Exploring and evaluating the efficacy of herombopag in preventing thrombocytopenia due to radiotherapy for cervical cancer
Thrombocytopenia is a relatively common adverse effect for cancer treatment. At present, for the secondary prevention of thrombocytopenia associated with tumor therapy, TPO-RA drugs have been included in the Level III recommendation of the "Thrombocytopenia Diagnosis and Treatment Guidelines for Cancer Treatment (2022 Edition)". Herombopag, a new generation of thrombopoietin receptor agonist, is a Class 1 innovative drug independently developed in China, which has been approved in June 2021 for the indication of chronic primary immune thrombocytopenia with poor response to previous treatments of glucocorticoids and immunoglobulins, as well as severe aplastic anemia with poor efficacy of immunosuppressive treatments. As an oral medication, this drug is more convenient and safer than traditional injectable preparations. However, this drug has not been formally approved for the treatment of therapy-related thrombocytopenia. This study is planned to enroll cervical cancer patients with thrombocytopenia due to radiotherapy combined with a three-week regimen of chemotherapy, and to evaluate the efficacy of herombopag in preventing thrombocytopenia in this group of patients.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
30
receive harombopag for the prevention of thrombocytopenia in the next cycle of chemotherapy
Peking University Cancer Hospital
Beijing, Beijing Municipality, China
Proportion of participants with PLT <75×109/L after the use of herombopag
number of participants with PLT \<75×109/L/ all participants
Time frame: Blood routine tests were conducted every three days within 14 days after the first day of chemotherapy
minimum value of platelet after chemotherapy
minimum value of platelet of every participants after chemotherapy for every participants
Time frame: Blood routine tests were conducted every three days within 14 days after the first day of chemotherapy
Change from baseline in PLT count minimum value
absolute value change from the maximum or minimum of platelet to baseline for every participants
Time frame: Blood routine tests were conducted every three days within 14 days after the first day of chemotherapy
Median duration of PLT <75×109/L
the days during the PLT \<75×109/L of every participants
Time frame: Blood routine tests were conducted every three days within 14 days after the first day of chemotherapy
Median time to recovery of PLT to ≥100×109/L
the days during the PLT \>100×109/L of every participants
Time frame: Blood routine tests were conducted every three days within 14 days after the first day of chemotherapy
Platelet count one day before the next chemotherapy
Platelet count one day before the next chemotherapy of every participants
Time frame: Blood routine tests were conducted every three days within 14 days after the first day of chemotherapy
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Incidence of reduced intensity of next cycle chemotherapy due to decreased PLT
number of reduced intensity/number of no reduced intensity for next cycle chemotherapy due to decreased PLT
Time frame: Blood routine tests were conducted every three days within 14 days after the first day of chemotherapy