About this trial
This randomized controlled trial aims to evaluate the effect of a selective Mediterranean diet regimen, used as an adjunct to standard therapy, on platelet count and bleeding-related outcomes in adult patients with primary immune thrombocytopenia (ITP).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18-60 years
Diagnosis of primary immune thrombocytopenia according to American Society of Hematology (ASH) criteria
Platelet count < 100 × 10⁹/L at enrollment
Willingness to comply with the dietary protocol and follow-up schedule
Disqualifiers
Secondary thrombocytopenia
Pregnancy or lactation
Uncontrolled diabetes mellitus, chronic kidney disease, or hepatic failure
Strict dietary regimens for other medical conditions
Trial design
Parallel
Treatments tested in this trial
Selective Mediterranean Diet
BehavioralA selective Mediterranean diet regimen based on Mediterranean diet principles with stepwise elimination and reintroduction of certain foods, as an adjunct to standard pharmacological treatment for immune thrombocytopenia (ITP).
Standard Pharmacological Therapy for ITP
DrugStandard pharmacological treatment for primary immune thrombocytopenia as prescribed by the treating physician, including corticosteroids (e.g., dexamethasone, prednisone) or intravenous immunoglobulin (IVIg), according to standard clinical guidelines.
Treatment groups
Trial outcomes
Primary outcomes
Change in platelet count
Change in platelet count (×10⁹/L) from baseline to 12 weeks, comparing the Mediterranean diet intervention group with the control group. Platelet count will be measured by automated hematology analyzer and confirmed by peripheral blood film.
Change in bleeding severity score
Change in bleeding severity assessed by the ITP-BAT or WHO Bleeding Scale from baseline to 12 weeks. Higher scores indicate more severe bleeding
Secondary outcomes
Need for rescue therapy
Proportion of patients requiring rescue therapy (corticosteroids or intravenous immunoglobulin) during the 12-week study period.
Change in body mass index (BMI)
Change in body mass index (BMI) in kg/m² from baseline to 12 weeks.
Incidence and severity of gastrointestinal adverse events related to the Mediterranean diet
Frequency and severity of gastrointestinal side effects and overall tolerability of the selective Mediterranean diet regimen, assessed by patient-reported symptoms.
Change in Fasting Blood Glucose
Change in fasting blood glucose levels in mg/dL from baseline to 12 weeks.
Locations
Sponsors and contacts
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