About this trial
This is a Phase 2, open-label, randomized, multicenter study to assess the efficacy and safety of DZD8586 in patients with primary immune thrombocytopenia (ITP). The target population of this study is patients with primary ITP who had failed to respond or relapsed after receiving at least one standard therapy. Participants who meet the inclusion criteria and do not meet the exclusion criteria will be randomized to different dose groups.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male and female participants ≥ 18 years of age.
Diagnosed with persistent or chronic primary ITP, and an average of two platelet counts < 30 × 10⁹/L.
Have failed at least one standard treatment for ITP (glucocorticoids and/or IVIG).
Adequate bone marrow reserve and organ functions.
Disqualifiers
Have evidence of secondary causes of immune thrombocytopenia.
Have a history of coagulation disorders other than ITP, such as disseminated intravascular coagulation, hemolytic uremic syndrome, or thrombotic thrombocytopenic purpura.
Any of previous or current treatment prohibited by protocol.
Any of severe cardiac abnormalities.
Trial design
Parallel
Treatments tested in this trial
DZD8586 dose level 1
DrugDZD8586 will be administered orally in a 28-day cycle.
DZD8586 dose level 2
DrugDZD8586 will be administered orally in a 28-day cycle.
DZD8586 dose level 3
DrugDZD8586 will be administered orally in a 28-day cycle.
Treatment groups
Trial outcomes
Primary outcomes
Overall response rate (4 weeks)
The proportion of patients with platelet counts ≥ 50 × 10⁹/L on 2 consecutive visits (with an interval of at least 7 days) within 4 weeks.
Secondary outcomes
Incidence and severity of Adverse Events (AEs)
Safety profiles, for example, adverse events (AEs), serious adverse events (SAEs), ≥ Grade 3 AEs, etc., per Common Terminology Criteria in Adverse Events (CTCAE).
Overall response rate (12 weeks)
The proportion of patients with platelet counts ≥ 50 × 10⁹/L on 2 consecutive visits (with an interval of at least 7 days) within 12 weeks.
Durable response rate
The proportion of patients with platelet counts ≥ 50 × 10⁹/L on at least four of six visits between weeks 14 and 24.
Time to response
Time to first platelet counts ≥ 50 × 10⁹/L.
Sponsors and contacts
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