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Recruiting NCT05070845

Safety and Efficacy Study of PF-06835375 in Primary Immune Thrombocytopenia

Phase II Interventional Primary Immune Thrombocytopenia

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: PF-06835375.
Who it may be relevant to
Registry conditions: Primary Immune Thrombocytopenia. Basic parameters: 18 years — 70 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States, Australia, Canada, Czechia, Hungary +2
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

AN INTERVENTIONAL PHASE 2, OPEN-LABEL, MULTI-CENTER STUDY TO EVALUATE SAFETY AND EFFICACY OF PF-06835375 IN ADULT PARTICIPANTS WITH MODERATE TO SEVERE PRIMARY IMMUNE THROMBOCYTOPENIA

Overview

This is a Phase 2, open-label, multicenter, multiple subcutaneous injection, safety and efficacy study of PF-06835375 in adult participants with primary immune thrombocytopenia (ITP). This study will focus on participants with persistent (\>3 months and ≤12 months), or chronic (\>12 months) ITP

Detailed description

This study is designed to elucidate the effects of PF-06835375 on platelet counts in participants with moderate to severe primary ITP. Based on the experience with other B-cells depleting agents, it is expected that the platelet counts will increase following a standard treatment. Each participant in cohort 1 received 1 subcutaneous injection of dose 1 every month for 3 months during the 12-week treatment period. Each participant in cohorts 2, 3, or 4 (will) receive(d) subcutaneous injection(s) of dose 2, 3, or 4 every month for 4 months during the 16-week treatment period. This should provide sufficient levels of exposure and depletion of CXCR5 positive cells to sustain the effects of PF-06835375 during the treatment period. Additional depletion of Tfh cells may provide sustained increase in platelet count following the last treatment.

Interventions

  • Biological PF-06835375
    CXCR5 inhibitor

Primary outcome measures

  • Proportion of participants with change from baseline of platelet counts [Time frame: baseline through 12 and 16 weeks]
Secondary outcome measures (6)
  • proportion of participants with modified overall response (mOR) [Time frame: baseline through 12 and 16 weeks]
  • proportion of participants with complete response (CR) [Time frame: baseline through 12 and 16 weeks]
  • Number of Participants With Treatment Emergent Treatment-Related Adverse Events (AEs) [Time frame: baseline through end of study (Week 20 for cohort 1 and Week 24 for cohorts 2 and 3)]
  • Proportion of participants with change from baseline of platelet counts [Time frame: baseline to Week 20 and Week 24]
  • Proportion of participants with change from baseline of circulating B cells [Time frame: baseline to Week 20 and Week 24]
  • Proportion of participants with change from baseline of circulating cTfh cells [Time frame: baseline to Week 20 and Week 24]

Eligibility criteria

Inclusion criteria

  • Diagnosis of Primary ITP. Ongoing ITP (platelet counts <50 x 109/L) \[No severe bleeding within 1 month or during screening\] AND Persistent ITP (3 to 12 months) or Chronic ITP >12 months

Exclusion criteria

  • Bleeding event according to the WHO grading scale ≥2 occurring ≤4 weeks prior to screen OR a current bleeding event that, in the opinion of the investigator, requires treatment with standard of care therapy OR require blood or blood products during screening
  • Splenectomy within 3 months of randomization or planned during the study duration.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
N/A
Model
Single group
Masking
Open label
Primary purpose
Treatment

Study locations

Australia · 8 centers
  • Liverpool Hospital — Liverpool
  • South West Radiology — Liverpool
  • Slade Pharmacy — Mount Kuring-Gai
  • Calvary Mater Newcastle — Waratah
  • Flinders Medical Centre — Bedford Park
  • ICON Cancer Centre - Kurralta Park — Kurralta Park
  • The Alfred Hospital — Melbourne
  • Royal Perth Hospital — Perth
Hungary · 6 centers
  • Pécsi Tudományegyetem Klinikai Központ — Pécs
  • Somogy Megyei Kaposi Mór Oktató Kórház — Kaposvár
  • Semmelweis University — Budapest
  • Petz Aladár Egyetemi Oktató Kórház — Győr
  • Tolna Varmegyei Balassa Janos Korhaz — Szekszárd
  • Komárom-Esztergom Vármegyei Szent Borbála Kórház — Tatabánya
Poland · 6 centers
  • AIDPORT Sp. z o.o. — Skórzewo
  • InterHem — Bialystok
  • Klinika Hematologii i Transplantologii Uniwersyteckie Centrum Kliniczne — Gdansk
  • Pratia Onkologia Katowice — Katowice
  • Uniwersytecki Szpital Kliniczny w Poznaniu — Poznan
  • Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wroclawiu — Wroclaw
Czechia · 4 centers
  • Fakultni nemocnice Hradec Kralove — Hradec Králové
  • Fakultni nemocnice Ostrava — Ostrava - Poruba
  • Fakultni nemocnice Kralovske Vinohrady — Prague
  • Vseobecna fakultni nemocnice v Praze — Prague
United Kingdom · 4 centers
  • Addenbrooke's Hospital — Cambridge
  • Derriford Hospital — Plymouth
  • The Royal Cornwall Hospital — Truro
  • Hammersmith Hospital — London
Canada · 2 centers
  • Unity Health Toronto, St. Michael's Hospital — Toronto
  • McGill University Health Centre — Montreal
United States · 1 center
  • East Carolina University — Greenville

Identifiers

NCT: NCT05070845 · C1131003 · 2023-509338-21-00

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗