SROT-12). The previous primary endpoint, time to treatment failure (TTF), remains in the study as a key secondary objective.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
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Buenos Aires, Argentina, C1039AAC
- Novartis Investigative Site
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Córdoba, Argentina, 5000
- Novartis Investigative Site
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Buenos Aires
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CABA, Buenos Aires, Argentina, C1414DRK
- Novartis Investigative Site
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CABA, Buenos Aires, Argentina, C1280AEB
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Tucumán Province
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San Miguel Tucuman, Tucumán Province, Argentina, T4000DPK
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Australian Capital Territory
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Garran, Australian Capital Territory, Australien, 2605
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Queensland
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Wooloongabba, Queensland, Australien, 4102
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Victoria
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Clayton, Victoria, Australien, 3168
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Brasschaat, Belgien, 2930
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Bruges, Belgien, 8000
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West Vlaanderen
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Roeselare, West Vlaanderen, Belgien, 8800
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Plovdiv, Bulgarien, 4002
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Sofia, Bulgarien, 1431
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London, Det Forenede Kongerige, W12 0HS
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Nottingham, Det Forenede Kongerige, NG5 1PB
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West Midlands
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Birmingham, West Midlands, Det Forenede Kongerige, B15 2TH
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Arizona
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Yuma, Arizona, Forenede Stater, 85364
- Yuma Regional Medical Center
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California
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Clovis, California, Forenede Stater, 93611
- Community Cancer Institute
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Fountain Valley, California, Forenede Stater, 92708
- Compassionate Care Res Group Inc
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Colorado
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Aurora, Colorado, Forenede Stater, 80045
- University of Colorado Anschutz
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Florida
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Margate, Florida, Forenede Stater, 33063
- DH Cancer Research Center LLC
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Illinois
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Chicago, Illinois, Forenede Stater, 60637
- Uni of Chi Medi Ctr Hema and Onco
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Indiana
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Fort Wayne, Indiana, Forenede Stater, 46845
- Parkview Research Center
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02114
- Massachusetts General Hospital
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Boston, Massachusetts, Forenede Stater, 02215
- Beth Israel Deaconess Med Center
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Minnesota
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Rochester, Minnesota, Forenede Stater, 55905
- Mayo Clinic Rochester
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New York
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Nyack, New York, Forenede Stater, 10960
- Hematology Oncology Association of Rockland
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Rhode Island
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Providence, Rhode Island, Forenede Stater, 02903
- Rhode Island Hospital
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Texas
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San Antonio, Texas, Forenede Stater, 78229
- Mays Cancer Ctr Uthsa Mdacc
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Utah
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Ogden, Utah, Forenede Stater, 84405
- Community Cancer Trials of Utah
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Caen, Frankrig, 14033
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Chambéry, Frankrig, 73000
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Le Mans, Frankrig, 72000
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Lille, Frankrig, 59037
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Rennes, Frankrig, 35033
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Hong Kong, Hong Kong, 999077
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Hong Kong
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New Territories, Hong Kong, Hong Kong, 999077
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Gujarat
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Ahmedabad, Gujarat, Indien, 380013
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Uttarakhand
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Rishikesh, Uttarakhand, Indien, 249203
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BO
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Bologna, BO, Italien, 40138
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FI
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Florence, FI, Italien, 50134
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RM
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Roma, RM, Italien, 00168
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TS
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Trieste, TS, Italien, 34129
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VI
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Vicenza, VI, Italien, 36100
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Chiba, Japan, 2600852
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Fukuoka, Japan, 8158555
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Gifu, Japan, 5008513
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Osaka, Japan, 5438555
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Aichi-ken
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Nagakute, Aichi-ken, Japan, 4801195
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Gunma
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Shibukawa, Gunma, Japan, 3770280
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Hokkaido
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Sapporo, Hokkaido, Japan, 0608604
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Okayama-ken
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Okayama, Okayama-ken, Japan, 7011192
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Saitama
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Iruma-gun, Saitama, Japan, 3500495
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Bengbu, Kina, 233004
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Dalian, Kina, 116000
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Tianjin, Kina, 300020
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Beijing Municipality
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Beijing, Beijing Municipality, Kina, 100044
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Guangdong
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Guangzhou, Guangdong, Kina, 510515
- Novartis Investigative Site
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Shenzhen, Guangdong, Kina, 518037
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Hebei
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Shijiazhuang, Hebei, Kina, 050000
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Henan
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Luoyang, Henan, Kina, 471003
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Zhengzhou, Henan, Kina, 450003
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Jiangsu
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Changzhou, Jiangsu, Kina, 213004
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Jiangxi
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Nanchang, Jiangxi, Kina, 330006
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Yunnan
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Kunming, Yunnan, Kina, 650101
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Zhejiang
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Hangzhou, Zhejiang, Kina, 310006
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George Town, Malaysia, 10050
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Johor Bahru, Malaysia, 80100
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Kuala Selangor, Malaysia, 68000
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Sarawak
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Kuching, Sarawak, Malaysia, 93586
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Mexico City
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Mexico City, Mexico City, Mexico, 06720
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Nuevo León
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Monterrey, Nuevo León, Mexico, 64460
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Grålum, Norge, 1714
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Bucharest, Rumænien, 030171
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Singapore, Singapore, 119074
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Singapore, Singapore, 169608
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Barcelona, Spanien, 08035
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Madrid, Spanien, 28009
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Murcia, Spanien, 30008
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Seville, Spanien, 41013
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Bangkok, Thailand, 10330
- Novartis Investigative Site
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Bangkok, Thailand, 10700
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Chiang Mai, Thailand, 50200
- Novartis Investigative Site
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Prague, Tjekkiet, 128 08
- Novartis Investigative Site
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Prague, Tjekkiet, 100 34
- Novartis Investigative Site
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Poruba
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Ostrava, Poruba, Tjekkiet, 708 52
- Novartis Investigative Site
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Atakum
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Samsun, Atakum, Tyrkiet (Türkiye), 55200
- Novartis Investigative Site
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Efeler
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Aydin, Efeler, Tyrkiet (Türkiye), 09100
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Fatih
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Istanbul, Fatih, Tyrkiet (Türkiye), 34098
- Novartis Investigative Site
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Dresden, Tyskland, 01307
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Hesse
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Frankfurt am Main, Hesse, Tyskland, 60590
- Novartis Investigative Site
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Saxony
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Dresden, Saxony, Tyskland, 01307
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Thuringia
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Jena, Thuringia, Tyskland, 07740
- Novartis Investigative Site
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Budapest, Ungarn, 1083
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Hajdu Bihar Megye
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Debrecen, Hajdu Bihar Megye, Ungarn, 4032
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Hanoi, Vietnam, 100000
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Ho Chi Minh City, Vietnam, 70000
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Salzburg, Østrig, 5020
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Tyrol
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Innsbruck, Tyrol, Østrig, 6020
- Novartis Investigative Site
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Signed informed consent prior to participation in the study.
- Male or female participants aged 18 years and older on the day of signing informed consent
- Primary ITP diagnosed within 3 months before initiating first-line ITP therapy (corticosteroids, IVIG)
- Platelet count below 30 G/L before starting any first-line ITP therapy (corticosteroids, IVIG)
- Response (platelet count >=50 G/L) to corticosteroids (+/- IVIG) at any time prior to randomization. Note: Platelet count measured within 7 days of platelet transfusion will not be considered as response.
Key Exclusion Criteria:
- Evans syndrome or any other cytopenia (patients with low grade anemia related to bleeding or iron deficiency are eligible)
- Current life-threatening bleeding
- Previous ITP treatment, including splenectomy, except for corticosteroids and/or IVIG initiated as first-line therapy for up to 28 days before randomization and rescue corticosteroids and/or IVIG given prior to confirmed diagnosis of primary ITP .
- Prior use of B-cell depleting therapy (e.g., rituximab).
- Absolute neutrophil count below 1.0 G/L at randomization
- Participants with concurrent coagulation disorders and/or receiving anti-platelet or anticoagulant medication with an exemption of low dose of acetylsalicylic acid
Other protocol-defined Inclusion/Exclusion may apply.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Firedobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Ianalumab Lower dose
Lower dose of ianalumab administered intravenously with corticosteroids oral or parental (if clinically justified) |
Intravenous infusion, prepared from concentrate solution
Andre navne:
Oral or parental (if clinically justified) |
|
Eksperimentel: Ianalumab Higher dose
Higher dose of ianalumab administered intravenously with corticosteroids oral or parental (if clinically justified) |
Intravenous infusion, prepared from concentrate solution
Andre navne:
Oral or parental (if clinically justified) |
|
Placebo komparator: Placebo
Placebo administered intravenously with corticosteroids oral or parental (if clinically justified) |
Oral or parental (if clinically justified) Intravenous infusion, prepared from matching placebo |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Rate of Stable Response off treatment at 12 months (SROT-12)
Tidsramme: 12 months after last patient completed treatment
|
A participant will be considered in SROT-12 if at least 75% of the platelet counts collected between visits Week 53 Day 1 and Week 65 Day 1 (Study Days 352 and 463) qualify as Response. Response is any platelet counts of at least 50 G/L in the absence of rescue treatment or new immune thrombocytopenia (ITP) treatment). |
12 months after last patient completed treatment
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Time from randomization to Treatment Failure (TTF) (Key Secondary Endpoint)
Tidsramme: Randomization to end of study (up to 39 months after randomization of last patient
|
Time to Treatment Failure (TTF) is defined as the time from randomization until the first of the following events/situation indicative of treatment failure: platelet count below 30 G/L later than 8 weeks from randomization, need for a rescue treatment later than 8 weeks from randomization, intake of rescue treatment (e.g., corticosteroids, Intravenous immunoglobulins (IVIG), or platelet transfusion) given later than 8 weeks from randomization, start of new Immune Thrombocytopenia (ITP) treatment whenever it occurs, death (whatever the cause). |
Randomization to end of study (up to 39 months after randomization of last patient
|
|
Complete Response (CR) rate in each treatment group
Tidsramme: Randomization to end of study (up to 39 months after randomization of last patient)
|
Complete Response (CR) rate at each timepoint defined as the proportion of participants with any platelet count of at least 100 G/L in the absence of rescue treatment or new ITP treatment. |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Response (R) rate in each treatment group
Tidsramme: Randomization to end of study (up to 39 months after randomization of last patient)
|
Response (R) rate at each timepoint defined as the proportion of participants with any platelet count of at least 50 G/L in the absence of rescue treatment or new ITP treatment. |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Time to complete response in each treatment group
Tidsramme: Randomization to end of study (up to 39 months after randomization of last patient)
|
Time from randomization to date of first complete response. |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Duration of response in each treatment group
Tidsramme: Randomization to end of study (up to 39 months after randomization of last patient)
|
Time from achievement of complete response to loss of complete response |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Stable response at 6 months
Tidsramme: At 6 months
|
Percentage of participants with at least 2 platelet count collected at month 6 (between study dates 107 and 183) and at least 66% of platelet counts qualified as a response |
At 6 months
|
|
Stable response at 1 year
Tidsramme: At 1 year
|
Percentage of participants with at least 2 platelet counts collected at year 1 (between study days 296 and 379) and at least 66% of platelet counts qualified as a response |
At 1 year
|
|
Percentage of participants with bleeding events overall and by World Health Organization (WHO) bleeding scale severity
Tidsramme: Randomization to end of study (up to 39 months after randomization of last patient)
|
This is to assess the incidence and severity of bleeding in each treatment arm |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Number of participants with bleeding events overall and by World Health Organization (WHO) bleeding scale severity
Tidsramme: Randomization to end of study (up to 39 months after randomization of last patient)
|
This is to assess the number and severity of bleeding in each treatment arm |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Number of participants receiving rescue treatment (cummulative dose/duration of steroids exposure)
Tidsramme: Randomization to end of study (up to 39 months after randomization of last patient)
|
This is to assess the number of participants receiving rescue treatment. |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Percentage of participants receiving rescue treatment (cummulative dose/duration of steroids exposure)
Tidsramme: Randomization to end of study (up to 39 months after randomization of last patient)
|
This is to assess the need of rescue treatment in each treatment group by percentage. |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Cumulative dose/duration of steroids exposure
Tidsramme: From screening to end of study (up to 39 months after randomization of last patient)
|
Duration of exposure to corticosteroids calculated from randomization (first dose) to end of study or last last contact date (if the participant is lost to follow-up). |
From screening to end of study (up to 39 months after randomization of last patient)
|
|
Change from baseline on T scores of the PROMIS SF v1.0 Fatigue 13a
Tidsramme: From screening (baseline) till end of study (up to 39 months after randomization of last patient)
|
The Patient-Reported Outcomes Measurement Information System (PROMIS) Short Form v1.0 Fatigue 13a includes 13 items that assess fatigue |
From screening (baseline) till end of study (up to 39 months after randomization of last patient)
|
|
Change from baseline in ITP-PAQ domain scores
Tidsramme: From screening (baseline) till end of study (up to 39 months after randomization of last patient)
|
The ITP-PAQ is a 44 item scale for measuring HRQoL in adults with ITP across ten scales: Symptoms, Bother-Physical Health, Fatigue/Sleep, Activity, Fear, Psychological Health, Work, Social Activity, Women's Reproductive Health, and Overall QoL. Each item is rated on a Likert type scale |
From screening (baseline) till end of study (up to 39 months after randomization of last patient)
|
|
Change from baseline in frequency of CD19+ B cell counts
Tidsramme: Randomization to end of study (up to 39 months after randomization of last patient)
|
Post baseline frequency (%within the CD45) of CD19+ B cell counts compare to baseline. |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Change from baseline in absolute number of CD19+ B cell counts
Tidsramme: Randomization to end of study (up to 39 months after randomization of last patient)
|
Post baseline absolute number of CD19+ B cell counts compare with baseline |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Time to first occurrence of B-cell recovery
Tidsramme: Randomization to end of study (up to 39 months after randomized of last patient)
|
B-cell recovery is defined as ≥80% of baseline and ≥LLOQ, or ≥50 cells/μL |
Randomization to end of study (up to 39 months after randomized of last patient)
|
|
Change from baseline in inmmunoglobulins
Tidsramme: Randomization to end of study (up to 39 months after last randomized patients)
|
Change from baseline in immunoglobulin levels |
Randomization to end of study (up to 39 months after last randomized patients)
|
|
PK parameters: AUClast
Tidsramme: After first dose (pre-dose, 2, 168, 336 and 504 hours post dose) and after last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
AUClast: area under the curve from time zero till the last measurable concentration sampling time (tlast) |
After first dose (pre-dose, 2, 168, 336 and 504 hours post dose) and after last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
|
PK parameter: AUCtau
Tidsramme: After first dose (pre-dose, 2, 168, 336 and 504 hours post dose) and after last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
Area under the curve calculated to the end of a dosing interval (tau) |
After first dose (pre-dose, 2, 168, 336 and 504 hours post dose) and after last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
|
PK parameters: Cmax
Tidsramme: After first dose (pre-dose, 2, 168, 336 and 504 hours post dose) and after last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
Maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after single dose administration |
After first dose (pre-dose, 2, 168, 336 and 504 hours post dose) and after last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
|
PK parameters: Tmax
Tidsramme: After first dose (pre-dose, 2, 168, 336 and 504 hours post dose) and after last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
Time to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration |
After first dose (pre-dose, 2, 168, 336 and 504 hours post dose) and after last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
|
PK parameters: Accumulation ratio Racc
Tidsramme: After last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
Accumulation ratio calculated using AUC values obtained between the last and first dose |
After last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
|
Incidence of anti-ianalumab antibodies in serum (ADA assay) over time
Tidsramme: Up to Week 33
|
Anti-drug antibodies (ADA) will be evaluated in samples collected from all participants assess the immunogenicity of ianalumab |
Up to Week 33
|
|
Titer of anti-ianalumab antibodies in serum (ADA assay) over time
Tidsramme: Up to Week 33
|
Anti-drug antibodies (ADA) will be evaluated in samples collected from all participants assess the immunogenicity of ianalumab |
Up to Week 33
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Novartis Pharmaceuticals, Novartis Pharmaceuticals
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Cytopeni
- Patologiske processer
- Autoimmune sygdomme
- Sygdomme i immunsystemet
- Blødning
- Hudmanifestationer
- Hæmatologiske sygdomme
- Blodkoagulationsforstyrrelser
- Hæmoragiske lidelser
- Blodpladeforstyrrelser
- Trombotiske mikroangiopatier
- Purpura, trombocytopenisk
- Purpura
- Trombocytopeni
- Patologiske tilstande, tegn og symptomer
- Tegn og symptomer
- Hemiske og lymfatiske sygdomme
- Purpura, trombocytopenisk, idiopatisk
- Hormoner
- Hormoner, hormonsubstitutter og hormonantagonister
- Ianalumab
- Adrenale cortexhormoner
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- CVAY736I12301
- 2024-511704-17-00 (Registry Identifier: EU CTIS)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .