With the development of modern medicine, targeted and immunotherapies have been widely adopted in clinical practice. Beyond conventional chemotherapy combination regimens, the integration of radiotherapy into multimodal treatment strategies has also expanded significantly. While robust evidence supports the use of romiplostim for managing chemotherapy-induced thrombocytopenia (CIT), there is currently no clinical research evaluating its efficacy in treating thrombocytopenia associated with radiotherapy-combined treatment regimens in solid tumors. To address this unmet clinical need, this study aims to evaluate the safety and efficacy of romiplostim N01 for injection in the treatment of radiotherapy-combined regimen-induced thrombocytopenia in solid tumor patients. The findings will establish evidence-based management strategies to optimize clinical decision-making in this context.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Romiplostim N01: 3-10 μg/kg(Initial dose 3 μ g/kg), qw, H.
Proportion of patients achieving ≥50×10⁹/L increase in platelet count (PLT) from baseline within 2 weeks
Time frame: 2 weeks
Proportion of patients achieving ≥50×10⁹/L increase in PLT from baseline within 4 weeks
Time frame: 4 weeks
Time to first PLT recovery ≥100×10⁹/L
Time frame: 1 month
Proportion of patients requiring platelet transfusions due to thrombocytopenia
Time frame: 1 month
Frequency of PLT counts <75×10⁹/L during the study period
Time frame: 1 month
Incidence of dose modifications, delays, or discontinuations caused by thrombocytopenia
Time frame: 1 month
Incidence of severe adverse events (SAEs) graded by CTCAE v5.0 criteria
Time frame: 2 months
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