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An Open Label Study of Romiplostim in Adult Thrombocytopenic Subjects With ITP

Primary Purpose

Idiopathic Thrombocytopenic Purpura, Thrombocytopenia, Thrombocytopenic Purpura

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Romiplostim
Sponsored by
Amgen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Idiopathic Thrombocytopenic Purpura focused on measuring Platelet, AMG 531, Thrombopoietin, blood disorder, bleeding disorder, immune thrombocytopenic purpura, idiopathic thrombocytopenic purpura, immune (idiopathic) thrombocytopenic purpura, TPO, thrombopoietic protein

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject is ≥ 18 years of age
  • Subject has a diagnosis of immune (idiopathic) thrombocytopenic purpura per the American Society of Hematology guidelines
  • If Subject is > 60 years of age, subject has a written bone marrow aspiration and/or biopsy report consistent with a diagnosis of ITP
  • Subject has received at least 1 prior therapy for ITP
  • Subject's platelet count is ≤ 30,000 or the subject is experiencing bleeding that is uncontrolled with conventional therapies
  • Subject (or legally-acceptable representative) is willing and able to provide written informed consent

Exclusion Criteria:

  • Subject has a history of hematological malignancy, myeloproliferative disorder, myelodysplastic syndrome (MDS), or bone marrow stem cell disorder
  • Subject has participated in any study evaluating PEG-rHuMGDF, recombinant human thrombopoietin (rHuTPO), or related platelet product
  • Subject has a known hypersensitivity to any recombinant E coli-derived product
  • Subject has received any therapeutic drug or device that is not approved by the local regulatory health agency for any indication within 4 weeks of Screening
  • Subject is of reproductive potential and is not using adequate contraceptive precautions, in the judgment of the investigator
  • Subject is pregnant or breast feeding
  • Investigator has concerns regarding the subject's ability to comply with the protocol procedures

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    1

    Arm Description

    Romiplostim

    Outcomes

    Primary Outcome Measures

    Adverse Events
    One or more occurences of one or more adverse events within the participant during the study. Participants with more than one event were only counted once

    Secondary Outcome Measures

    Platelet Response (Definition 1)
    Platelet response using definition1 . (a doubling of baseline platelet count and a platelet count of >=50 x 10^9/L
    Platelet Response (Definition 2)
    Platelet response using definition 2 (a platelet count increase of >=20 x 109/L from baseline)

    Full Information

    First Posted
    July 26, 2007
    Last Updated
    November 10, 2022
    Sponsor
    Amgen
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00508820
    Brief Title
    An Open Label Study of Romiplostim in Adult Thrombocytopenic Subjects With ITP
    Official Title
    An Open Label Study of Romiplostim in Adult Thrombocytopenic Subjects With Immune (Idiopathic) Thrombocytopenic Purpura (ITP)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2022
    Overall Recruitment Status
    Completed
    Study Start Date
    February 1, 2005 (Actual)
    Primary Completion Date
    January 1, 2011 (Actual)
    Study Completion Date
    March 1, 2011 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Amgen

    4. Oversight

    5. Study Description

    Brief Summary
    This protocol will provide open label romiplostim to adult thrombocytopenic subjects. Romiplostim will be administered by subcutaneous injection once per week. Dose adjustment will be based on platelet counts, and will be allowed throughout the duration of the study. Rescue therapies are allowed at any time during the study. Reductions in concurrent ITP therapies may occur at any time when platelet counts are > 50,000.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Idiopathic Thrombocytopenic Purpura, Thrombocytopenia, Thrombocytopenic Purpura
    Keywords
    Platelet, AMG 531, Thrombopoietin, blood disorder, bleeding disorder, immune thrombocytopenic purpura, idiopathic thrombocytopenic purpura, immune (idiopathic) thrombocytopenic purpura, TPO, thrombopoietic protein

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    407 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    1
    Arm Type
    Experimental
    Arm Description
    Romiplostim
    Intervention Type
    Biological
    Intervention Name(s)
    Romiplostim
    Intervention Description
    Romiplostim will be administered subcutaneously QW. Romiplostim will be manufactured and packaged and distributed using Amgen's clinical study investigational product distribution procedures. Romiplostim is presented as a lyophilized, white powder in 5.0 mL glass vials.
    Primary Outcome Measure Information:
    Title
    Adverse Events
    Description
    One or more occurences of one or more adverse events within the participant during the study. Participants with more than one event were only counted once
    Time Frame
    Duration of Treatment plus 30 days or End of Study (whichever is later). Approximately 205 weeks.
    Secondary Outcome Measure Information:
    Title
    Platelet Response (Definition 1)
    Description
    Platelet response using definition1 . (a doubling of baseline platelet count and a platelet count of >=50 x 10^9/L
    Time Frame
    Duration of treatment (up to 201 weeks)
    Title
    Platelet Response (Definition 2)
    Description
    Platelet response using definition 2 (a platelet count increase of >=20 x 109/L from baseline)
    Time Frame
    Duration of treatment (up to 201 weeks)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Subject is ≥ 18 years of age Subject has a diagnosis of immune (idiopathic) thrombocytopenic purpura per the American Society of Hematology guidelines If Subject is > 60 years of age, subject has a written bone marrow aspiration and/or biopsy report consistent with a diagnosis of ITP Subject has received at least 1 prior therapy for ITP Subject's platelet count is ≤ 30,000 or the subject is experiencing bleeding that is uncontrolled with conventional therapies Subject (or legally-acceptable representative) is willing and able to provide written informed consent Exclusion Criteria: Subject has a history of hematological malignancy, myeloproliferative disorder, myelodysplastic syndrome (MDS), or bone marrow stem cell disorder Subject has participated in any study evaluating PEG-rHuMGDF, recombinant human thrombopoietin (rHuTPO), or related platelet product Subject has a known hypersensitivity to any recombinant E coli-derived product Subject has received any therapeutic drug or device that is not approved by the local regulatory health agency for any indication within 4 weeks of Screening Subject is of reproductive potential and is not using adequate contraceptive precautions, in the judgment of the investigator Subject is pregnant or breast feeding Investigator has concerns regarding the subject's ability to comply with the protocol procedures
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    MD
    Organizational Affiliation
    Amgen
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    26066765
    Citation
    Janssens A, Tarantino M, Bird RJ, Mazzucconi MG, Boccia RV, Fernandez MF, Kozak T, Steurer M, Boekhorst Pt, Dillingham K, Kreuzbauer G, Woodard P. Romiplostim Treatment in Adults with Immune Thrombocytopenia of Varying Duration and Severity. Acta Haematol. 2015;134(4):215-28. doi: 10.1159/000381657.
    Results Reference
    background
    Links:
    URL
    http://www.amgentrials.com
    Description
    AmgenTrials clinical trials website

    Learn more about this trial

    An Open Label Study of Romiplostim in Adult Thrombocytopenic Subjects With ITP

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