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Efficacy and Safety of QL0911 in Adult Patients With Chronic Primary Immune Thrombocytopenia

Primary Purpose

Primary Immune Thrombocytopenia

Status
Completed
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
QL0911
Placebo comparator
Sponsored by
Qilu Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Primary Immune Thrombocytopenia

Eligibility Criteria

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

Inclusion Criteria: Aged ≥18 years old; Diagnosed primary ITP for at least 12 months; Had received at least one first-line ITP treatment with no response or recurrence after treatment; Had a platelet count <30×10^9/L within 48 hours before the first dose; Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2; Fully understand and comply with the requirements of this study, and voluntarily sign the informed consent form. Exclusion Criteria: Had a history of bone marrow stem cell abnormalities or myelodysplastic syndrome other than ITP-specific changes. Had arterial thrombosis, or venous thromboembolism; severe cardiovascular diseases; malignant tumors; secondary thrombocytopenia caused by autoimmune diseases. Underwent splenectomy within 12 weeks before the first dose; Had received ITP treatments (including rescue treatment) within 2 weeks before the first dose; Had received romiplostim (Nplate®) or eltrombopag (Revolade®), rhTPO or other agents that stimulate TPO receptors (also known as c-Mpl), and hematopoietic growth factors (HGFs) within 4 weeks before the first dose; Had received antineoplastic agents within 8 weeks before the first administration, but when treating ITP with hypomethylating agents (HMA) such as decitabine, a 4-week washout period was acceptable, as judged by the investigator; Had received antibody-based therapies within 14 weeks before the first dose; 8) had serum creatinine or total bilirubin >1.5 upper limit of normal (ULN), alanine transaminase (ALT) or aspartate transaminase (AST) >3 ULN, hemoglobin < 100g/L, absolute neutrophil count <1.5x10^9/L; Had prothrombin time (PT) or prothrombin time-international normalized ratio (PT-INR) or activated partial thromboplastin time (APTT) exceeded 20% of the reference range of normal values.

Sites / Locations

  • Qilu Hospital of Shandong University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

QL0911

Placebo

Arm Description

Outcomes

Primary Outcome Measures

proportion of patients achieving durable platelet response at week 24 during the double-blind treatment period

Secondary Outcome Measures

proportion of patients with weekly platelet responses within 24 weeks of treatment;
Proportion of patients who achieved platelet count ≥ 30 × 10^9/L at least a two-fold increase from baseline platelet count without bleeding during the 24-week double-blind period;

Full Information

First Posted
November 10, 2022
Last Updated
November 20, 2022
Sponsor
Qilu Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05621330
Brief Title
Efficacy and Safety of QL0911 in Adult Patients With Chronic Primary Immune Thrombocytopenia
Official Title
Efficacy and Safety of QL0911 in Adult Patients With Chronic Primary Immune Thrombocytopenia: A Multicenter, Randomized, Double-blind, Placebo-controlled, Phase III Trial
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Completed
Study Start Date
October 18, 2019 (Actual)
Primary Completion Date
December 13, 2021 (Actual)
Study Completion Date
December 16, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Qilu Pharmaceutical Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
QL0911, a recombinant human thrombopoietin mimetic peptide-Fc fusion protein for injection, is a romiplostim (Nplate®) biosimilar for the treatment of primary immune thrombocytopenia (ITP). This phase III study aimed to assess the efficacy and safety of QL0911 in adult patients with primary chronic ITP.
Detailed Description
This study consisted of a randomized, double-blind, placebo-controlled, 26-week treatment period, sequentially followed by an open-label, single-arm, 12-week treatment period, and an additional 4-week safety follow-up period.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Primary Immune Thrombocytopenia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
216 (Actual)

8. Arms, Groups, and Interventions

Arm Title
QL0911
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
QL0911
Intervention Description
The study in a 2:1 randomization ratio(144 subjects to QL0911). Qilu investigational product (QL0911 or placebo) will be administered in the clinic by a qualified healthcare provider as a subcutaneous injection.
Intervention Type
Drug
Intervention Name(s)
Placebo comparator
Intervention Description
The study in a 2:1 randomization ratio(72 subjects to Placebo ). Qilu investigational product (QL0911 or placebo) will be administered in the clinic by a qualified healthcare provider as a subcutaneous injection.
Primary Outcome Measure Information:
Title
proportion of patients achieving durable platelet response at week 24 during the double-blind treatment period
Time Frame
24weeks
Secondary Outcome Measure Information:
Title
proportion of patients with weekly platelet responses within 24 weeks of treatment;
Time Frame
24weeks
Title
Proportion of patients who achieved platelet count ≥ 30 × 10^9/L at least a two-fold increase from baseline platelet count without bleeding during the 24-week double-blind period;
Time Frame
24weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Aged ≥18 years old; Diagnosed primary ITP for at least 12 months; Had received at least one first-line ITP treatment with no response or recurrence after treatment; Had a platelet count <30×10^9/L within 48 hours before the first dose; Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2; Fully understand and comply with the requirements of this study, and voluntarily sign the informed consent form. Exclusion Criteria: Had a history of bone marrow stem cell abnormalities or myelodysplastic syndrome other than ITP-specific changes. Had arterial thrombosis, or venous thromboembolism; severe cardiovascular diseases; malignant tumors; secondary thrombocytopenia caused by autoimmune diseases. Underwent splenectomy within 12 weeks before the first dose; Had received ITP treatments (including rescue treatment) within 2 weeks before the first dose; Had received romiplostim (Nplate®) or eltrombopag (Revolade®), rhTPO or other agents that stimulate TPO receptors (also known as c-Mpl), and hematopoietic growth factors (HGFs) within 4 weeks before the first dose; Had received antineoplastic agents within 8 weeks before the first administration, but when treating ITP with hypomethylating agents (HMA) such as decitabine, a 4-week washout period was acceptable, as judged by the investigator; Had received antibody-based therapies within 14 weeks before the first dose; 8) had serum creatinine or total bilirubin >1.5 upper limit of normal (ULN), alanine transaminase (ALT) or aspartate transaminase (AST) >3 ULN, hemoglobin < 100g/L, absolute neutrophil count <1.5x10^9/L; Had prothrombin time (PT) or prothrombin time-international normalized ratio (PT-INR) or activated partial thromboplastin time (APTT) exceeded 20% of the reference range of normal values.
Facility Information:
Facility Name
Qilu Hospital of Shandong University
City
Shandong
Country
China

12. IPD Sharing Statement

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Efficacy and Safety of QL0911 in Adult Patients With Chronic Primary Immune Thrombocytopenia

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