Evaluating cognitive dysfunction in patients with immune thrombocytopenia
Official title: Prevalence, Reproducibility, and Feasibility of Longitudinal Assessment of Neurocognitive Dysfunction in Adults With Chronic and Persistent Immune Thrombocytopenia (COGFIT)
Run by Massachusetts General Hospital · NCT06817395 · Data updated 2026-11-12
This study is trying to see how common and serious thinking problems are in adults with immune thrombocytopenia and if these issues are linked to factors like fatigue and depression.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Massachusetts General Hospital Academic / other |
| Drugs / interventions | fostamatinib |
| Locations | 1 site (Boston, Massachusetts) |
| Status | Recruiting |
| Started | September 15, 2024 |
| Main results expected | September 15, 2027 |
| Study ends | September 15, 2028 |
| Registry record updated | October 13, 2026 |
| Trial ID | NCT06817395 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older with a clinical diagnosis of persistent or chronic ITP.
✕Probably not a fit
Patients with pre-existing cognitive impairment due to dementia, stroke, or other neurological diseases may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to assess cognitive impairment in adults with chronic and persistent immune thrombocytopenia (ITP) using a cognitive function test battery. Participants will undergo neurocognitive testing and complete surveys regarding their quality of life, fatigue, depression, and cognitive symptoms. The study seeks to determine the prevalence and extent of cognitive dysfunction in ITP patients and explore associated risk factors, as well as the feasibility of longitudinal cognitive testing over time.
Why it matters
Potential benefit: If successful, this study could enhance understanding of cognitive issues in ITP patients, potentially leading to improved management strategies.
How similar studies have gone: While cognitive impairment in ITP is a relatively novel area of investigation, similar studies in other chronic conditions have shown cognitive dysfunction, suggesting potential relevance.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults aged ≥ 18 years * A clinical diagnosis of persistent or chronic ITP, as defined by a history of platelet counts \<50 x 109/L on two occasions in the preceding 3 to 12 months or \>12 months, respectively, and documented response to at least 1 prior ITP-directed therapy. ITP-directed therapies include corticosteroids, intravenous immune globulin, Rho(D) immune globulin, splenectomy, thrombopoietin receptor agonists, and fostamatinib. Other qualifying agents used for the treatment of ITP are permissible with approval of the principal investigator. * Ability to follow instructions in English. Exclusion Criteria: * Pre-existing diagnosis of cognitive impairment from dementia, stroke, or other neurologic disease. * Active psychiatric disorder, defined as uncontrolled major depression, schizophrenia, severe anxiety, or active alcohol or drug abuse. * Active malignancy, requiring or likely to require chemotherapeutic or surgical treatment, except for non-melanoma skin cancer. * Brain tumor or cranial surgery within the past year. * Significant hearing or vision impairment that would preclude the ability to complete neurocognitive testing via a virtual platform.
Where it's running
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Massachusetts General Hospital
Boston, Massachusetts, United States Recruiting
Study contacts
- Study coordinator: Debbie Jiang, MD
- Email: dcjiang@mgh.harvard.edu
- Phone: 617-724-4000
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Sirolimus added to standard therapy for adults with SLE-associated immune thrombocytopenia
This trial tests whether adding sirolimus to usual treatment helps adults with SLE-related immune thrombocytopenia see their platelet counts improve.
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GL-2045 safety and blood-count help for adults with ITP
GL-2045 is being tested in adults with immune thrombocytopenia to see if it can safely raise platelet counts like IVIg does.
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Eltrombopag use in adults with primary ITP: real-world patterns and outcomes
This study looks at how eltrombopag is used in adult patients with primary ITP and what outcomes are seen in routine care.
-
Daratumumab versus rituximab for children with primary immune thrombocytopenia
This study will test whether daratumumab works better than rituximab to increase platelet counts in children aged 6–17 with primary ITP who did not respond to or relapsed after steroid treatment.
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Daratumumab plus rituximab for adults with relapsed or refractory immune thrombocytopenia
This treatment combines daratumumab (an anti‑CD38 antibody) with rituximab to see if it raises platelet counts in adults with ITP who haven't responded to steroids and other therapies.
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Daratumumab versus rituximab for adult primary immune thrombocytopenia
This trial will test whether daratumumab (an anti‑CD38 antibody) works better than rituximab for adults with primary ITP who did not respond to or relapsed after steroid treatment.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.