This study aims to evaluate the efficacy and safety of Romiplostim N01 for Injection administered as secondary prophylaxis in breast cancer patients with chemotherapy-induced thrombocytopenia (CIT).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
53
Romiplostim N01 for Injection: 3.0 µg/kg, QW. If the administration coincides with a chemotherapy day, the Romiplostim N01 for injection should be completed within 2 hours prior to chemotherapy. If no chemotherapy is scheduled on the planned dosing day, the injection timing is unrestricted. Thereafter, platelet counts should be monitored once or twice weekly. Subsequent dose adjustments follow the principle of guideline-based titration: when platelet count is \<50×10⁹/L, the dose is increased by 1-2 µg/kg per week; when platelet count is between 50×10⁹/L and 75×10⁹/L, the dose is increased by 1 µg/kg per week. Treatment should be discontinued if Romiplostim N01 for injection at 10 µg/kg administered weekly for 4 consecutive weeks fails to achieve a response. Non-response is defined as a platelet count ≤75×10⁹/L after 4 weeks of continuous administration, accompanied by an increase from baseline of ≤30×10⁹/L over the same period.
Fudan University Shanghai Cancer Center
Shanghai, China
Proportion of patients achieving response
Defined as platelet recovery over two consecutive cycles, with no dose modification (≥15% reduction, ≥4-day delay, or discontinuation) due to thrombocytopenia, and no rescue treatment.
Time frame: up to the completion of two consecutive treatment cycles, an average of 6 weeks
Proportion of patients with platelet count <50×10⁹/L per cycle
Proportion of patients with platelet count \<50×10⁹/L per cycle
Time frame: until the end of each treatment cycle, an average of 3 weeks
Minimum and maximum platelet counts
To evaluate the minimum and maximum platelet counts throughout the entire treatment period.
Time frame: through study completion, an average of 1year
Number of symptomatic bleeding episodes during the treatment period
Number of symptomatic bleeding episodes during the treatment period
Time frame: through study completion, an average of 1year
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0
Time frame: through study completion, an average of 1year
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