Eine Studie zur Bewertung der Verträglichkeit von Ianalumab (VAY736) in Kombination mit dem vom Prüfarzt gewählten Thrombopoietin-Rezeptor-Agonisten (IC TPO-RA) bei Patienten mit primärer Immunthrombozytopenie (ITP) (VAY2EXPLORE)
Eine offene Phase-2-Studie zur Bewertung der Verträglichkeit von Ianalumab (VAY736) in Kombination mit einem vom Prüfarzt gewählten Thrombopoietin-Rezeptor-Agonisten (IC TPO-RA) bei Patienten mit primärer Immunthrombozytopenie (ITP), die zuvor mindestens eine Behandlung erhalten haben (VAY2EXPLORE)
The purpose of this study is to investigate the tolerability of ianalumab (9 mg/kg) with investigator's choice thrombopoietin receptor agonist (IC TPO-RA) in participants diagnosed with primary immune thrombocytopenia (ITP) who have been treated with at least one but no more than four prior treatments, and with no change in IC TPO-RA dose in at least the last 14 days prior to the start of ianalumab.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
The study will include an exploratory cohort of participants with primary Evans syndrome (ES) for whom IC TPO-RA therapy is appropriate per investigator's assessment.
The study will consist of a 28-day screening period; a 16-week treatment period; an IC TPO-RA tapering period during which all participants will be monitored for 16 weeks. All participants will then continue to be followed for another 60-weeks (15 months) of long-term safety follow-up period.
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Phase 2
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Novartis Pharmaceuticals
- E-Mail: novartis.email@novartis.com
Studieren Sie die Kontaktsicherung
- Name: Novartis Pharmaceuticals
- Telefonnummer: 1-888-669-6682
- E-Mail: novartis.email@novartis.com
Studienorte
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Arizona
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Chandler, Arizona, Vereinigte Staaten, 85224
- Rekrutierung
- Ironwood Cancer and Research Centers
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Hauptermittler:
- Anu Batra
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Kontakt:
- Ashley Mercer
- Telefonnummer: 480-821-2838
- E-Mail: Ashley.mercer@ironwoodcrc.com
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Arkansas
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Fayetteville, Arkansas, Vereinigte Staaten, 72703
- Rekrutierung
- Highlands Oncology Group
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Hauptermittler:
- Joseph Thaddeus Beck
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Kontakt:
- Connor Ray
- Telefonnummer: +1 479 587 1700
- E-Mail: JRay@hogonc.com
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California
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Torrance, California, Vereinigte Staaten, 90502
- Rekrutierung
- Harbor-UCLA Medical Center
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Hauptermittler:
- Sarah Tomassetti
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Kontakt:
- Abisay Ortega
- Telefonnummer: 310-974-9334
- E-Mail: abisay.ortega@lundquist.org
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Connecticut
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New Haven, Connecticut, Vereinigte Staaten, 06520
- Rekrutierung
- Yale Cancer Center
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Hauptermittler:
- Yevgeniya Foster
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Kontakt:
- Betsy Segui
- E-Mail: Betsy.segui@yale.edu
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Stamford, Connecticut, Vereinigte Staaten, 06902
- Rekrutierung
- Stamford Hospital
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Hauptermittler:
- Joshua Dower
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Kontakt:
- Tiffany Mariscal
- E-Mail: tmariscal@stamhealth.org
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Florida
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Jacksonville, Florida, Vereinigte Staaten, 32207
- Rekrutierung
- Baptist MD Anderson Cancer Center
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Kontakt:
- Seth Waller
- Telefonnummer: 614-657-1463
- E-Mail: seth.waller@bmcjax.com
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Hauptermittler:
- Jorge Antunez de Mayolo
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Margate, Florida, Vereinigte Staaten, 33063
- Rekrutierung
- DH Cancer Research Center LLC
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Hauptermittler:
- Mazyar Rouhani
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Kontakt:
- Maria Pena
- E-Mail: mpena@nrcinc.com
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Miami, Florida, Vereinigte Staaten, 33136
- Rekrutierung
- University Of Miami
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Kontakt:
- Tania Rodriguez
- Telefonnummer: 305-243-1169
- E-Mail: txr308@med.miami.edu
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Hauptermittler:
- Gerald Soff
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Orlando, Florida, Vereinigte Staaten, 32803
- Rekrutierung
- Advent Health Orlando
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Kontakt:
- Kristen Wing
- E-Mail: kristen.wing@adventhealth.com
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Hauptermittler:
- Carlos A Alemany
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Illinois
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Hinsdale, Illinois, Vereinigte Staaten, 60521
- Rekrutierung
- Hope And Healing Care
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Hauptermittler:
- Srilata Gundala
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Kontakt:
- Asma Jabeen
- E-Mail: ajabeen@hopenheal.care
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Louisiana
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Covington, Louisiana, Vereinigte Staaten, 70433
- Rekrutierung
- Pontchartrain Cancer Center
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Hauptermittler:
- David Oubre
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Kontakt:
- McKenna Chaney
- E-Mail: mckenna@pcclouisiana.com
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Minnesota
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Rochester, Minnesota, Vereinigte Staaten, 55905
- Rekrutierung
- Mayo Clinic Rochester
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Kontakt:
- Aaron Littlefield
- Telefonnummer: +1 507 284 2467
- E-Mail: littlefield.aaron@mayo.edu
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Hauptermittler:
- Alexandra Paula Wolanskyj-Spinner
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Missouri
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Kansas City, Missouri, Vereinigte Staaten, 64108
- Rekrutierung
- University Health Kansas City
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Hauptermittler:
- Anuj Shrestha
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Kontakt:
- Richard Dugan-Starr
- E-Mail: Richard.Dugan-Starr@uhkc.org
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Montana
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Billings, Montana, Vereinigte Staaten, 59102
- Rekrutierung
- Intermountain Healthcare
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Hauptermittler:
- Patrick Cobb
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Kontakt:
- Cyndi Bowman
- E-Mail: cyndi.bowman@imail.org
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New Jersey
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East Brunswick, New Jersey, Vereinigte Staaten, 08816
- Rekrutierung
- Astera Cancer Center
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Kontakt:
- Carina Cedeno
- E-Mail: Carina.cedeno@asterahealthcare.org
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Hauptermittler:
- Anem Waheed
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Summit, New Jersey, Vereinigte Staaten, 07901
- Rekrutierung
- Summit Medical Group
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Kontakt:
- Michelle Mackenzie
- Telefonnummer: 973-436-1755
- E-Mail: mmackenzie@summithealth.com
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Hauptermittler:
- Dipen Patel
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New York
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The Bronx, New York, Vereinigte Staaten, 10467
- Rekrutierung
- Montefiore Medical Center
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Hauptermittler:
- Irina Murakhovskaya
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Kontakt:
- Akhil Aakunuri
- Telefonnummer: 718-405-8427
- E-Mail: aaakunuri@montefiore.org
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North Carolina
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Durham, North Carolina, Vereinigte Staaten, 27710
- Rekrutierung
- Duke University Medical Center
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Hauptermittler:
- Ara Metjian
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Kontakt:
- Kristin Byrne
- E-Mail: kristin.byrne@duke.edu
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Pennsylvania
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Philadelphia, Pennsylvania, Vereinigte Staaten, 19104
- Rekrutierung
- Hospital of the University of Pennsylvania Health System
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Hauptermittler:
- Adam Cuker
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Kontakt:
- Emmanuel Ndukwudimma
- Telefonnummer: 215-662-6394
- E-Mail: emmanuel.ndukwudimma@pennmedicine.upenn.edu
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Pittsburgh, Pennsylvania, Vereinigte Staaten, 15224
- Rekrutierung
- Western Pennsylvania Hospital
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Kontakt:
- Brandy Ince
- Telefonnummer: 412-578-5000
- E-Mail: brandy.ince@ahn.org
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Hauptermittler:
- Deep Shah
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South Dakota
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Sioux Falls, South Dakota, Vereinigte Staaten, 57106
- Rekrutierung
- Avera Cancer Institute
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Hauptermittler:
- Waqas Jehangir
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Kontakt:
- Sydney Schultz
- Telefonnummer: 605-322-3000
- E-Mail: sydney.schultz@avera.org
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Texas
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Fort Worth, Texas, Vereinigte Staaten, 76104
- Rekrutierung
- JPS health Network
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Hauptermittler:
- Kalyani Narra
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Kontakt:
- Melissa Lillard
- E-Mail: MLind@jpshealth.org
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Utah
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Salt Lake City, Utah, Vereinigte Staaten, 84106
- Rekrutierung
- Utah Cancer Specialists
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Kontakt:
- Emra Kazic
- E-Mail: Ekazic@utahcancer.com
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Hauptermittler:
- DiSean Kendall
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Key Inclusion Criteria:
- Signed informed consent must be obtained prior to participation in the study.
- Patients aged 18 years and older on the day of signing the informed consent.
- ITP cohort only: Confirmed diagnosis of primary ITP that has previously responded to corticosteroid treatment or IVIG treatment but the response was not sustained (response is defined as a platelet count ≥ 50 G/L).
- ITP cohort only: Received at least one prior treatment for ITP.
- ITP cohort only: Patients with a platelet count < 100 G/L who are receiving a TPO-RA. Patients may already be receiving a TPO-RA or may start a TPO-RA at the time of screening. All patients should be on a stable dose of TPO-RA for at least 14 days prior to first dose of ianalumab. Note: during the screening period, a documented assessment of platelets < 100 G/L is mandatory for enrollment. For patients who received rescue medication before screening, platelet count results obtained prior to the start of the rescue therapy should be used to assess eligibility if collected within 14 days prior to screening.
- ES cohort only: Patients with clinical diagnosis of primary ES with active thrombocytopenia (< 100 G/L) with warm autoimmune hemolytic anemia (wAIHA) for whom a TPO-RA is appropriate per Investigator.
- ES cohort only: Inadequate response to or relapse after treatment with corticosteroid therapy.
- ES cohort only: Diagnosis confirmed by current or past positive direct antiglobulin test (DAT) (IgG+, with or without C3+) and evidence of hemolysis.
- ES cohort only: any supportive care treatment administered for wAIHA must be stable for at least 4 weeks prior to enrollment.
Key Exclusion Criteria:
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Patients being treated with TPO-RA for > 6 months.
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Current life-threatening bleeding (related to thrombocytopenia).
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Prior splenectomy within 6 months of first administration of ianalumab.
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Patients with the following laboratory abnormalities:
- Neutrophils: < 1000/mm3
- Serum creatinine > 1.5 × upper limit of normal (ULN)
- Aspartate aminotransferase (AST) > 3.0 × ULN
- Alanine aminotransferase (ALT) > 3.0 × ULN
- Immunoglobulin G (IgG) < 5 g/L
- ITP cohort only: hemoglobin < 10 g/L, total bilirubin > 1.5 × ULN
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Patients with significantly compromised liver disease (Child-Pugh 7 to 9) and decompensated liver disease (Child-Pugh 10 to 15).
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Treatment with a B-cell depleting therapy (e.g. rituximab or anti-B cell Activating Factor (e.g. belimumab) within 12 weeks prior to the first administration of ianalumab. Patients who are refractory to rituximab will be excluded from this trial, where refractory is defined as:
~ Patients who have not achieved a response (defined as platelet count ≥ 30 G/L and at least doubling from baseline within 12 weeks in the absence of rescue therapy) following completion of a standard course of rituximab
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History of hypersensitivity to any of the study treatments or its excipients or to drugs of similar chemical classes.
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Known history of primary or secondary immunodeficiency, or a positive human immunodeficiency virus (HIV) enzyme-linked immunosorbent assay (ELISA) and Western blot) test result.
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Patients exposed to more than 4 prior treatments for ITP.
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ITP cohort only: Diagnosis of secondary thrombocytopenia.
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ITP cohort: Use of immunosuppressant drugs other than corticosteroids or rituximab.
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ES cohort only: Diagnosis of secondary ES.
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ES cohort only: Life-threatening hemolysis.
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ES cohort only: patients with autoimmune hemolytic anemia other than wAIHA
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Experimental: Main cohort: Primary immune thrombocytopenia (ITP)
All participants will be assigned to ianalumab 9 mg/kg plus investigator's choice thrombopoietin receptor agonist (IC TPO-RA). |
9 mg per kilogram infusion every 4 weeks (Q4W) for 16 weeks
Andere Namen:
IC TPO-RAs will be administered according to the respective United States Prescribing Information (USPIs)
Andere Namen:
|
|
Experimental: Exploratory cohort: Primary Evans syndrome (ES)
All participants will be assigned to ianalumab 9 mg/kg plus investigator's choice thrombopoietin receptor agonist (IC TPO-RA). |
9 mg per kilogram infusion every 4 weeks (Q4W) for 16 weeks
Andere Namen:
IC TPO-RAs will be administered according to the respective United States Prescribing Information (USPIs)
Andere Namen:
|
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
(Main cohort: Primary immune thrombocytopenia (ITP)): Percentages of participants who are tolerable to ianalumab (9 mg/kg)
Zeitfenster: Up to Week 16
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The proportion of participants who tolerate ianalumab (9 mg/kg) is defined as those who do not experience any of the following events during the combination treatment period (up to Week 16):
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Up to Week 16
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
(Main cohort: Primary immune thrombocytopenia (ITP)): Incidence rate of Adverse Events
Zeitfenster: From Week 1 Day 1 (first dose of ianalumab) to the end of study (EOS), an average of 4 years
|
The distribution of adverse events will be conducted through the analysis of frequencies for treatment-emergent adverse events (TEAEs) and serious adverse events (TESAEs), based on the monitoring of relevant clinical and laboratory safety parameters. |
From Week 1 Day 1 (first dose of ianalumab) to the end of study (EOS), an average of 4 years
|
|
(Main cohort: Primary immune thrombocytopenia (ITP)): Percentage of participants with platelet count ≥ 30 G/L, ≥ 50 G/L, ≥ 100 G/L
Zeitfenster: Baseline, and at each scheduled study visit until the end of study (EOS), an average of 2 years
|
Platelet count will be measured as part of routine hematology safety assessments |
Baseline, and at each scheduled study visit until the end of study (EOS), an average of 2 years
|
|
(Main cohort: Primary immune thrombocytopenia (ITP)): Change from baseline in platelet count for prespecified subgroups (<30, 30 to 50, 50 to <100 G/L)
Zeitfenster: Baseline, and at each scheduled study visit until the end of study (EOS), an average of 2 years
|
Platelet count will be measured as part of routine hematology safety assessments |
Baseline, and at each scheduled study visit until the end of study (EOS), an average of 2 years
|
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(Main cohort: Primary immune thrombocytopenia (ITP)): Percentage of participants with successful IC TPO-RA tapering
Zeitfenster: From Week 17 Day 1 (W17D1) through Week 33 Day 1 (W33D1).
|
Tapering of investigator's choice thrombopoietin receptor agonist (IC TPO-RA) will be evaluated based on the proportion of participants who successfully discontinue IC TPO-RA without requiring rescue therapy or new immune thrombocytopenia (ITP) treatments by the end of the tapering period. A participant is considered successfully tapered if all of the following criteria are met:
|
From Week 17 Day 1 (W17D1) through Week 33 Day 1 (W33D1).
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Studienleiter: Novartis Pharmaceuticals, Novartis Pharmaceuticals
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Zytopenie
- Pathologische Prozesse
- Autoimmunerkrankungen
- Erkrankungen des Immunsystems
- Blutung
- Hautmanifestationen
- Hämatologische Erkrankungen
- Blutgerinnungsstörungen
- Hämorrhagische Störungen
- Erkrankungen der Blutplättchen
- Thrombotische Mikroangiopathien
- Purpura, Thrombozytopenie
- Purpura
- Thrombozytopenie
- Pathologische Zustände, Anzeichen und Symptome
- Anzeichen und Symptome
- Hämische und lymphatische Krankheiten
- Purpura, thrombozytopenisch, idiopathisch
- Evans-Syndrom
- Eltrombopag
- Ianalumab
- Romiplostim
- Avatrombopag
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- CVAY736Q1US01
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Beschreibung des IPD-Plans
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.
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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