rhTPO + CsA vs CsA in the Treatment of LR-MDS With Thrombocytopenia

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorPeking Union Medical College Hospital

About this trial

This study aims to compare the efficacy and safety of recombinant human thrombopoietin (rhTPO) + cyclosporine (CsA) and CsA monotherapy in the treatment of lower-risk myelodysplastic neoplasms with thrombocytopenia.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥ 18 years old;

Confirmed diagnosis of lower-risk MDS;

Platelet ≤ 30×109/L, or < 50×109/L and accompanied by bleeding events;

Baseline liver and kidney functions <2 ULN;

Disqualifiers

History of leukemia or stem cell transplantation, treatment-related MDS or malignant tumors;

With splenomegaly or myelofibrosis;

Infections or bleeding that cannot be controlled by standard treatment;

Any concurrent malignant tumors within the past 5 years, or basal cell carcinoma of the skin at the local site;

Trial design

Design model

Parallel

Treatments tested in this trial

  • rhTPO

    Drug

    rhTPO 300U/kg/d, subcutaneous injection, once a month for 14 consecutive days

  • Cyclosporine (CsA)

    Drug

    CsA 3-5mg/kg/d

Treatment groups

78 Participants
are divided into 2 treatment groups
Group A: rhTPO+CsAExperimental treatment 2 interventions
Group B: CsAActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

HI-P

hematological response - platelet

Time frame
1-month, 2-month, 3-month, 6-month
2

ORR

ORR=CRR+PRR+HI

Time frame
1-month, 2-month, 3-month, 6-month

Secondary outcomes

1

Number of bleeding incidents and severity assessed by the World Health Organization Bleeding Scale

minimum value = 0, maximum value = 4; higher scores indicate worse outcome

Time frame
3-month, 6-month
2

Platelet transfusion independence

according to the number and interval of platelet transfusions

Time frame
3-month, 6-month
3

Time to CR/OR

Time from baseline to first response

Time frame
through study period, an average of 6 months
4

Duration of HI-P

Time to patients achieving HI-P to losing response

Time frame
through study period, an average of 6-month

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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