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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03395210
Registration number
NCT03395210
Ethics application status
Date submitted
22/12/2017
Date registered
10/01/2018
Titles & IDs
Public title
A Study of Rilzabrutinib in Adult Patients With Immune Thrombocytopenia (ITP)
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Scientific title
An Adaptive, Open-Label, Dose-Finding, Phase 1/2 Study Investigating the Safety, Pharmacokinetics, and Clinical Activity of PRN1008, an Oral BTK Inhibitor, in Patients With Relapsed Immune Thrombocytopenia
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Secondary ID [1]
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PRN1008-010
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Secondary ID [2]
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DFI17124
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Immune Thrombocytopenia
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Immune Thrombocytopenic Purpura
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Condition category
Condition code
Blood
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Haematological diseases
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Blood
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Other blood disorders
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Inflammatory and Immune System
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0
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Autoimmune diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Rilzabrutinib
Experimental: Rilzabrutinib (PRN1008) Daily - Part A approximately 60 patients: Up to 24 weeks open-label treatment with PRN1008 400mg BID; safety and dose evaluation. Patients who respond to PRN1008 per protocol may enter a long-term extension.
Part B approximately 25 patients: Up to 24 weeks open-label treatment with PRN1008 400mg BID; safety and dose evaluation. Patients who respond to PRN1008 per protocol may enter a long-term extension
Treatment: Drugs: Rilzabrutinib
BTK inhibitor
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Part A and B: Incidence of Treatment Emergent Adverse Events (Safety Outcome Measure)
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Assessment method [1]
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Including clinically significant changes in physical examination, laboratory tests, electrocardiogram (ECG), and vital signs.
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Timepoint [1]
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24 weeks of treatment, long term extension and 4 weeks of follow up post last dose]
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Primary outcome [2]
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Part A: Consecutive Increased Platelet Counts (Efficacy Outcome Measure)
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Assessment method [2]
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Proportion of patients able to achieve 2 or more consecutive platelet counts, separated by at least 5 days, of =50,000/µL AND an increase of platelet count of =20,000/µL from baseline, by dose level, without use of rescue medication in the 4 weeks prior to the latest elevated platelet count.
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Timepoint [2]
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24 weeks
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Primary outcome [3]
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Part B: Sustained Increase in Platelet Counts (Efficacy Outcome Measure)
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Assessment method [3]
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Proportion of patients able to achieve platelet counts =50,000/µL on at least 8 out of the last 12 weeks of the 24-week treatment period without the use of rescue medication after 10 weeks of active treatment.
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Timepoint [3]
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24 weeks
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Secondary outcome [1]
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Part A: Percent of weeks with platelet counts = 50,000/µL by dose level and overall
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Assessment method [1]
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Timepoint [1]
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24 weeks
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Secondary outcome [2]
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Part A: Proportion of patients with 4 out of the final 8 platelet counts = 50,000/µL across all dose levels
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Assessment method [2]
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Timepoint [2]
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24 weeks
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Secondary outcome [3]
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Part A: Change from baseline to the average of the post Day 1 platelet counts by dose level and overall for patients who had >4 weeks of study drug on that given dose level
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Assessment method [3]
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Timepoint [3]
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24 weeks
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Secondary outcome [4]
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Part A: Number of weeks with platelet counts =50,000/µL across all dose levels.
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Assessment method [4]
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Timepoint [4]
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24 weeks
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Secondary outcome [5]
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Part A: Number of weeks with platelet counts =30,000/µL across all dose levels
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Assessment method [5]
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Timepoint [5]
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24 weeks
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Secondary outcome [6]
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Part A: Time to first platelet count =50,000/µL across all dose levels
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Assessment method [6]
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Timepoint [6]
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24 weeks
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Secondary outcome [7]
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Part B: Number of weeks with platelet count =50,000/µL OR =30,000/µL and doubling the baseline in the absence of rescue therapy (platelet counts will be censored for 4 weeks after the use of rescue medication, if given)
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Assessment method [7]
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0
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Timepoint [7]
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24 weeks
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Secondary outcome [8]
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Part B: Proportion of all treated patients able to achieve=2 consecutive platelet counts, separated by=5days, of=50,000/µL AND increase of platelet count of=20,000/µL from baseline w/o rescue medication use in 4wks prior to latest elevated platelet count
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Assessment method [8]
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0
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Timepoint [8]
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24 weeks
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Secondary outcome [9]
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Part B: Number of weeks with platelet counts =30,000/µL and doubling from baseline over the 24-week treatment period (platelet counts will be censored for 4 weeks after the use of rescue medication, if given)
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Assessment method [9]
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0
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Timepoint [9]
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24 weeks
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Secondary outcome [10]
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Part B: Proportion of patients receiving rescue medication
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Assessment method [10]
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Timepoint [10]
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24 weeks
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Secondary outcome [11]
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Part B: Change from baseline in ITP Bleeding Assessment Tool (ITP-BAT)
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Assessment method [11]
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0
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Timepoint [11]
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24 weeks
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Secondary outcome [12]
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Part A: Proportion of patients receiving rescue medication at each dosing level and overall
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Assessment method [12]
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Timepoint [12]
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24 weeks
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Secondary outcome [13]
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Part A: Proportion of patients with a Grade 2 or higher bleeding event at each dosing level and overall
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Assessment method [13]
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Timepoint [13]
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24 weeks
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Secondary outcome [14]
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Part A: Bleeding scale (ITP-BAT scale) at the end of treatment period for each dosing level
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Assessment method [14]
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Timepoint [14]
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24 weeks
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Secondary outcome [15]
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Part A and B: Plasma PK parameters of rilzabrutinib
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Assessment method [15]
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Timepoint [15]
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Up to long term extension and 4 weeks of follow up post last dose
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Eligibility
Key inclusion criteria
* Male or female patients, aged 18 to 80 years old
* Immune-related ITP (both primary and secondary)
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Pregnant or lactating women
* Current drug or alcohol abuse
* History of solid organ transplant
* Positive screening for HIV, hepatitis B, or hepatitis C
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
22/03/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
31/12/2025
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Actual
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Sample size
Target
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Accrual to date
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Final
81
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,QLD,VIC,WA
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Recruitment hospital [1]
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Investigational Site Number : 105 - Canberra
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Recruitment hospital [2]
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Investigational Site Number : 104 - Sydney
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Recruitment hospital [3]
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Investigational Site Number : 102 - Woolloongabba
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Recruitment hospital [4]
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Investigational Site Number : 101 - Clayton
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Recruitment hospital [5]
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Investigational Site Number : 106 - Parkville
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Recruitment hospital [6]
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Investigational Site Number : 103 - Perth
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Recruitment postcode(s) [1]
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2605 - Canberra
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Recruitment postcode(s) [2]
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2139 - Sydney
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Recruitment postcode(s) [3]
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4102 - Woolloongabba
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Recruitment postcode(s) [4]
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3168 - Clayton
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Recruitment postcode(s) [5]
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3050 - Parkville
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Recruitment postcode(s) [6]
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6005 - Perth
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Illinois
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Country [2]
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United States of America
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State/province [2]
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Maryland
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Country [3]
0
0
United States of America
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State/province [3]
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Massachusetts
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Country [4]
0
0
United States of America
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State/province [4]
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Michigan
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Country [5]
0
0
United States of America
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State/province [5]
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New York
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Country [6]
0
0
United States of America
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State/province [6]
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North Carolina
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Country [7]
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United States of America
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State/province [7]
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Washington
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Country [8]
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Bulgaria
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State/province [8]
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Pleven
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Country [9]
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Bulgaria
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State/province [9]
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Sofia
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Country [10]
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Bulgaria
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State/province [10]
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Varna
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Country [11]
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Canada
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State/province [11]
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Ontario
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Country [12]
0
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Canada
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State/province [12]
0
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Quebec
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Country [13]
0
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Czechia
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State/province [13]
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Brno
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Country [14]
0
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Czechia
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State/province [14]
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Hradec Kralove
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Country [15]
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Czechia
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State/province [15]
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Ostrava - Poruba
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Country [16]
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Czechia
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State/province [16]
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Praha 2
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Country [17]
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Netherlands
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State/province [17]
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Rotterdam
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Country [18]
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Netherlands
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State/province [18]
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s-Gravenhage
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Country [19]
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Norway
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State/province [19]
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Bergen
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Country [20]
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Norway
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State/province [20]
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Gralum
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Country [21]
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United Kingdom
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State/province [21]
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Leicestershire
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Country [22]
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United Kingdom
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State/province [22]
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London, City Of
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Country [23]
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United Kingdom
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State/province [23]
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Birmingham
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Principia Biopharma, a Sanofi Company
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a 2 part (Part A and B) adaptive, open-label, dose-finding study of PRN1008 in patients with ITP who are refractory or relapsed with no available and approved therapeutic options, with a platelet count \<30,000/µL on two counts no sooner than 7 days apart in the 15 days before treatment begins. The dose-finding portion of the study has been completed. Part B treatment dose is 400 mg twice daily.
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Trial website
https://clinicaltrials.gov/study/NCT03395210
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Trial related presentations / publications
Kuter DJ, Efraim M, Mayer J, Trneny M, McDonald V, Bird R, Regenbogen T, Garg M, Kaplan Z, Tzvetkov N, Choi PY, Jansen AJG, Kostal M, Baker R, Gumulec J, Lee EJ, Cunningham I, Goncalves I, Warner M, Boccia R, Gernsheimer T, Ghanima W, Bandman O, Burns R, Neale A, Thomas D, Arora P, Zheng B, Cooper N. Rilzabrutinib, an Oral BTK Inhibitor, in Immune Thrombocytopenia. N Engl J Med. 2022 Apr 14;386(15):1421-1431. doi: 10.1056/NEJMoa2110297. Del Pozo Martin Y. 2021 ASH annual meeting. Lancet Haematol. 2022 Feb;9(2):e92-e93. doi: 10.1016/S2352-3026(21)00384-7. Epub 2021 Dec 16. No abstract available.
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Public notes
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Contacts
Principal investigator
Name
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Olga Bandman, MD
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Address
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Principia Biopharma
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03395210