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AzTrials

Purpura, Thrombocytopaenic, IdiopathicPhase 3EXTENDNCT00351468

EXTEND (Eltrombopag Extended Dosing Study)

A Phase 3 study testing eltrombopag olamine (SB-497115-GR) in people with Purpura, Thrombocytopaenic, Idiopathic, run by Novartis Pharmaceuticals at 110 sites in 31 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

An open-label, dose-adjustment, extension study to evaluate the safety and efficacy of eltrombopag for the treatment of subjects with idiopathic thrombocytopenic purpura (ITP) who have previously been enrolled in an eltrombopag trial. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Purpura, Thrombocytopaenic, Idiopathic
What is being tested?
eltrombopag olamine (SB-497115-GR)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
302 participants
Where
110 sitesin 31 countries
Study dates
Jun 2006to Jul 2015
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject has signed and dated a written informed consent.
  • Adults (≥18 years) diagnosed with ITP according to the American Society for Hematology/British Committee for Standards in Haematology (ASH/BCSH) guidelines [George, 1996; BCSH, 2003]. In addition, a peripheral blood smear should support the diagnosis of ITP with no evidence of other disease causative of thrombocytopenia (e.g., pseudo thrombocytopenia, myelofibrosis). The physical examination should not suggest any disease which may cause thrombocytopenia other than ITP.
  • Prior completion of treatment and follow up periods in an ITP study of eltrombopag (e.g., TRA100773 or TRA102537/RAISE or TRA108057/REPEAT).
  • Subjects previously enrolled in Study TRA100773 must have completed the prescribed follow-up ophthalmic assessment at 6 months.
  • Subjects previously enrolled in TRA102537/RAISE or other studies that may lead into EXTEND (e.g., TRA108057/REPEAT) must have completed the treatment and follow-up periods as defined in that protocol.
  • Subject experienced no eltrombopag-related toxicity or other drug intolerance on prior eltrombopag study (e.g., TRA100773 or TRA102537/RAISE or TRA108057/REPEAT) even if resolved; subjects discontinued from previous study due to toxicity will not be eligible unless they received placebo.
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  • Subject has no intercurrent medical event, including thrombosis.
  • Subjects must have either initially responded (platelet count > 100,000/mL) to a previous ITP therapy or have had a bone marrow examination consistent with ITP within 3 years to rule out myelodysplastic syndromes or other causes of thrombocytopenia
  • Previous therapy for ITP with immunoglobulins (IVIg and anti-D) must have been completed at least 1 week prior to first dose of study medication and the platelet count must show a clear downward trend after the last treatment with immunoglobulins. Previous treatment for ITP with splenectomy, rituximab and cyclophosphamide must have been completed at least 4 weeks prior to randomization, or clearly be ineffective.
  • Subjects treated with concomitant ITP medication (e.g. corticosteroids or azathioprine) must be receiving a dose that has been stable for at least 4 weeks prior to randomization. Subjects treated with cyclosporine A, mycophenolate mofetil or danazol must be receiving a dose that has been stable for at least 3 months prior to the first dose of study medication.
  • Prothrombin time (PT/INR) and activated partial thromboplastin time (aPTT) must be within 80 to 120% of the normal range with no history of hypercoagulable state.
  • A complete blood count (CBC), within the reference range (including WBC differential not indicative of a disorder other than ITP), with the following exceptions:
  • Hemoglobin: Subjects with hemoglobin levels between 10.0 g/dL and the lower limit of normal are eligible for inclusion, if anemia is clearly attributable to ITP (excessive blood loss).
  • ANC≥1500/mL (1.5 x 10^9/L) is required for inclusion (elevated WBC/ANC due to steroid treatment is acceptable).
  • The following clinical chemistries MUST NOT exceed the upper limit of normal (ULN) reference range by more than 20%: creatinine, ALT, AST, total bilirubin, and alkaline phosphatase. In addition, total albumin must not be below the lower limit of normal (LLN) by more than 10%.
  • Subject is practicing an acceptable method of contraception (documented in chart). Female subjects (or female partners of male subjects) must either be of non-childbearing potential (hysterectomy, bilateral oophorectomy, bilateral tubal ligation or post-menopausal > 1 year), or of childbearing potential and use one of the following highly effective methods of contraception (i.e., Pearl Index <1.0%) from two weeks prior to administration of study medication, throughout the study, and 28 days after completion or premature discontinuation from the study:
  • Complete abstinence from intercourse;
  • Intrauterine device (IUD);
  • Two forms of barrier contraception (diaphragm plus spermicide, and for males condom plus spermicide);
  • Male partner is sterile prior to entry into the study and is the only partner of the female;
  • Systemic contraceptives (combined or progesterone only).
  • Subject is able to understand and comply with protocol requirements and instructions.

Who cannot join

  • A subject will not be eligible for inclusion in this study if any of the following criteria apply:
  • Any clinically relevant abnormality, other than ITP, identified on the screening examination, or any other medical condition or circumstance, which in the opinion of the investigator makes the subject unsuitable for participation in the study or suggests another diagnosis.
  • Concurrent malignant disease and/or history of cancer treatment with cytotoxic chemotherapy and/or radiotherapy.
  • Any prior history of arterial or venous thrombosis (stroke, transient ischemic attack, myocardial infarction, deep vein thrombosis or pulmonary embolism), AND≥two of the following risk factors: hormone replacement therapy, systemic contraception (containing estrogen), smoking, diabetes, hypercholesterolemia, medication for hypertension, cancer, hereditary thrombophilic disorders (e.g., Factor V Leiden, ATIII deficiency, etc), or any other family history of arterial or venous thrombosis
  • Pre-existing cardiovascular disease (including congestive heart failure, New York Heart Association [NYHA] Grade III/IV), or arrhythmia known to increase the risk of thromboembolic events (e.g. atrial fibrillation), or subjects with a QTc >450 msec.
  • Female subjects who are nursing or pregnant (positive serum or urine b-human chorionic gonadotrophin (b-hCG) pregnancy test) at screening or pre-dose on Day 1.
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  • History of alcohol/drug abuse.
  • Treatment with an investigational drug within 30 days or five half-lives (whichever is longer) preceding the first dose of study medication.
  • Subject treated with drugs that affect platelet function (including but not limited to aspirin, clopidogrel and/or NSAIDs) or anti-coagulants for > 3 consecutive days within 2 weeks of the study start and until the end of the study.
  • History of platelet agglutination abnormality that prevents reliable measurement of platelet counts.
  • All subjects with secondary immune thrombocytopenia, including those with laboratory or clinical evidence of HIV infection, antiphospholipid antibody syndrome, chronic hepatitis B infection, hepatitis C virus infection, or any evidence for active hepatitis at the time of subject screening. If a potential subject has no clinical history that would support HIV infection or hepatitis infection, no further laboratory screening is necessary; however, standard medical practice would suggest further evaluation of patients who have risk factors for these infections.
  • A subject is planning to have cataract surgery.
  • In France, a subject is neither affiliated with nor a beneficiary of a social security category.
  • Other Eligibility Criteria Considerations:
  • To assess any potential impact on subject eligibility with regard to safety, the investigator must refer to the following document(s) for detailed information regarding warnings, precautions, contraindications, adverse events, and other significant data pertaining to the investigational product(s) being used in this study: CIB, SPM.

Trial locations and contacts

110 sites in 31 countries.

110 sites in 31 countries

United States23 sites
  • Novartis Investigative Site

    Albuquerque, New Mexico, 87109

  • Novartis Investigative Site

    Arlington, Virginia, 22205

  • Novartis Investigative Site

    Atlanta, Georgia, 30341

  • Novartis Investigative Site

    Boston, Massachusetts, 02114

  • Novartis Investigative Site

    Brunsville, Minnesota, 55337

  • Novartis Investigative Site

    Cleveland, Ohio, 44106

  • Novartis Investigative Site

    Detroit, Michigan, 48202

  • Novartis Investigative Site

    Duarte, California, 91010

  • Novartis Investigative Site

    Huntsville, Alabama, 35805

  • Novartis Investigative Site

    Jonesboro, Arkansas, 72401

  • Novartis Investigative Site

    Los Angeles, California, 90033

  • Novartis Investigative Site

    Lubbock, Texas, 79410

  • Novartis Investigative Site

    Miami, Florida, 33136

  • Novartis Investigative Site

    Mobile, Alabama, 36608

  • Novartis Investigative Site

    New Orleans, Louisiana, 70115

  • Novartis Investigative Site

    New York, New York, 10021

  • Novartis Investigative Site

    Peoria, Illinois, 61614

  • Novartis Investigative Site

    Portland, Oregon, 97227

  • Novartis Investigative Site

    San Francisco, California, 94143

  • Novartis Investigative Site

    Savannah, Georgia, 31405

  • Novartis Investigative Site

    Seattle, Washington, 98109

  • Novartis Investigative Site

    Tacoma, Washington, 98405

  • Novartis Investigative Site

    Vancouver, Washington, 98684

Other trials in United States

United Kingdom8 sites
  • Novartis Investigative Site

    Liverpool, L7 8XP

  • Novartis Investigative Site

    London, E1 1BB

  • Novartis Investigative Site

    London, NW1 2PG

  • Novartis Investigative Site

    Manchester, M13 9WL

  • Novartis Investigative Site

    Plymouth, Devon, PL6 8DH

  • Novartis Investigative Site

    Reading, RG1 5AN

  • Novartis Investigative Site

    Swansea, SA6 6NL

  • Novartis Investigative Site

    Taunton, Somerset, TA1 5DA

Other trials in United Kingdom

Spain7 sites
  • Novartis Investigative Site

    Badalona/Barcelona, 08916

  • Novartis Investigative Site

    Barcelona, 08025

  • Novartis Investigative Site

    Madrid, 28006

  • Novartis Investigative Site

    Madrid, 28007

  • Novartis Investigative Site

    Palma de Mallorca, 07014

  • Novartis Investigative Site

    Pamplona, 31008

  • Novartis Investigative Site

    Santiago de Compostela, 15706

Other trials in Spain

Germany6 sites
  • Novartis Investigative Site

    Berlin, State of Berlin, 13353

  • Novartis Investigative Site

    Giessen, Hesse, 35392

  • Novartis Investigative Site

    Hanover, Lower Saxony, 30159

  • Novartis Investigative Site

    Hanover, Lower Saxony, 30625

  • Novartis Investigative Site

    Munich, Bavaria, 80639

  • Novartis Investigative Site

    Saarbrücken, Saarland, 66113

Other trials in Germany

Poland6 sites
  • Novartis Investigative Site

    Bialystok, 15-276

  • Novartis Investigative Site

    Lodz, 93-510

  • Novartis Investigative Site

    Lublin, 20-081

  • Novartis Investigative Site

    Słupsk, 76-200

  • Novartis Investigative Site

    Torun, 87-100

  • Novartis Investigative Site

    Wroclaw, 50-367

Other trials in Poland

Netherlands5 sites
  • Novartis Investigative Site

    Amersfoort, 3816 CP

  • Novartis Investigative Site

    Amsterdam, 1105 AZ

  • Novartis Investigative Site

    Nijmegen, 6525 GA

  • Novartis Investigative Site

    Rotterdam, 3015 GE

  • Novartis Investigative Site

    The Hague, 2545 CH

Other trials in Netherlands

Italy4 sites
  • Novartis Investigative Site

    Albano Laziale (Roma), Lazio, 00041

  • Novartis Investigative Site

    Bologna, Emilia-Romagna, 40138

  • Novartis investigative Site

    Milan, Lombardy, 20132

  • Novartis Investigative Site

    Padova, Veneto, 35128

Other trials in Italy

New Zealand4 sites
  • Novartis Investigative Site

    Auckland, 2024

  • Novartis Investigative Site

    Christchurch, 8011

  • Novartis Investigative Site

    Grafton, 1001

  • Novartis Investigative Site

    Takapuna, Auckland, 0622

Other trials in New Zealand

Russia4 sites
  • Novartis Investigative Site

    Moscow, 105 229

  • Novartis Investigative Site

    Moscow, 125167

  • Novartis Investigative Site

    Novosibirsk, 630087

  • Novartis investigative Site

    Saint Petersburg, 193024

Other trials in Russia

Tunisia4 sites
  • Novartis investigative Site

    Montfleury, 1008

  • Novartis investigative Site

    Sfax, 3029

  • Novartis Investigative Site

    Sousse, 4000

  • Novartis Investigative Site

    Tunis, 1008

Other trials in Tunisia

Canada3 sites
  • Novartis Investigative Site

    Hamilton, Ontario, L8S 4K1

  • Novartis Investigative Site

    Montreal, Quebec, H2L 4M1

  • Novartis Investigative Site

    Montreal, Quebec, H3T 1E2

Other trials in Canada

China3 sites
  • Novartis Investigative Site

    Jiang Su Province, 215006

  • Novartis Investigative Site

    Shanghai, 200025

  • Novartis Investigative Site

    Tianjin, 300020

Other trials in China

Czechia3 sites
  • Novartis Investigative Site

    Brno, 625 00

  • Novartis Investigative Site

    Olomouc, 775 20

  • Novartis Investigative Site

    Prague, 128 20

Other trials in Czechia

France3 sites
  • Novartis Investigative Site

    Caen, 14033

  • Novartis Investigative Site

    Créteil, 94010

  • Novartis Investigative Site

    Pessac, 33604

Other trials in France

Greece3 sites
  • Novartis Investigative Site

    Athens, 10676

  • Novartis Investigative Site

    Athens, 11525

  • Novartis Investigative Site

    Thessaloniki, 57010

Other trials in Greece

Australia2 sites
  • Novartis investigative Site

    Garran, Australian Capital Territory, 2606

  • Novartis Investigative Site

    Kogarah, New South Wales, 2217

Other trials in Australia

Pakistan2 sites
  • Novartis Investigative Site

    Karachi, 75300

  • Novartis Investigative Site

    Lahore, 54600

Other trials in Pakistan

Peru2 sites
  • Novartis Investigative Site

    Lima, Lima Province, Lima 41

  • Novartis Investigative Site

    Lima, Lima 27

Other trials in Peru

Romania2 sites
  • Novartis Investigative Site

    Bucharest, 022328

  • Novartis Investigative Site

    Bucharest, 050098

Other trials in Romania

Slovakia2 sites
  • Novartis Investigative Site

    Košice, 041 90

  • Novartis Investigative Site

    Prešov, 080 01

Other trials in Slovakia

Sweden2 sites
  • Novartis Investigative Site

    Gothenburg, SE-413 45

  • Novartis Investigative Site

    Stockholm, SE 171 76

Other trials in Sweden

Thailand2 sites
  • Novartis Investigative Site

    Bangkok, 10330

  • Novartis Investigative Site

    Khon Kaen, 40002

Other trials in Thailand

Ukraine2 sites
  • Novartis Investigative Site

    Dnipropetrovsk, 49102

  • Novartis Investigative Site

    Lviv, 79044

Other trials in Ukraine

Austria1 site
  • Novartis Investigative Site

    Vienna, A-1090

Other trials in Austria

Denmark1 site
  • Novartis Investigative Site

    Odense, 5000

Other trials in Denmark

Finland1 site
  • Novartis Investigative Site

    Kuopio, 70210

Other trials in Finland

Hong Kong1 site
  • Novartis Investigative Site

    Shatin, New Territories

Other trials in Hong Kong

Slovenia1 site
  • Novartis Investigative Site

    Ljubljana, 1000

Other trials in Slovenia

South Korea1 site
  • Novartis Investigative Site

    Seoul, 136-705

Other trials in South Korea

Taiwan1 site
  • Novartis Investigative Site

    Taipei, 100

Other trials in Taiwan

Vietnam1 site
  • Novartis Investigative Site

    Ho Chi Minh City

Other trials in Vietnam

About this study

Official title: EXTEND (Eltrombopag Extended Dosing Study): An Extension Study of Eltrombopag Olamine (SB-497115-GR) in Adults, With Idiopathic Thrombocytopenic Purpura (ITP), Previously Enrolled in an Eltrombopag Study.

An open-label, dose-adjustment, extension study to evaluate the safety and efficacy of eltrombopag for the treatment of subjects with idiopathic thrombocytopenic purpura (ITP) who have previously been enrolled in an eltrombopag trial. This study will allow adjustment of the eltrombopag dose to achieve an individualized dose and schedule for each subject. In addition, the ability to reduce the dose of concomitant ITP medications in the presence of eltrombopag, while maintaining platelet counts = 50,000/μL will be investigated.

Being tested
eltrombopag olamine (SB-497115-GR)
Keywords
eltrombopag olamine, SB-497115-GR, idiopathic thrombocytopenic purpura, thrombocytopenia, ITP, platelets
Medical subject headings
Purpura, Purpura, Thrombocytopenic, Idiopathic, Thrombocytopenia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • eltrombopag olamine (SB-497115-GR)Drug

    Eltrombopag with starting dose of 50mg daily, max dose of 75mg daily and min dose of 25mg daily or less frequently. Modifications were given to maintain platelet count in range of 50 to 200 Gi/L.

Study groups in NCT00351468
Study groupRoleWhat they receive
EltrombopagExperimentalOpen-label eltrombopag
Receives: Drug: eltrombopag olamine (SB-497115-GR)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall Summary of On-Therapy Adverse Events (Safety Population)

    All safety evaluation findings considered to be adverse events are reported in the Adverse Event section.

    Measured: Start date was the first dose of investigational product and up to the day after the last dose . Post-therapy: start date was more than 1 day after the last dose and up to 30 days after last dose of investigational product up to week 364

Secondary outcomes (10)
  1. Subjects Achieving Maximum Platelet Counts Greater Than or Equal to 30 Gi/L or 50 Gi/L in the Absence of Rescue Medication

    Subjects who achieved maximum platelet count at least once during treatment. All platelet counts after an on-study splenectomy are not classed as responses.

    Platelet counts within 7 days after a platelet transfusion are not classed as responses.

    Platelet counts while taking an increased ITP medication or within 6 weeks after the end of an increased ITP medication are not classed as responses.

    Measured: Baseline up to 2 years

  2. Summary of Subjects Achieving Platelet Count Levels by Week, in the Absence of Rescue Medication

    If a subject has more than 1 platelet count result within a week, the lowest value observed is used to determine response. All platelet counts after an on-study splenectomy are not classed as responses. Platelet counts within 7 days after a platelet transfusion are not classed as responses.

    Platelet counts while taking an increased ITP medication or within 6 weeks after the end of an increased ITP medication are not classed as responses.

    Measured: Baseline up to Year 7/Week 364

  3. Number of Subjects Who Responded to Eltrombopag in a Previous Study and Who Respond to Retreatment With a Rise in Platelet Count to Either ≥ 50,000/µL or ≥30,000/µL

    Responder in TRA100773: Platelet count 50 Gi/L and 2 x baseline (BL) at last on-treatment assessment. Responders in EXTEND: Platelet count 50 Gi/L and 2 x baseline (BL), 50 Gi/L, and 30 Gi/L at any time. Responder in RAISE: Platelet count 50GI/L and 2 x baseline at Week 6 assessment. Responders in EXTEND: Platelet count 50 Gi/L and 2 x baseline, 50 Gi/L, and 30 Gi/L at any time. Responder in REPEAT: Platelet count 50 GI/L and 2 x baseline (BL) at Week 6 assessment in Cycle 1. Responders in EXTEND: Platelet count 50 Gi/L and 2 x baseline (BL) 50 Gi/L, and 30 Gi/L at any time.

    Measured: Baseline up to 2 years

  4. Number of Participants With Reduction and/or Sparing of Concomitant ITP Therapies, While Maintaining a Platelet Count ≥ 50,000/mL.

    Sustain reduct: Sustained reduction 1 Denominator is number of subjects taking an ITP medication at baseline. 2 Denominator is number of subjects with a sustained reduction. Note: Sustained reduction defined as reduction from baseline in dose and/or frequency which is maintained for at least 4 weeks. Excludes sustained reductions started more than 1 day after last dose.

    Measured: Baseline up to 2 years

  5. Number of Subjects Who Required Rescue Therapy During Treatment With Eltrombopag.

    Rescue treatment is defined as a composite of: new ITP medication, increased dose of a concomitant ITP medication, platelet transfusion, and splenectomy. Subjects may have received more than 1 type of rescue therapy

    Measured: Baseline up to 2 years

  6. Maximum ITP Bleeding Score at Any Time During the Study During All Stages.

    The ITP bleeding score is a tool which has been designed specifically to assess the bruising and bleeding in patients with ITP across body sites, ranging from mild to severe. The WHO Grades were dichotomized into the following categories: - Grade 0, No bleeding -Grade 1 to 4, Any bleeding -Grade 0 to 1: No clinically significant bleeding -Grade 2 to 4 Clinically significant bleeding

    Measured: Baseline up to 2 years

  7. Best Post-Baseline Change in SF-36v2 Questionnaire Score From Any Time Point Compared With Baseline

    The SF-36v2 assessment tool was used to obtain information about subjects' general health status and health-related quality of life. Until a formal assessment of minimal clinically important differences (MCID) is performed, changes from baseline of more than 0.5 standard deviations are suggested as clinically meaningful. Scores were transformed to a 0-100 point scale, with higher scores representing more positive answers. Scores were normalized to have a mean of 50 and SD of 10 to allow for comparison with outcomes from other chronic diseases. Recall period is the past week prior to administration. The change in scores was measured at the transitioning period and immediately prior to withdrawal/completion over 2 years, and the mean of these measurements was recorded to calculate the change from baseline and the best post baseline change score was reported for the entire group

    Measured: Baseline, beginning of each stage, change in therapy and minimum frequency of every 3 months during stages, prior to early discontinuation, up to 2 years

  8. Best Post-Baseline Change in the Short Form of the Motivation and Energy Scale (MEI-SF) From Any Time Point Compared With Baseline

    The MEI-SF (18 questions) was used to measure the reductions in mental energy, physical energy, and social motivation, either as symptoms of chronic ITP or as a side effect of pharmacotherapy. Minimal clinically important differences are estimated as 0.5 standard deviations or 7.5 points. All items use either a 7-level (0 to 6) or 5-level (0 to 4) response scale; items with a 5-level response scale were rescaled to 7-levels, and items were reverse-scored as necessary such that higher scores represent higher HRQoL Total score ranges from 0 to 108 points. Recall period is past week prior to administration. The change in scores was measured at the transitioning period and immediately prior to withdrawal/completion over 2 years, and the mean of these measurements was recorded to calculate the change from baseline and the best post baseline change score was reported for the entire group

    Measured: Baseline, beginning of each stage, change in therapy and minimum frequency of every 3 months during stages, prior to early discontinuation, up to 2 years

  9. Best Post-Baseline Change in the FACIT-Fatigue 13 Item Subscale Score From Any Time Point Compared to Baseline

    The FACIT-Fatigue consists of 13 questions in which patients rate the frequency (0-4) of symptoms of fatigue, in terms of tiredness, weakness, and fatigue Items were reverse-scored as necessary such that higher scores represent higher HRQoL Total score ranges from 0 to 52.Using anchor-based estimates, the minimally important difference in this subscale is 3.0 points.

    Recall period is past week prior to administration. The change in scores was measured at the transitioning period and immediately prior to withdrawal/completion over 2 years, and the mean of these measurements was recorded to calculate the change from baseline and the best post baseline change score was reported for the entire group

    Measured: Baseline, beginning of each stage, change in therapy and minimum frequency of every 3 months during stages, prior to early discontinuation, up to 2 years

  10. Best Post-Baseline Change in the FACT-TH6 at Any Time Point Compared to Baseline

    The FACT-TH6 consists of 6 questions in which patients rate (0-4) their general degree of worry related to bleeding and bruising, and resulting activity impairment and frustration. Although the six items do not constitute a formal domain or subscale of the FACT-Th assessment tool, these items had been identified by focus groups of patients with chronic ITP as important indicators of their HRQoL. Items were reverse-scored as necessary such that higher scores represent higher HRQoL. Total scores ranged from 0 to 24. Recall period is not specified. The change in scores was measured at the transitioning period and immediately prior to withdrawal/completion over 2 years, and the mean of these measurements was recorded to calculate the change from baseline and the best post baseline change score was reported for the entire group

    Measured: Baseline, beginning of each stage, change in therapy and minimum frequency of every 3 months during stages, prior to early discontinuation, up to 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Jul 2006 (estimated)
  2. Study startJun 2006
  3. Primary completionJul 2015
  4. Study completionJul 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
302 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00351468
Sponsor's protocol ID
TRA105325
Acronym
EXTEND
Status last verified
Mar 2017
First submitted
10 Jul 2006
Last updated
17 Apr 2017
Data monitoring committee
No

Publications

  • Wong RSM, Saleh MN, Khelif A, Salama A, Portella MSO, Burgess P, Bussel JB. Safety and efficacy of long-term treatment of chronic/persistent ITP with eltrombopag: final results of the EXTEND study. Blood. 2017 Dec 7;130(23):2527-2536. doi: 10.1182/blood-2017-04-748707. Epub 2017 Oct 17.

    PubMed 29042367
  • Tarantino MD, Fogarty P, Mayer B, Vasey SY, Brainsky A. Efficacy of eltrombopag in management of bleeding symptoms associated with chronic immune thrombocytopenia. Blood Coagul Fibrinolysis. 2013 Apr;24(3):284-96. doi: 10.1097/MBC.0b013e32835fac99.

    PubMed 23492914
  • Saleh MN, Bussel JB, Cheng G, Meyer O, Bailey CK, Arning M, Brainsky A; EXTEND Study Group. Safety and efficacy of eltrombopag for treatment of chronic immune thrombocytopenia: results of the long-term, open-label EXTEND study. Blood. 2013 Jan 17;121(3):537-45. doi: 10.1182/blood-2012-04-425512. Epub 2012 Nov 20.

    PubMed 23169778
  • Fogarty PF, Tarantino MD, Brainsky A, Signorovitch J, Grotzinger KM. Selective validation of the WHO Bleeding Scale in patients with chronic immune thrombocytopenia. Curr Med Res Opin. 2012 Jan;28(1):79-87. doi: 10.1185/03007995.2011.644849. Epub 2011 Dec 20.

    PubMed 22117897
  • Signorovitch J, Brainsky A, Grotzinger KM. Validation of the FACIT-fatigue subscale, selected items from FACT-thrombocytopenia, and the SF-36v2 in patients with chronic immune thrombocytopenia. Qual Life Res. 2011 Dec;20(10):1737-44. doi: 10.1007/s11136-011-9912-9. Epub 2011 May 1.

    PubMed 21533818

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing eltrombopag olamine (SB-497115-GR) in people with Purpura, Thrombocytopaenic, Idiopathic, run by Novartis Pharmaceuticals at 110 sites in 31 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 22 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Apr 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 110 sites in United States, United Kingdom, Spain, Germany, Poland and 26 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 17 Apr 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall Summary of On-Therapy Adverse Events (Safety Population) (time frame: Start date was the first dose of investigational product and up to the day after the last dose . Post-therapy: start date was more than 1 day after the last dose and up to 30 days after last dose of investigational product up to week 364). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00351468, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Apr 2017.

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