Using zanubrutinib to treat immune thrombocytopenia
Official title: Safety and Efficacy of Zanubrutinib in the Treatment of Immune Thrombocytopenia
Run by Institute of Hematology & Blood Diseases Hospital, China · NCT05214391 · Data updated 2026-11-12
This study tests if zanubrutinib can help people with immune thrombocytopenia who haven't had success with other treatments.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 30 (estimated) |
| Sponsor | Institute of Hematology & Blood Diseases Hospital, China Academic / other |
| Drugs / interventions | rituximab, zanubrutinib, Zebutinib, ibutinib, acalabrutinib |
| Locations | 1 site (Tianjin, Tianjin Municipality) |
| Status | Recruiting |
| Started | February 15, 2022 |
| Main results expected | December 31, 2025 |
| Study ends | December 31, 2025 |
| Registry record updated | February 24, 2025 |
| Trial ID | NCT05214391 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older with a diagnosis of primary immune thrombocytopenia and a platelet count below 30 X 10^9/L who have failed previous treatments.
✕Probably not a fit
Patients with uncontrollable primary diseases of important organs or those with active infections 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 clinical trial evaluates the safety and efficacy of zanubrutinib in treating immune thrombocytopenia (ITP) in 30 patients. ITP is an autoimmune disease characterized by low platelet counts, leading to bleeding risks and a significant impact on patients' quality of life. The study focuses on patients who have not responded to conventional treatments and aims to provide a new therapeutic option for those with refractory ITP. Participants will receive zanubrutinib and be monitored for treatment response and safety outcomes.
Why it matters
Potential benefit: If successful, this treatment could offer a new effective option for patients suffering from refractory immune thrombocytopenia.
How similar studies have gone: While there have been preliminary studies on BTK inhibitors for autoimmune diseases, this specific approach for treating immune thrombocytopenia is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 18 and above, male or female; * Conform to the diagnostic criteria of immune Thrombocytopenia (ITP); * Diagnosis of ITP\>3 months; * Primary ITP with a platelet count of \<30 X 109/L prior to inclusion with failure to achieve response or relapse after corticosteroid therapy, and at least one second-line therapy including rituximab \>12 weeks ago and/or TPO-RAs. * Liver and kidney function, such as ALT, AST, BUN, SCR \< 1.5 × upper limit of normal value, passing physical examination; * ECOG physical state score ≤ 2 points; * Cardiac function of the New York Society of Cardiac Function ≤ 2; * Signed and dated written informed consent. Exclusion Criteria: * Uncontrollable primary diseases of important organs, such as malignant tumors, liver failure, heart failure, renal failure and other diseases; * HIV positive; * Accompanied by uncontrollable active infection, including hepatitis B, hepatitis C, cytomegalovirus, EB virus and syphilis positive; * Accompanied by extensive and severe bleeding, such as hemoptysis, upper gastrointestinal hemorrhage, intracranial hemorrhage, etc.; * At present, there are heart diseases, arrhythmias that need treatment or hypertension that researchers judge is poorly controlled; * Patients with thrombotic diseases such as pulmonary embolism, thrombosis and atherosclerosis; * Those who have received allogeneic stem cell transplantation or organ transplantation in the past; * Patients with mental disorders who cannot normally obtain informed consent and conduct trials and follow-up; * Patients whose toxic symptoms caused by pre-trial treatment have not disappeared; * Other serious diseases that may limit the subject's participation in this test (such as diabetes; Severe cardiac insufficiency; Myocardial obstruction or unstable arrhythmia or unstable angina pectoris in recent 6 months; Gastric ulcer, etc.); * Patients with septicemia or other irregular severe bleeding; * Patients taking antiplatelet drugs at the same time; * Pregnant women, suspected pregnancies (positive pregnancy test for human chorionic gonadotropin in urine at screening) and lactating patients.
Where it's running
-
Chinese Academy of Medical Science and Blood Disease Hospital
Tianjin, Tianjin Municipality, China Recruiting
Study contacts
- Principal investigator: Lei Zhang, MD — Chinese Academy of Medical Science and Blood Disease Hospital
- Study coordinator: Yunfei Chen
- Email: chenyunfei@ihcams.ac.cn
- Phone: +8618502220788
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Zanubrutinib plus Lenalidomide for frail elderly with newly diagnosed PCNSL
This study tests whether a combination of zanubrutinib and lenalidomide can help frail elderly patients with newly diagnosed primary CNS lymphoma.
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Venetoclax plus Zanubrutinib for CLL/SLL in frontline or previously treated patients
This phase II trial tests if venetoclax plus zanubrutinib can safely and effectively treat adults with chronic lymphocytic leukemia or small lymphocytic lymphoma, including those who are newly diagnosed and those who have had prior therapy.
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MRD-guided Zanubrutinib + Sonrotoclax in new high-risk CLL/SLL
This trial tests a time-limited, MRD-guided combination therapy with zanubrutinib and sonrotoclax for adults up to 75 with previously untreated high-risk CLL/SLL.
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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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Polatuzumab vedotin with Zanubrutinib, Rituximab, Cyclophosphamide, Doxorubicin, and Prednisone in untreated DLBCL (MCD/BN2/N1)
This study tests a targeted combination therapy to see if it can treat previously untreated DLBCL with specific molecular subtypes.
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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.
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.