V-IMMUNE® treatment for immune thrombocytopenia
Official title: V-IMMUNE® for Immune Thrombocytopenia: A Prospective Multicenter Study to Evaluate the Efficacy and Safety of Human Immunoglobulin in Adult and Pediatric Participants With Immune Thrombocytopenia. TIP Study
Run by On Pharma Importadora, Exportadora e Distribuidora de Medicamentos LTDA. · NCT06962631 · Data updated 2026-11-12
This trial tests V-IMMUNE®, an intravenous human immunoglobulin, to raise platelet counts in people aged 1 year and older with immune thrombocytopenia and very low platelets.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 1 Year and up |
| Sex | All |
| Enrollment | 31 (estimated) |
| Sponsor | On Pharma Importadora, Exportadora e Distribuidora de Medicamentos LTDA. Academic / other |
| Drugs / interventions | rituximab, cyclophosphamide |
| Locations | 2 sites (Recife, Pernambuco and 1 other locations) |
| Status | Recruiting |
| Started | July 18, 2025 |
| Main results expected | August 27, 2026 |
| Study ends | February 27, 2027 |
| Registry record updated | January 20, 2026 |
| Trial ID | NCT06962631 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are people aged ≥1 year with a confirmed diagnosis of ITP (newly diagnosed, persistent, or chronic) and a platelet count ≤20,000/mm³ who have no other conditions likely to cause thrombocytopenia.
✕Probably not a fit
Patients with non-immune thrombocytopenia, active sepsis, known IgA deficiency or anti‑IgA antibodies, uncontrolled major comorbidities, recent excluded immunotherapies, pregnancy or breastfeeding, or chronic viral infections are unlikely to be eligible or to benefit from this intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
V-IMMUNE® is a 5% human normal immunoglobulin given intravenously in a prospective multicenter, single-group Phase 3 study of children and adults with immune thrombocytopenia. Participants with confirmed ITP and platelet counts ≤20,000/mm³ receive V-IMMUNE® (administered per protocol, typically 1 g/kg) and are followed for platelet response and safety, with the primary endpoint being a platelet count ≥50,000/mm³ on or before Day 9 after the first infusion. The trial uses historical controls from the literature rather than a randomized control arm to judge efficacy. Safety exclusions include active sepsis, certain viral infections, IgA deficiency or anti‑IgA antibodies, pregnancy/lactation, recent immunotherapies, and significant organ dysfunction.
Why it matters
Potential benefit: If successful, V-IMMUNE® could quickly raise platelet counts to levels that reduce bleeding risk and lessen the need for urgent interventions.
How similar studies have gone: High-dose intravenous immunoglobulin has a long history of producing rapid platelet rises in ITP, so similar approaches have been successful in prior studies.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥1 year; * Confirmed diagnosis of immune thrombocytopenia ( newly diagnosed, persistent or chronic); * Platelet count ≤20,000/mm³ at the time of enrollment; * No other conditions that, in the investigator's opinion, could cause thrombocytopenia; * Agreement to use effective contraceptive practices/methods throughout the entire study participation by female patients of childbearing potential and able to become pregnant, unless there is a documented medical contraindication. Exclusion Criteria: * Non-immune thrombocytopenia * Active sepsis * Pregnancy (pregnant or breastfeeding) * History of hypersensitivity reaction to blood or blood products, IVIG, or any other IgG preparation * Intolerance to any component of V-IMMUNE® * Previous diagnosis of IgA deficiency, history of reactions to products containing IgA, or history of anti-IgA antibodies * Participation in any other study involving an investigational product * Known HIV, HCV, or HBV infection * AST (TGO) and/or ALT (TGP) \>2.5× the upper limit of normal or 2.5 times baseline values * Serum creatinine \>2× the upper limit of normal or 2 times baseline values * BUN \>2.5× the upper limit of normal or 2.5 times baseline values * History of NYHA class III or IV heart failure * Uncontrolled hypertension with systolic BP \>180 mmHg or diastolic BP \>100 mmHg * A history of hyperviscosity states, transient ischemic attack (TIA), stroke, other thromboembolic events, or acute coronary syndrome (ACS) * Neoplasia under active treatment * Child-Pugh class B or C liver failure * Alcohol, opioid, or psychotropic substance abuse within the past 12 months * Receipt of rituximab within 6 months prior to Day 1 * Acute or chronic conditions (e.g., but not limited to, renal disease or diseases predisposing to renal impairment, coronary artery disease, or protein-losing enteropathy) that, in the investigator's opinion, may interfere with the conduct of the study An acquired health condition such as chronic lymphocytic leukemia, multiple myeloma, or chronic or recurrent neutropenia (absolute neutrophil count \<1,000/mm³) History of hemolytic anemia Receipt of any IV immunoglobin preparation within 1 month prior to Day 1 Use of corticosteroids, cyclophosphamide, azathioprine, or attenuated androgens with a planned dose increase before Day 10 following IV immunoglobin infusion
Where it's running
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Santa Casa de Misericórida de São Paulo
São Paulo, São Paulo, Brazil Recruiting -
IMIP Instituto de Medicina Integral Professor Fernando Figueira
Recife, Pernambuco, Brazil Not yet recruiting
Study contacts
- Principal investigator: Sandra Regina Loggetto, PhD — HCor Research Institute
- Study coordinator: Israel Silva Maia, PhD
- Email: ismaia@hcor.com.br
- Phone: +55-48-9-8413-1510
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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DZD8586 treatment for adults with primary immune thrombocytopenia (ITP)
This trial will try different doses of the experimental drug DZD8586 to see if it raises platelet counts and is safe in adults with primary ITP who did not respond to at least one standard treatment.
-
Efgartigimod IV for adolescents (12–17) with chronic immune thrombocytopenia
This trial will try intravenous efgartigimod to see if it safely raises platelet counts in people aged 12 to 17 with chronic ITP.
-
CM336 treatment for relapsed or refractory autoimmune cytopenia
This trial will test whether CM336, a BCMA/CD3 bispecific antibody given by injection, can help adults with relapsed or refractory autoimmune cytopenias such as ITP, AIHA, or Evans syndrome.
-
NVG-2089 for safety and effectiveness in adults with immune thrombocytopenia
This trial will test whether the investigational drug NVG-2089 is safe and can help raise platelet counts in adults with persistent or chronic immune thrombocytopenia (ITP).
-
Teriflunomide plus high-dose dexamethasone versus high-dose dexamethasone alone for adults with newly diagnosed ITP
This trial tests whether adding teriflunomide to high-dose dexamethasone helps adults with newly diagnosed immune thrombocytopenia raise platelet counts and control bleeding better than dexamethasone alone.
-
Budoprutug for adults with immune thrombocytopenia (ITP)
This trial will test whether two IV doses of budoprutug are safe and can help raise platelet counts in adults with ITP who still have platelets under 30,000/µL after prior 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.