ID

38617

Beschrijving

Study ID: 108062 Clinical Study ID: 108062 Study Title: A three part, staggered cohort, open-label and double blind, randomized, placebo controlled study to investigate the efficacy, safety, tolerability and pharmacokinetics of eltrombopag, a thrombopoietin receptor agonist, in previously treated pediatric patients with chronic idiopathic thrombocytopenic purpura (ITP). Eltrombopag PETIT: Eltrombopag in PEdiatric patients with Thrombocytopenia from ITP Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00908037 https://clinicaltrials.gov/ct2/show/NCT00908037 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: eltrombopag, Placebo Trade Name: N/A Study Indication: Purpura, Thrombocytopaenic, Idiopathic The study consists of a screening, Day 1 and three parts. All subjects were supposed to receive 24 weeks (6 months) of eltrombopag treatment during Part 2/3. Screening period: Up to 28 days prior to Day 1 of treatment. Day 1 Part 1 (Dose Finding Phase): A 24-week (6 months) open label treatment period for 5 subjects in each age cohort. (short: P1W1-P1W7, P1W8-23, P1W24/EW). A safety, PK and platelet count review took place after 12 weeks (3 months) of treatment. Subjects in the Dose Finding Phase did not participate in the Randomized Period. Part 2 (Randomized Period): A 7-week randomized, double-blind, placebo-controlled period involving 18 subjects per cohort (short: P2W1-P2W7). Part 3: An open-label treatment period where subjects randomized to eltrombopag in Part 2 received an additional 17 weeks of eltrombopag in Part 3 and subjects randomized to placebo in Part 2 received 24 weeks of eltrombopag in Part 3 (short: P3W8-P3W23, P3W24/EW, P3W8-30, P3W31/EW). Follow-up: 4 weeks following the last dose of eltrombopag (short: FUW1- FUW4). Additional ocular examinations were performed at 12 and 24 weeks (3 and 6 months) after the last dose of eltrombopag (short: FUM3, FUM6). The subjects were enrolled in 3 cohorts: Cohort 1: Subjects between 12 and 17 years old (<18 years of age at Day 1). Cohort 2: Subjects between 6 and 11 years old (<12 years of age at Day 1). Cohort 3: Subjects between 1 and 5 years old (<6 years of age at Day 1). The enrollment was started with the oldest cohort (Cohort 1). The younger cohorts were not enrolled until safety, PK and platelet counts had been reviewed in the older cohort(s). This document contains the inform screening and enrolment form. It has to be filled in for screening.

Link

https://clinicaltrials.gov/ct2/show/NCT00908037

Trefwoorden

  1. 28-10-19 28-10-19 -
Houder van rechten

GlaxoSmithKline

Geüploaded op

28 oktober 2019

DOI

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Licentie

Creative Commons BY-NC 3.0

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Effects of eltrombopag in children with chronic idiopathic thrombocytopenic purpura, NCT00908037

Inform screening and enrolment

Administrative Data
Beschrijving

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject Number
Beschrijving

Subject Number

Datatype

integer

Alias
UMLS CUI [1]
C2348585
Date of Visit
Beschrijving

Day month year

Datatype

date

Alias
UMLS CUI [1]
C1320303
Infrom screening
Beschrijving

Infrom screening

Alias
UMLS CUI-1
C0220908
UMLS CUI-2
C1533716
Subject initials
Beschrijving

In the original form this item is hidden.

Datatype

text

Alias
UMLS CUI [1,1]
C1997894
UMLS CUI [1,2]
C2986440
Date of birth
Beschrijving

Day month year. Only to fill in if subject is a screen failure. If subject participates the study the date of birth has to be mapped to the demography form.

Datatype

date

Alias
UMLS CUI [1]
C0421451
Was this subject a screen failure?
Beschrijving

If you tick yes, please provide reason in the following item.

Datatype

text

Alias
UMLS CUI [1]
C1710476
If subject is a screen failure, please provide reason
Beschrijving

Reason for screen failure

Datatype

text

Alias
UMLS CUI [1,1]
C1710476
UMLS CUI [1,2]
C0566251
Inform Enrolment
Beschrijving

Inform Enrolment

Alias
UMLS CUI-1
C1552002
UMLS CUI-2
C4041024
Subject Number
Beschrijving

Subject Number

Datatype

integer

Alias
UMLS CUI [1]
C2348585

Similar models

Inform screening and enrolment

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Subject Number
Item
Subject Number
integer
C2348585 (UMLS CUI [1])
Date of Visit
Item
Date of Visit
date
C1320303 (UMLS CUI [1])
Item Group
Infrom screening
C0220908 (UMLS CUI-1)
C1533716 (UMLS CUI-2)
Subject initials
Item
Subject initials
text
C1997894 (UMLS CUI [1,1])
C2986440 (UMLS CUI [1,2])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Item
Was this subject a screen failure?
text
C1710476 (UMLS CUI [1])
Code List
Was this subject a screen failure?
CL Item
No (N)
CL Item
Yes (Y)
Reason for screen failure
Item
If subject is a screen failure, please provide reason
text
C1710476 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
Item Group
Inform Enrolment
C1552002 (UMLS CUI-1)
C4041024 (UMLS CUI-2)
Subject Number
Item
Subject Number
integer
C2348585 (UMLS CUI [1])

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