原発性免疫性血小板減少症(ITP)における第一選択のコルチコステロイドに加えて、Ianalumab 対プラセボの研究 (VAYHIT1)
原発性免疫性血小板減少症(VAYHIT1)における第一選択のコルチコステロイドに加えて、Ianalumab(VAY736)とプラセボの第 III 相無作為化二重盲検試験
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.
調査の概要
状態
状態
条件
条件
介入・治療
介入・治療
詳細な説明
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.
研究の種類
研究の種類
入学 (実際)
入学
段階
段階
- フェーズ 3
連絡先と場所
研究場所
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Arizona
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Yuma、Arizona、アメリカ、85364
- Yuma Regional Medical Center
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California
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Clovis、California、アメリカ、93611
- Community Cancer Institute
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Fountain Valley、California、アメリカ、92708
- Compassionate Care Res Group Inc
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Colorado
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Aurora、Colorado、アメリカ、80045
- University of Colorado Anschutz
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Florida
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Margate、Florida、アメリカ、33063
- DH Cancer Research Center LLC
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Illinois
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Chicago、Illinois、アメリカ、60637
- Uni of Chi Medi Ctr Hema and Onco
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Indiana
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Fort Wayne、Indiana、アメリカ、46845
- Parkview Research Center
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Massachusetts
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Boston、Massachusetts、アメリカ、02114
- Massachusetts General Hospital
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Boston、Massachusetts、アメリカ、02215
- Beth Israel Deaconess Med Center
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Minnesota
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Rochester、Minnesota、アメリカ、55905
- Mayo Clinic Rochester
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New York
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Nyack、New York、アメリカ、10960
- Hematology Oncology Association of Rockland
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Rhode Island
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Providence、Rhode Island、アメリカ、02903
- Rhode Island Hospital
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Texas
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San Antonio、Texas、アメリカ、78229
- Mays Cancer Ctr Uthsa Mdacc
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Utah
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Ogden、Utah、アメリカ、84405
- Community Cancer Trials of Utah
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Buenos Aires、アルゼンチン、C1039AAC
- Novartis Investigative Site
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Córdoba、アルゼンチン、5000
- Novartis Investigative Site
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Buenos Aires
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CABA、Buenos Aires、アルゼンチン、C1414DRK
- Novartis Investigative Site
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CABA、Buenos Aires、アルゼンチン、C1280AEB
- Novartis Investigative Site
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Tucumán Province
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San Miguel Tucuman、Tucumán Province、アルゼンチン、T4000DPK
- Novartis Investigative Site
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London、イギリス、W12 0HS
- Novartis Investigative Site
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Nottingham、イギリス、NG5 1PB
- Novartis Investigative Site
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West Midlands
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Birmingham、West Midlands、イギリス、B15 2TH
- Novartis Investigative Site
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BO
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Bologna、BO、イタリア、40138
- Novartis Investigative Site
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FI
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Florence、FI、イタリア、50134
- Novartis Investigative Site
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RM
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Roma、RM、イタリア、00168
- Novartis Investigative Site
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TS
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Trieste、TS、イタリア、34129
- Novartis Investigative Site
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VI
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Vicenza、VI、イタリア、36100
- Novartis Investigative Site
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Gujarat
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Ahmedabad、Gujarat、インド、380013
- Novartis Investigative Site
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Uttarakhand
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Rishikesh、Uttarakhand、インド、249203
- Novartis Investigative Site
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Australian Capital Territory
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Garran、Australian Capital Territory、オーストラリア、2605
- Novartis Investigative Site
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Queensland
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Wooloongabba、Queensland、オーストラリア、4102
- Novartis Investigative Site
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Victoria
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Clayton、Victoria、オーストラリア、3168
- Novartis Investigative Site
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Salzburg、オーストリア、5020
- Novartis Investigative Site
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Tyrol
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Innsbruck、Tyrol、オーストリア、6020
- Novartis Investigative Site
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Singapore、シンガポール、119074
- Novartis Investigative Site
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Singapore、シンガポール、169608
- Novartis Investigative Site
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Barcelona、スペイン、08035
- Novartis Investigative Site
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Madrid、スペイン、28009
- Novartis Investigative Site
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Murcia、スペイン、30008
- Novartis Investigative Site
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Seville、スペイン、41013
- Novartis Investigative Site
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Bangkok、タイ、10330
- Novartis Investigative Site
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Bangkok、タイ、10700
- Novartis Investigative Site
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Chiang Mai、タイ、50200
- Novartis Investigative Site
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Prague、チェコ、128 08
- Novartis Investigative Site
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Prague、チェコ、100 34
- Novartis Investigative Site
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Poruba
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Ostrava、Poruba、チェコ、708 52
- Novartis Investigative Site
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Atakum
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Samsun、Atakum、トルコ(Türkiye)、55200
- Novartis Investigative Site
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Efeler
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Aydin、Efeler、トルコ(Türkiye)、09100
- Novartis Investigative Site
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Fatih
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Istanbul、Fatih、トルコ(Türkiye)、34098
- Novartis Investigative Site
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Dresden、ドイツ、01307
- Novartis Investigative Site
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Hesse
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Frankfurt am Main、Hesse、ドイツ、60590
- Novartis Investigative Site
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Saxony
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Dresden、Saxony、ドイツ、01307
- Novartis Investigative Site
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Thuringia
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Jena、Thuringia、ドイツ、07740
- Novartis Investigative Site
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Grålum、ノルウェー、1714
- Novartis Investigative Site
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Budapest、ハンガリー、1083
- Novartis Investigative Site
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Hajdu Bihar Megye
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Debrecen、Hajdu Bihar Megye、ハンガリー、4032
- Novartis Investigative Site
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Caen、フランス、14033
- Novartis Investigative Site
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Chambéry、フランス、73000
- Novartis Investigative Site
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Le Mans、フランス、72000
- Novartis Investigative Site
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Lille、フランス、59037
- Novartis Investigative Site
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Rennes、フランス、35033
- Novartis Investigative Site
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Plovdiv、ブルガリア、4002
- Novartis Investigative Site
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Sofia、ブルガリア、1431
- Novartis Investigative Site
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Hanoi、ベトナム、100000
- Novartis Investigative Site
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Ho Chi Minh City、ベトナム、70000
- Novartis Investigative Site
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Brasschaat、ベルギー、2930
- Novartis Investigative Site
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Bruges、ベルギー、8000
- Novartis Investigative Site
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West Vlaanderen
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Roeselare、West Vlaanderen、ベルギー、8800
- Novartis Investigative Site
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George Town、マレーシア、10050
- Novartis Investigative Site
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Johor Bahru、マレーシア、80100
- Novartis Investigative Site
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Kuala Selangor、マレーシア、68000
- Novartis Investigative Site
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Sarawak
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Kuching、Sarawak、マレーシア、93586
- Novartis Investigative Site
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Mexico City
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Mexico City、Mexico City、メキシコ、06720
- Novartis Investigative Site
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Nuevo León
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Monterrey、Nuevo León、メキシコ、64460
- Novartis Investigative Site
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Bucharest、ルーマニア、030171
- Novartis Investigative Site
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Bengbu、中国、233004
- Novartis Investigative Site
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Dalian、中国、116000
- Novartis Investigative Site
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Tianjin、中国、300020
- Novartis Investigative Site
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Beijing Municipality
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Beijing、Beijing Municipality、中国、100044
- Novartis Investigative Site
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Guangdong
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Guangzhou、Guangdong、中国、510515
- Novartis Investigative Site
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Shenzhen、Guangdong、中国、518037
- Novartis Investigative Site
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Hebei
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Shijiazhuang、Hebei、中国、050000
- Novartis Investigative Site
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Henan
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Luoyang、Henan、中国、471003
- Novartis Investigative Site
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Zhengzhou、Henan、中国、450003
- Novartis Investigative Site
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Jiangsu
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Changzhou、Jiangsu、中国、213004
- Novartis Investigative Site
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Jiangxi
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Nanchang、Jiangxi、中国、330006
- Novartis Investigative Site
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Yunnan
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Kunming、Yunnan、中国、650101
- Novartis Investigative Site
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Zhejiang
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Hangzhou、Zhejiang、中国、310006
- Novartis Investigative Site
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Chiba、日本、2600852
- Novartis Investigative Site
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Fukuoka、日本、8158555
- Novartis Investigative Site
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Gifu、日本、5008513
- Novartis Investigative Site
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Osaka、日本、5438555
- Novartis Investigative Site
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Aichi-ken
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Nagakute、Aichi-ken、日本、4801195
- Novartis Investigative Site
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Gunma
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Shibukawa、Gunma、日本、3770280
- Novartis Investigative Site
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Hokkaido
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Sapporo、Hokkaido、日本、0608604
- Novartis Investigative Site
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Okayama-ken
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Okayama、Okayama-ken、日本、7011192
- Novartis Investigative Site
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Saitama
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Iruma-gun、Saitama、日本、3500495
- Novartis Investigative Site
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Hong Kong、香港、999077
- Novartis Investigative Site
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Hong Kong
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New Territories、Hong Kong、香港、999077
- Novartis Investigative Site
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参加基準
適格基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
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.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:4倍
アーム数
武器と介入
参加者グループ / アーム参加者グループ / アーム |
介入・治療介入・治療 |
|---|---|
|
実験的:Ianalumab Lower dose
Lower dose of ianalumab administered intravenously with corticosteroids oral or parental (if clinically justified) |
Intravenous infusion, prepared from concentrate solution
他の名前:
Oral or parental (if clinically justified) |
|
実験的:Ianalumab Higher dose
Higher dose of ianalumab administered intravenously with corticosteroids oral or parental (if clinically justified) |
Intravenous infusion, prepared from concentrate solution
他の名前:
Oral or parental (if clinically justified) |
|
プラセボコンパレーター:Placebo
Placebo administered intravenously with corticosteroids oral or parental (if clinically justified) |
Oral or parental (if clinically justified) Intravenous infusion, prepared from matching placebo |
この研究は何を測定していますか?
主要な結果の測定
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Rate of Stable Response off treatment at 12 months (SROT-12)
時間枠: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
|
二次結果の測定
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Time from randomization to Treatment Failure (TTF) (Key Secondary Endpoint)
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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)
時間枠: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)
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
|
協力者と研究者
捜査官
捜査官
- スタディディレクター:Novartis Pharmaceuticals、Novartis Pharmaceuticals
研究記録日
主要日程の研究
研究開始 (実際)
研究開始
一次修了 (実際)
一次修了
研究の完了 (推定)
研究の完了
試験登録日
最初に提出
最初に提出
QC基準を満たした最初の提出物
QC基準を満たした最初の提出物
最初の投稿 (実際)
最初の投稿
学習記録の更新
投稿された最後の更新 (実際)
投稿された最後の更新
QC基準を満たした最後の更新が送信されました
QC基準を満たした最後の更新が送信されました
最終確認日
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
その他の研究ID番号
- CVAY736I12301
- 2024-511704-17-00 (レジストリ識別子:EU CTIS)
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
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
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。