Estudio de ianalumab versus placebo además de corticosteroides de primera línea en trombocitopenia inmune primaria (ITP) (VAYHIT1)
Un estudio de fase III, aleatorizado, doble ciego de ianalumab (VAY736) versus placebo además de corticosteroides de primera línea en la trombocitopenia inmunitaria primaria (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.
Descripción general del estudio
Estado
Estado
Condiciones
Condiciones
Intervención / Tratamiento
Intervención / Tratamiento
Descripción detallada
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.
Tipo de estudio
Tipo de estudio
Inscripción (Actual)
Inscripción
Fase
Fase
- Fase 3
Contactos y Ubicaciones
Ubicaciones de estudio
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Dresden, Alemania, 01307
- Novartis Investigative Site
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Hesse
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Frankfurt am Main, Hesse, Alemania, 60590
- Novartis Investigative Site
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Saxony
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Dresden, Saxony, Alemania, 01307
- Novartis Investigative Site
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Thuringia
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Jena, Thuringia, Alemania, 07740
- Novartis Investigative Site
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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
- Novartis Investigative Site
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Tucumán Province
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San Miguel Tucuman, Tucumán Province, Argentina, T4000DPK
- Novartis Investigative Site
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Australian Capital Territory
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Garran, Australian Capital Territory, Australia, 2605
- Novartis Investigative Site
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Queensland
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Wooloongabba, Queensland, Australia, 4102
- Novartis Investigative Site
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Victoria
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Clayton, Victoria, Australia, 3168
- Novartis Investigative Site
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Salzburg, Austria, 5020
- Novartis Investigative Site
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Tyrol
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Innsbruck, Tyrol, Austria, 6020
- Novartis Investigative Site
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Plovdiv, Bulgaria, 4002
- Novartis Investigative Site
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Sofia, Bulgaria, 1431
- Novartis Investigative Site
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Brasschaat, Bélgica, 2930
- Novartis Investigative Site
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Bruges, Bélgica, 8000
- Novartis Investigative Site
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West Vlaanderen
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Roeselare, West Vlaanderen, Bélgica, 8800
- Novartis Investigative Site
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Prague, Chequia, 128 08
- Novartis Investigative Site
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Prague, Chequia, 100 34
- Novartis Investigative Site
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Poruba
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Ostrava, Poruba, Chequia, 708 52
- Novartis Investigative Site
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Barcelona, España, 08035
- Novartis Investigative Site
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Madrid, España, 28009
- Novartis Investigative Site
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Murcia, España, 30008
- Novartis Investigative Site
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Seville, España, 41013
- Novartis Investigative Site
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Arizona
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Yuma, Arizona, Estados Unidos, 85364
- Yuma Regional Medical Center
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California
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Clovis, California, Estados Unidos, 93611
- Community Cancer Institute
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Fountain Valley, California, Estados Unidos, 92708
- Compassionate Care Res Group Inc
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Colorado
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Aurora, Colorado, Estados Unidos, 80045
- University of Colorado Anschutz
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Florida
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Margate, Florida, Estados Unidos, 33063
- DH Cancer Research Center LLC
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Illinois
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Chicago, Illinois, Estados Unidos, 60637
- Uni of Chi Medi Ctr Hema and Onco
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Indiana
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Fort Wayne, Indiana, Estados Unidos, 46845
- Parkview Research Center
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Massachusetts
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Boston, Massachusetts, Estados Unidos, 02114
- Massachusetts General Hospital
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Boston, Massachusetts, Estados Unidos, 02215
- Beth Israel Deaconess Med Center
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Minnesota
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Rochester, Minnesota, Estados Unidos, 55905
- Mayo Clinic Rochester
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New York
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Nyack, New York, Estados Unidos, 10960
- Hematology Oncology Association of Rockland
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Rhode Island
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Providence, Rhode Island, Estados Unidos, 02903
- Rhode Island Hospital
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Texas
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San Antonio, Texas, Estados Unidos, 78229
- Mays Cancer Ctr Uthsa Mdacc
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Utah
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Ogden, Utah, Estados Unidos, 84405
- Community Cancer Trials of Utah
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Caen, Francia, 14033
- Novartis Investigative Site
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Chambéry, Francia, 73000
- Novartis Investigative Site
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Le Mans, Francia, 72000
- Novartis Investigative Site
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Lille, Francia, 59037
- Novartis Investigative Site
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Rennes, Francia, 35033
- Novartis Investigative Site
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Hong Kong, Hong Kong, 999077
- Novartis Investigative Site
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Hong Kong
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New Territories, Hong Kong, Hong Kong, 999077
- Novartis Investigative Site
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Budapest, Hungría, 1083
- Novartis Investigative Site
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Hajdu Bihar Megye
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Debrecen, Hajdu Bihar Megye, Hungría, 4032
- Novartis Investigative Site
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Gujarat
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Ahmedabad, Gujarat, India, 380013
- Novartis Investigative Site
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Uttarakhand
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Rishikesh, Uttarakhand, India, 249203
- Novartis Investigative Site
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BO
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Bologna, BO, Italia, 40138
- Novartis Investigative Site
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FI
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Florence, FI, Italia, 50134
- Novartis Investigative Site
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RM
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Roma, RM, Italia, 00168
- Novartis Investigative Site
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TS
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Trieste, TS, Italia, 34129
- Novartis Investigative Site
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VI
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Vicenza, VI, Italia, 36100
- Novartis Investigative Site
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Chiba, Japón, 2600852
- Novartis Investigative Site
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Fukuoka, Japón, 8158555
- Novartis Investigative Site
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Gifu, Japón, 5008513
- Novartis Investigative Site
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Osaka, Japón, 5438555
- Novartis Investigative Site
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Aichi-ken
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Nagakute, Aichi-ken, Japón, 4801195
- Novartis Investigative Site
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Gunma
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Shibukawa, Gunma, Japón, 3770280
- Novartis Investigative Site
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Hokkaido
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Sapporo, Hokkaido, Japón, 0608604
- Novartis Investigative Site
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Okayama-ken
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Okayama, Okayama-ken, Japón, 7011192
- Novartis Investigative Site
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Saitama
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Iruma-gun, Saitama, Japón, 3500495
- Novartis Investigative Site
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George Town, Malasia, 10050
- Novartis Investigative Site
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Johor Bahru, Malasia, 80100
- Novartis Investigative Site
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Kuala Selangor, Malasia, 68000
- Novartis Investigative Site
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Sarawak
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Kuching, Sarawak, Malasia, 93586
- Novartis Investigative Site
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Mexico City
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Mexico City, Mexico City, México, 06720
- Novartis Investigative Site
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Nuevo León
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Monterrey, Nuevo León, México, 64460
- Novartis Investigative Site
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Grålum, Noruega, 1714
- Novartis Investigative Site
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Bengbu, Porcelana, 233004
- Novartis Investigative Site
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Dalian, Porcelana, 116000
- Novartis Investigative Site
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Tianjin, Porcelana, 300020
- Novartis Investigative Site
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Beijing Municipality
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Beijing, Beijing Municipality, Porcelana, 100044
- Novartis Investigative Site
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Guangdong
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Guangzhou, Guangdong, Porcelana, 510515
- Novartis Investigative Site
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Shenzhen, Guangdong, Porcelana, 518037
- Novartis Investigative Site
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Hebei
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Shijiazhuang, Hebei, Porcelana, 050000
- Novartis Investigative Site
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Henan
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Luoyang, Henan, Porcelana, 471003
- Novartis Investigative Site
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Zhengzhou, Henan, Porcelana, 450003
- Novartis Investigative Site
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Jiangsu
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Changzhou, Jiangsu, Porcelana, 213004
- Novartis Investigative Site
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Jiangxi
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Nanchang, Jiangxi, Porcelana, 330006
- Novartis Investigative Site
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Yunnan
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Kunming, Yunnan, Porcelana, 650101
- Novartis Investigative Site
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Zhejiang
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Hangzhou, Zhejiang, Porcelana, 310006
- Novartis Investigative Site
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London, Reino Unido, W12 0HS
- Novartis Investigative Site
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Nottingham, Reino Unido, NG5 1PB
- Novartis Investigative Site
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West Midlands
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Birmingham, West Midlands, Reino Unido, B15 2TH
- Novartis Investigative Site
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Bucharest, Rumania, 030171
- Novartis Investigative Site
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Singapore, Singapur, 119074
- Novartis Investigative Site
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Singapore, Singapur, 169608
- Novartis Investigative Site
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Bangkok, Tailandia, 10330
- Novartis Investigative Site
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Bangkok, Tailandia, 10700
- Novartis Investigative Site
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Chiang Mai, Tailandia, 50200
- Novartis Investigative Site
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Atakum
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Samsun, Atakum, Turquía (Türkiye), 55200
- Novartis Investigative Site
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Efeler
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Aydin, Efeler, Turquía (Türkiye), 09100
- Novartis Investigative Site
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Fatih
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Istanbul, Fatih, Turquía (Türkiye), 34098
- Novartis Investigative Site
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Hanoi, Vietnam, 100000
- Novartis Investigative Site
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Ho Chi Minh City, Vietnam, 70000
- Novartis Investigative Site
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Criterios de participación
Criterio de elegibilidad
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
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.
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Cuadruplicar
Número de brazos
Armas e Intervenciones
Grupo de participantes/brazoGrupo de participantes/brazo |
Intervención / TratamientoIntervención / Tratamiento |
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Experimental: Ianalumab Lower dose
Lower dose of ianalumab administered intravenously with corticosteroids oral or parental (if clinically justified) |
Intravenous infusion, prepared from concentrate solution
Otros nombres:
Oral or parental (if clinically justified) |
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Experimental: Ianalumab Higher dose
Higher dose of ianalumab administered intravenously with corticosteroids oral or parental (if clinically justified) |
Intravenous infusion, prepared from concentrate solution
Otros nombres:
Oral or parental (if clinically justified) |
|
Comparador de placebos: Placebo
Placebo administered intravenously with corticosteroids oral or parental (if clinically justified) |
Oral or parental (if clinically justified) Intravenous infusion, prepared from matching placebo |
¿Qué mide el estudio?
Medidas de resultado primarias
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Rate of Stable Response off treatment at 12 months (SROT-12)
Periodo de tiempo: 12 months after last patient completed treatment
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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
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Medidas de resultado secundarias
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Time from randomization to Treatment Failure (TTF) (Key Secondary Endpoint)
Periodo de tiempo: Randomization to end of study (up to 39 months after randomization of last patient
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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
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Complete Response (CR) rate in each treatment group
Periodo de tiempo: Randomization to end of study (up to 39 months after randomization of last patient)
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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)
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Response (R) rate in each treatment group
Periodo de tiempo: Randomization to end of study (up to 39 months after randomization of last patient)
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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)
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Time to complete response in each treatment group
Periodo de tiempo: Randomization to end of study (up to 39 months after randomization of last patient)
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Time from randomization to date of first complete response. |
Randomization to end of study (up to 39 months after randomization of last patient)
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Duration of response in each treatment group
Periodo de tiempo: Randomization to end of study (up to 39 months after randomization of last patient)
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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)
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Stable response at 6 months
Periodo de tiempo: At 6 months
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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
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Stable response at 1 year
Periodo de tiempo: At 1 year
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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
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Percentage of participants with bleeding events overall and by World Health Organization (WHO) bleeding scale severity
Periodo de tiempo: Randomization to end of study (up to 39 months after randomization of last patient)
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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)
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Number of participants with bleeding events overall and by World Health Organization (WHO) bleeding scale severity
Periodo de tiempo: Randomization to end of study (up to 39 months after randomization of last patient)
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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)
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Number of participants receiving rescue treatment (cummulative dose/duration of steroids exposure)
Periodo de tiempo: Randomization to end of study (up to 39 months after randomization of last patient)
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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)
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Percentage of participants receiving rescue treatment (cummulative dose/duration of steroids exposure)
Periodo de tiempo: Randomization to end of study (up to 39 months after randomization of last patient)
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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)
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Cumulative dose/duration of steroids exposure
Periodo de tiempo: From screening to end of study (up to 39 months after randomization of last patient)
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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)
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Change from baseline on T scores of the PROMIS SF v1.0 Fatigue 13a
Periodo de tiempo: From screening (baseline) till end of study (up to 39 months after randomization of last patient)
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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)
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Change from baseline in ITP-PAQ domain scores
Periodo de tiempo: 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)
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Change from baseline in frequency of CD19+ B cell counts
Periodo de tiempo: Randomization to end of study (up to 39 months after randomization of last patient)
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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)
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Change from baseline in absolute number of CD19+ B cell counts
Periodo de tiempo: 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)
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Time to first occurrence of B-cell recovery
Periodo de tiempo: Randomization to end of study (up to 39 months after randomized of last patient)
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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)
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Change from baseline in inmmunoglobulins
Periodo de tiempo: 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)
|
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PK parameters: AUClast
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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
|
Colaboradores e Investigadores
Patrocinador
Patrocinador
Investigadores
Investigadores
- Director de estudio: Novartis Pharmaceuticals, Novartis Pharmaceuticals
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Inicio del estudio
Finalización primaria (Actual)
Finalización primaria
Finalización del estudio (Estimado)
Finalización del estudio
Fechas de registro del estudio
Enviado por primera vez
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Publicado por primera vez
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización publicada
Última actualización enviada que cumplió con los criterios de control de calidad
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
- Citopenia
- Procesos Patológicos
- Enfermedades autoinmunes
- Enfermedades del sistema inmunológico
- Hemorragia
- Manifestaciones de la piel
- Enfermedades hematológicas
- Trastornos de la coagulación de la sangre
- Trastornos hemorrágicos
- Trastornos de las plaquetas sanguíneas
- Microangiopatías trombóticas
- Púrpura Trombocitopénica
- Púrpura
- Trombocitopenia
- Condiciones Patológicas, Signos y Síntomas
- Signos y síntomas
- Enfermedades hemic y linfáticas
- Púrpura Trombocitopénica Idiopática
- Hormonas
- Hormonas, sustitutos hormonales y antagonistas hormonales
- Ianalumab
- Hormonas de la corteza suprarrenal
Otros números de identificación del estudio
Otros números de identificación del estudio
- CVAY736I12301
- 2024-511704-17-00 (Identificador de registro: EU CTIS)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Descripción del plan IPD
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
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .