Rituximab and Dexamethasone Followed by Mycophenolate Mofetil or Placebo in Patients With Immune Thrombocytopenia
NCT02649504 · Status: WITHDRAWN · Phase: PHASE3 · Type: INTERVENTIONAL
Last updated 2018-08-14
Summary
The investigators will attempt to further increase the cure rate of ITP with medical therapy by providing maintenance therapy with Mycophenolate mofetil (MMF) to persistent/chronic ITP patients after treating them with induction therapy combining rituximab and dexamethasone. The investigators will randomly assign patients to MMF versus placebo in order to demonstrate safety (e.g., for infectious risk) and efficacy (platelet counts stably \>50x109/L more than 1 year off therapy).
Conditions
Interventions
- DRUG
-
Rituximab will be given at the standard dose of 375mg/m2 on days 1, 8, 15, 22 of the study
- DRUG
-
Dexamethasone will be given at dose 40 mg/day on days 1-4, 15-18, and 29-32 (+/- 3 days) of the study.
- DRUG
-
Mycophenolate mofetil
Patients allocated to the active drug arm will be given Mycophenolate mofetil starting on day 33, 500 mg twice daily for the first week and then escalation to 1000 mg twice daily for 24 weeks.
- DRUG
-
Patients allocated to the placebo arm will be given placebo starting on day 33, 500 mg twice daily for the first week and then escalation to 1000 mg twice daily for 24 weeks.
Sponsors & Collaborators
-
Weill Medical College of Cornell University
lead OTHER
Principal Investigators
-
James B. Bussel, M.D · Weill Medical College of Cornell University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-12-01
- Primary Completion
- 2016-12-01
- FDA Drug
- Yes
More Related Trials
-
Romiplostim, Rituximab and Dexamethasone as Frontline Treatment for Immune Thrombocytopenia
NCT04588194 ·Status: UNKNOWN ·Phase: PHASE2
-
A Study Evaluating the Addition of MabThera (Rituximab) to Standard Treatment in Patients With Idiopathic Thrombocytopenic Purpura (ITP)
NCT00770562 ·Status: COMPLETED ·Phase: PHASE3
-
Anti-CD38 Monoclonal Antibody Versus Rituximab in the Management of Primary Immune Thrombocytopenia (ITP)
NCT07297563 ·Status: RECRUITING ·Phase: PHASE2
-
A Study of Romiplostim N01 as the First-line Treatment for Newly Diagnosed Adult Patients With ITP
NCT06658834 ·Status: RECRUITING ·Phase: PHASE2
-
A Study to Assess Efficacy and Safety of Eltrombopag in Combination With a Short Course of Dexamethasone in Patients With Newly Diagnosed ITP
NCT04346654 ·Status: COMPLETED ·Phase: PHASE2
-
Eltrombopag and High-dose Dexamethasone as First Line Treatment for IT
NCT01652599 ·Status: COMPLETED ·Phase: PHASE2
-
Romiplostim N01 Combined With Glucocorticoids as the First-line Treatment for Newly Diagnosed Adult Primary Immune Thrombocytopenia: A Multicenter, Interventional Trial
NCT06992128 ·Status: RECRUITING ·Phase: PHASE2
-
Rituximab and Prednisone as First-Line Therapy in Treating Patients With Immune Thrombocytopenic Purpura
NCT00486421 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Rituximab, Eltrombopag and Dexamethasone as Frontline Treatment for Immune Thrombocytopenia
NCT02834286 ·Status: UNKNOWN ·Phase: PHASE2
-
Rituximab Combining Anti-CD38 Monoclonal Antibody Versus Rituximab in the Management of Primary Immune Thrombocytopenia (ITP)
NCT07234019 ·Status: RECRUITING ·Phase: PHASE2
-
Recombinant Human Thrombopoietin in Combination With Rituximab in Immune Thrombocytopenia (ITP)
NCT01506414 ·Status: COMPLETED ·Phase: PHASE3
-
rhTPO Combining Dexamethasone Versus High-dose Dexamethasone for Initial Treatment of ITP
NCT01734044 ·Status: COMPLETED ·Phase: PHASE3
-
Sequential rhTPO and Eltrombopag Following Glucocorticoids for Severe Adult ITP
NCT07189910 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Use of Rituximab Treatment in Addition to Standard Care for Newly Presenting Thrombotic Thrombocytopenic Purpura
NCT00251277 ·Status: WITHDRAWN ·Phase: PHASE1/PHASE2
-
Efficacy and Safety of Romiplostim N01 Combined With Rituximab in Patients With Oral TPO-RA-Refractory Primary Immune Thrombocytopenia
NCT07206823 ·Status: RECRUITING ·Phase: NA
-
Initial Treatment of Patients With Immune Thrombocytopenic Purpura
NCT00991939 ·Status: TERMINATED ·Phase: PHASE3
-
Treatment of ITP With Rituximab and / or Accutane
NCT02757196 ·Status: UNKNOWN ·Phase: PHASE2
-
Comparison Between Methyl Prednisolone and Intravenous Dexamethazone in Severe Immune Thrombocytopenic Purpra
NCT03183284 ·Status: UNKNOWN
-
Decitabine Combining Dexamethasone Versus Dexamethasone in Management of ITP
NCT03252457 ·Status: UNKNOWN ·Phase: PHASE3
-
High-dose Dexamethasone Plus Hetrombopag vs High-dose Dexamethasone Alone as Frontline Treatment for Newly Diagnosed Adult Primary Immune Thrombocytopenia: A Prospective, Multicenter, Randomized Trial
NCT05943691 ·Status: UNKNOWN ·Phase: PHASE2
-
Dose Dense Rituximab for High Risk Newly Diagnosed Acute Immune Thrombocytopenic Purpura
NCT04323748 ·Status: RECRUITING ·Phase: PHASE1
-
Immunomodulation With Eltrombopag in ITP
NCT04812483 ·Status: COMPLETED ·Phase: PHASE2
-
Romiplostim Plus Dexamethasone vs Dexamethasone in Patients With Newly Diagnosed Primary Immune Thrombocytopenia
NCT05325593 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
An Investigation of Dexamethasone With Different Doses in the Management of Immune Thrombocytopenia (ITP)
NCT02153060 ·Status: COMPLETED ·Phase: PHASE2
-
Phase II Study of Rituximab in Patients With Immune Thrombocytopenic Purpura
NCT00005652 ·Status: COMPLETED ·Phase: PHASE2