About this trial
To evaluate the efficacy and safety of Herombopag to treat chemotherapy-induced thrombocytopenia in Solid Tumors
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged ≥18 years old, male or female;
Conform to the diagnostic criteria of chemotherapy-induced thrombocytopenia (CIT); Ineffective after repeated treatment with rhTPO or IL-11;
Stop radiotherapy or chemotherapy for more than 1 month;
Platelet counts <30 ×10^9/L, and bleeding tendency;
Disqualifiers
Those with uncontrollable primary diseases of important organs, such as extensive metastasis of malignant tumors, liver failure, heart failure, kidney failure and other diseases;
Patients with poor compliance;
Positive serology for HIV, hepatitis B virus (HBV), hepatitis C virus (HCV), and/or hepatitis D virus (HDV), Syphilis; Positive for Epstein-Barr Virus DNA, Cytomegalovirus DNA;
Accompanied by extensive and severe bleeding, such as hemoptysis, upper gastrointestinal bleeding, intracranial hemorrhage, etc.
Trial design
Single group
Treatments tested in this trial
Herombopag
DrugThe subjects will initiate treatment with 7.5 mg/d Herombopag. Platelet counts is obtained weekly and dose adjustment should be done according to platelet counts, and maximum dose should not exceed 7.5 mg daily. Subjects whose platelet count ≤100×109/L,the Herombopag dose will maintain. If platelet count \>100×109/L for 2 weeks, the subjects need to reduce the dose of Herombopag to the next lower dose or lower frequency. If subjects whose platelet count exceeds 100×109/L for 4 weeks,already have reduced the dose of Herombopag to 2.5mg once every other day or lower frequency during the treatment period, Herombopag can be stopped for observation, until platelet counts fall below 100×109/L. If the subjects do not need further chemotherapy or radiotherapy, the subjects can taper off Herombopag if the platelet is greater than 50×109/L.
Treatment groups
Trial outcomes
Primary outcomes
Changes of the platelet counts after the treatment of Herombopag at week 12
The investigator will assess the changes of the platelet counts after the treatment of Herombopag from week 1 to week 24,and calculate the proportion of subjects ≥ 30 × 10\^9/L , 50 × 10\^9/L and 100 × 10\^9/L at week 12.
Changes of the platelet counts after the treatment of Herombopag at week 24
The investigator will assess the changes of the platelet counts after the treatment of Herombopag from week 1 to week 24,and calculate the proportion of subjects ≥ 30 × 10\^9/L , 50 × 10\^9/L and 100 × 10\^9/L at week 24.
Secondary outcomes
Incidence of adverse events after the treatment of Herombopag
The investigator will observe incidence of adverse events after the treatment of Herombopag, including thrombosis, diarrhea, skin rash, abnormal liver function and so on.
Changes of concentration of TPO in peripheral blood
The investigator will observe the concentration of TPO in peripheral blood before and after the treatment of Herombopag, if necessary.
Changes of concentration of TPO antibodies,anti-c-Mpl antibodies and TPO neutralizing antibodies in peripheral blood
The investigator will observe the concentration of antibodies in peripheral blood before and after the treatment of Herombopag, if necessary
Sponsors and contacts
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Institute of Hematology & Blood Diseases Hospital, China
Lead sponsor
Tianjin Medical University Cancer Institute and Hospital
Collaborator
Tianjin Medical University Second Hospital
Collaborator
Tianjin Third Central Hospital
Collaborator
Tianjin People's Hospital
Collaborator
Henan Cancer Hospital
Collaborator
The Second Affiliated Hospital of Kunming Medical University
Collaborator