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Sept. 25, 2019

Nov. 30, 2023

jRCTs041190069

Clinical Investigation to evaluate the efficacy of dexamethasone palmitate for idiopathic (immune) thrombocytopenic purpura: ITP. (Clinical investigation of Dexamethasone Palmitate for ITP)

Clinical study to evaluate the efficacy of dexamethasone Palmitate for idiopathic (immune) thrombocytopenic purpura: ITP. (Clinical study of Dexamethasone Palmitate for ITP)

Dec. 31, 2022

0

Patients with thrombocytopenia (platelet count <30*10(9) /L) in spite of treatment-line for ITP for more than 6 months. Patients with symptoms of ITP althouth theit platelet count is more than 30*10(9) /L. Patients who are difficult to continue their present treatment-line for ITP due to theside effects.

N/A due to no registration

N/A due to no registration

N/A due to no registration

N/A due to no registration

Nov. 30, 2023

No

N/A due to no registration

https://jrct.mhlw.go.jp/latest-detail/jRCTs041190069

Nakayama Takayuki

Aichi Medical University Hospital

1-1, Yazakokarimata, Nagakute, Aichi, Japan

+81-561-62-3311

tnaka@med.nagoya-u.ac.jp

Uchino Kaori

Aichi Medical University Hospital

1-1, Yazakokarimata, Nagakute, Aichi, Japan

+81-561-62-3311

ksakai@aichi-med-u.ac.jp

Complete

Oct. 01, 2019

7

Interventional

single arm study

open(masking not used)

active control

parallel assignment

treatment purpose

Patients with thrombocytopenia (platelet count <30*10(9) /L) although in spite of treatment-line for ITP for more than 6 months.
Patients with symptoms of ITP althouth theit platelet count is more than 30*10(9) /L.
Patients who are difficult to continue their present treatment-line for ITP due to theside effects.
Patients with agreements with the documents of this study.

Patients with severe drug allergy
Patients with severe kidney failure(Ccr<30mL/min)
Patients with treatment-resistant diabetes(HbA1c>7.5)
Patients with active infection
Patients with mental illness
Patients with gustric ulcer
Pregnancy, breastfeeding or patients with possibility of pregnancy
Patients with liver dysfunction(at least 1 criterion: AST>100 IU/L,ALT>100 IU/L,T.Bil>2 mg/dL)
High stature(hight>190cm), short stature(hight<145cm),
Severe obesity(BMI:body mass index>30)
Severe emaciation(BMI<16)
Cases that cannot obtain sufficient information or data due to short life spans expected by severe illness other than ITP.
Other conditions considered not suitable for the study by doctors.

20age old over
75age old under

Both

Chronic Idiopathic Thrombocytopenic Purpura

Administration of dexamethasone palmitate (5mg/day for 4 days)

refractory, immune, thrombocytopenia,

Dexamethasone palmitate

D016553

C035081

Symptoms of bleeding
Complete blood count and the results of coagulations parameters(Platelet, FDP, Fibrinogen, PT-INR, TAT,Soluble fibrin, PIC, D-dimer): before start of medication, after one week of medication, after three weeks of medication, after six weeks of medication, after ten weeks of medication, after eighteen weeks of medication, and after one year of medication
Changing of present treatment of ITP
Outcome of the patatients

Safety of Dexamethasone palmitate for patients with chronic ITP.
Adverse event
1. Increased risk of an infection
2. Changes in blood sugar levels
3. Swollen hands and feet
4. Mood changes
5. Difficulty sleeping
6. Indigestion or heartburn
7. Increased appetite and weight gain
8. Osteoporosis

Certified Clinical Research Review Board of Aichi Medical University Hospital
1-1,Yazakokarimata, Nagakute, Aichi, Japan, Aichi

+81-561-62-3311

amu_crb@aichi-med-u.ac.jp
Approval

Sept. 05, 2019

none

History of Changes

No Publication date
3 Nov. 30, 2023 (this page) Changes
2 June. 02, 2021 Detail Changes
1 Sept. 25, 2019 Detail