This is a multinational, open label, single arm study that will evaluate the impact of early multi-immune modulation with rilzabrutinib in adult ITP patients who failed first-line treatment. The study includes a screening period (up to 8 weeks), a primary analysis period (up to 28 weeks), a long-term extension period for selected participants (28 weeks) and a 24-week follow-up period only for eligible participants.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Pharmaceutical form:Tablet-Route of administration:Oral
Durable platelet response
Defined as the percentage of participants able to achieve platelet counts ≥50 000/μL (or ≥30 000/μL and \<50 000/μL and at least double from baseline) for ≥50% of 6 biweekly scheduled platelet measurements and at least 4 non-missing, biweekly visits during the last 12 weeks of the primary analysis period (PAP) in absence of rescue therapy
Time frame: Until Week 28
Overall platelet response
Percentage of participants able to achieve 2 platelet counts at least 5 days apart of ≥50 000/μL (or ≥30 000/μL and \<50 000/μL and at least double from baseline) without rescue therapy in the 4 weeks prior to the first elevated platelet count
Time frame: Until Week 28
Duration of platelet response
Cumulative number and proportion of non-missing weeks with platelet counts ≥50 000/μL (or ≥30 000/μL and \<50 000/μL and at least double from baseline) in absence of rescue therapy in the 4 weeks prior to the elevated platelet count in participants who achieve a response (single platelet count)
Time frame: Until Week 28
Change from baseline in the immune thrombocytopenia bleeding scale (IBLS) score at the end of week 28
Time frame: Until Week 28
Percentage of participants able to discontinue or reduce CS dose by at least 50% or to <5 mg/day (prednisone equivalent) from baseline at the end of week 28
Time frame: Until Week 28
Frequency and severity of treatment emergent adverse events (TEAEs, including serious adverse events [SAEs], bleeding TEAEs, adverse event of special interest [AESI] and adverse events leading to discontinuation)
Time frame: Until Week 80
Trial Transparency email recommended (Toll free for US & Canada)
CONTACT
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Community Health Partners (CHP) - Community Medical Oncology Specialists (University Oncology Associates)
Clovis, California, United States
RECRUITINGUniversity of Southern California (USC)
Los Angeles, California, United States
RECRUITINGTulane University Health Sciences Center - Tulane Avenue-Investigational Site Number: 8400011
New Orleans, Louisiana, United States
RECRUITINGMassachusetts General Hospital Cancer Center
Boston, Massachusetts, United States
RECRUITINGBeth Israel Deaconess Medical Center
Boston, Massachusetts, United States
RECRUITINGMass General Brigham Cancer Institute
Danvers, Massachusetts, United States
RECRUITINGUniversity of Michigan Health - Michigan Medicine - University Hospital-Investigational Site Number: 8400001
Ann Arbor, Michigan, United States
RECRUITINGMayo Clinic_Investigational Site Number: 8400009
Rochester, Minnesota, United States
RECRUITINGNew York Oncology Hematology-Investigational Site Number: 8400010
Albany, New York, United States
RECRUITINGMontefiore Medical Center-Investigational Site Number: 8400012
The Bronx, New York, United States
RECRUITING...and 26 more locations
Percentage of participants with potential clinical significant abnormal (PCSA)
PCSA in physical examination, ECG, vital signs, and clinical laboratory test results: serum chemistry and hematology (except for platelet counts included in the primary efficacy endpoint)
Time frame: Until Week 80