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Two Regimens of IVIG in the Treatment of Newly Diagnosed ITP in Children

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT05520892
Recruitment Status : Recruiting
First Posted : August 30, 2022
Last Update Posted : March 1, 2023
Sponsor:
Collaborators:
The First Affiliated Hospital of Xiamen University
Zhangzhou Affiliated Hospital of Fujian Medical University
Quanzhou First Hospital Affiliated to Fujian Medical University
Nanping First Hospital Affiliated to Fujian Medical University
The Second Hospital of Anhui Medical University
The Affiliated Hospital Of Guizhou Medical University
Longyan City First Hospital
The Affiliated Hospital of Putian University
Information provided by (Responsible Party):
Fujian Medical University Union Hospital

Brief Summary:
To compare the efficacy of two different dosage regimens of intravenous immune globulin (IVIG) in the treatment of children with newly diagnosed immune thrombocytopenia, and to reduce related adverse reactions and economic burdens on the premise of ensuring the remission rate

Condition or disease Intervention/treatment Phase
Newly Diagnosed Immune Thrombocytopenia in Children, First Line Treatment Drug: intravenous immunoglobulin Phase 4

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 580 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Multicenter, Randomized Controlled Study of Two Regimens of Intravenous Immune Globulin in the Treatment of Newly Diagnosed Immune Thrombocytopenia in Children
Actual Study Start Date : October 6, 2022
Estimated Primary Completion Date : August 31, 2025
Estimated Study Completion Date : August 31, 2026


Arm Intervention/treatment
Experimental: low-dose intravenous immunoglobulin
0.4g/kg.d, d1-5
Drug: intravenous immunoglobulin
To compare the efficacy of two different dosage regimens of intravenous immune globulin (IVIG) in the treatment of children with newly diagnosed immune thrombocytopenia

Active Comparator: high-dose intravenous immunoglobulin
1.0g/kg.d, d1-2
Drug: intravenous immunoglobulin
To compare the efficacy of two different dosage regimens of intravenous immune globulin (IVIG) in the treatment of children with newly diagnosed immune thrombocytopenia




Primary Outcome Measures :
  1. early response to treatment [ Time Frame: 7 days after treatment ]
    Platelet counts after 7 days of IVIG treatment


Secondary Outcome Measures :
  1. Economic Indicators [ Time Frame: 1 week ]
    Calculate the total amount of IVIG used in 1 week (weight normalized)

  2. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] [ Time Frame: 1 week ]
    Incidence of Treatment-Emergent Adverse Events in 1 week



Information from the National Library of Medicine

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Ages Eligible for Study:   29 Days to 14 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:Subjects enrolled in this study must meet all of the following criteria:

  1. Meet the diagnostic criteria of ITP and be diagnosed for the first time without treatment
  2. Age > 28 days and ≤ 14 years old
  3. PLT<20×109/L
  4. Have signed the informed consent

Exclusion Criteria:Anyone who has any of the following conditions will not enter the clinical study:

  1. Intracranial hemorrhage or severe gastrointestinal or urinary tract hemorrhage requiring emergency treatment, such as simultaneous use of platelet transfusion and glucocorticoid therapy
  2. Received glucocorticoid or IVIG therapy within 6 months
  3. Weight > 40kg
  4. Menstrual female patients
  5. Patients with underlying diseases such as tumor diseases, autoimmune diseases or genetic diseases
  6. Patients who have received radiotherapy and chemotherapy
  7. There are any significant abnormal coexisting diseases or mental illnesses that affect the patient's life safety and compliance, and affect informed consent, research participation, follow-up or interpretation of results -

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05520892


Contacts
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Contact: Shaohua Le, Master's degree 8613365917129 lele883@sina.com

Locations
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China, Fujian
Children with newly dignosed ITP Recruiting
Fuzhou, Fujian, China, 350001
Contact: Shaohua Le, Master    8613365917129    lele883@sina.com   
Sponsors and Collaborators
Fujian Medical University Union Hospital
The First Affiliated Hospital of Xiamen University
Zhangzhou Affiliated Hospital of Fujian Medical University
Quanzhou First Hospital Affiliated to Fujian Medical University
Nanping First Hospital Affiliated to Fujian Medical University
The Second Hospital of Anhui Medical University
The Affiliated Hospital Of Guizhou Medical University
Longyan City First Hospital
The Affiliated Hospital of Putian University
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Responsible Party: Fujian Medical University Union Hospital
ClinicalTrials.gov Identifier: NCT05520892    
Other Study ID Numbers: 2022YF024-01
First Posted: August 30, 2022    Key Record Dates
Last Update Posted: March 1, 2023
Last Verified: August 2022
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Product Manufactured in and Exported from the U.S.: No
Additional relevant MeSH terms:
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Thrombocytopenia
Immune System Diseases
Purpura, Thrombocytopenic, Idiopathic
Blood Platelet Disorders
Hematologic Diseases
Purpura, Thrombocytopenic
Purpura
Blood Coagulation Disorders
Thrombotic Microangiopathies
Hemorrhagic Disorders
Autoimmune Diseases
Hemorrhage
Pathologic Processes
Skin Manifestations
Immunoglobulins
Immunoglobulins, Intravenous
Antibodies
gamma-Globulins
Rho(D) Immune Globulin
Immunologic Factors
Physiological Effects of Drugs