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Thrombocytosis clinical trials

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NCT ID: NCT02334813 Completed - Clinical trials for Purpura, Thrombocytopenic, Idiopathic

Daily Prednisone Versus Pulsed Dexamethasone in Treatment-naïve Adult Patients With Immune Thrombocytopenia

EIS2002
Start date: July 2002
Phase: Phase 3
Study type: Interventional

Patients above age 18 with a first episode of immune thrombocytopenia are randomized 1:1 between 2-4 weeks of daily prednisone (1 mg/kg/d) with subsequent dose tapering (arm A) and six 3-week cycles of pulsed dexamethasone (0.6 mg/kg/d, days 1-4; arm B). The primary endpoint is duration of remission defined as platelets ≥50/nl.

NCT ID: NCT02314273 Completed - Clinical trials for Pancytopenia Due to Chemotherapy

Effect of rhIL-11 in Patients With Thrombocytopenia for Childhood ALL

Start date: September 2011
Phase: Phase 4
Study type: Interventional

The goal of this clinical research study is to find out if rhIL-11(Interleukin 11) may increase the platelet count in Childhood patients with acute lymphocytic leukemia (ALL) who develop low platelet counts while receiving standard CAT(cyclophosphamide+Cytosine arabinoside+mercaptopurine,7d) therapy.

NCT ID: NCT02311569 Completed - Clinical trials for Primary Myelofibrosis

Sympathicomimetic Agonist in Patients With Myeloproliferative Neoplasms With JAK2-mutation

Start date: April 2015
Phase: Phase 2
Study type: Interventional

The aim of this phase II study is to test a novel concept in the treatment of patients with myeloproliferative neoplasms (MPN), a disease of the bone marrow. With no current cure available, MPN are a group of chronic leukemias (blood cancers) in which patients produce too many blood cells. These increased blood cell numbers cause problems to the patient such as bleedings or thrombosis and some patients may progress to acute leukemia, a life threatening condition. Most MPN patients have a gene mutation called JAK2-V617F. The disease is maintained by mutant MPN stem cells that reside in the bone marrow in specialized locations called "niches". These niches need connections to the nervous system. New findings show that these connections are destroyed by the presence of the mutated MPN stem cells. Research teams found that some drugs (beta3-sympathicomimetics) can restore these damaged niches and at the same time reduce the MPN disease manifestation in a mouse model of MPN. Such sympathicomimetic drugs are already being used to treat patients with asthma or hyperactive bladder. These drugs have shown to have only few side effects. The study tests the effects of the beta-3-sympathicomimetic drug Mirabegron (Betmiga®) on MPN disease in 39 patients that carry a JAK2-V617F mutation. The hypothesis is that Mirabegron will have a beneficial effect on bone marrow niche cells and will thereby improve the disease manifestation in MPN patients. This study should provide a rapid answer whether targeting the nervous system of the niche cells could be useful for patients with MPN and warrants to be tested in larger and more long-term studies.

NCT ID: NCT02308787 Completed - Clinical trials for Myeloproliferative Disease

Retrospective Data Collection of Routine Use With Spectra Optia® for Platelet Depletions

PLTD
Start date: November 2014
Phase: N/A
Study type: Observational

Multicenter, Retrospective Data Collection of Routine Clinical Use with the Spectra Optia® Apheresis System for Platelet Depletion Procedures.

NCT ID: NCT02263157 Completed - Thrombocytopenia Clinical Trials

Evaluate the Association Between Infection and Thrombocytopenia

Start date: January 2013
Phase: N/A
Study type: Observational

The study is designed to evaluate the association between nosocomial bloodstream infection and the occurrence of thrombocytopenia in surgical critical ill patients.

NCT ID: NCT02153060 Completed - Clinical trials for Immune Thrombocytopenia

An Investigation of Dexamethasone With Different Doses in the Management of Immune Thrombocytopenia (ITP)

Start date: May 2014
Phase: Phase 2
Study type: Interventional

The project was undertaking by Qilu Hospital of Shandong University and other 7 well-known hospitals in China. In order to report the efficacy and safety of different dose dexamethasone in treating the immune thrombocytopenia (ITP).

NCT ID: NCT02139501 Completed - Clinical trials for Immune Thrombocytopenia

An Investigation of rhTPO With Different Frequencies in the Management of ITP

Start date: May 2014
Phase: Phase 3
Study type: Interventional

The project was undertaking by Qilu Hospital of Shandong University and other well-known hospitals in China. In order to study the efficacy and safety of different dose and frequency Recombinant Human thrombopoietin in treating the primary immune thrombocytopenia (ITP)

NCT ID: NCT02129101 Completed - Clinical trials for Myelodysplastic Syndrome

Azacitidine and Sonidegib or Decitabine in Treating Patients With Myeloid Malignancies

Start date: May 2014
Phase: Phase 1
Study type: Interventional

This phase I/Ib trial studies the side effects and best dose of azacitidine and sonidegib or decitabine and so see how well they work in treating patients with myeloid malignancies. The hedgehog (Hh) signaling pathway plays an important role in cellular growth, differentiation and repair. Inappropriate activation of Hh pathway signaling and uncontrolled cellular proliferation may be associated with mutations in the Hh-ligand cell surface receptor Smo. Sonidegib binds to the Hh cell surface receptor Smo, which may result in the suppression of the Hh signaling pathway and the inhibition of cancer cells. Azacitidine and decitabine may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Giving azacitidine together with sonidegib or decitabine may be a safe and successful treatment for patients with myeloid malignancies.

NCT ID: NCT02125318 Completed - Clinical trials for Myeloproliferative Neoplasms

A Study of Anagrelide Controlled Release (GALE-401) in Patients With High Platelet Counts Due to Bone Marrow Disorders

Start date: May 2014
Phase: Phase 2
Study type: Interventional

Anagrelide is a drug that has been shown to slow down how fast platelets are made in the bone marrow, and has been approved by the FDA for treating high platelets counts in patients with bone marrow disorders. Anagrelide Controlled Release ("CR") is a new preparation of anagrelide that is made to dissolve more slowly than currently marketed versions of this drug. Because of this, the anagrelide is taken up into the blood more slowly. Researchers think that this slower release of the drug could help to lower side effects that might be caused by high blood levels when the drug dissolves as quickly as it does with the currently marketed product. The main purposes of this study are to see how well Anagrelide CR can control platelet counts in patients with high platelet levels, to see what kind of side effects it causes, and to measure blood levels of the drug.

NCT ID: NCT02124746 Completed - Clinical trials for Primary Myelofibrosis

Long-term Safety and Efficacy of Momelotinib in Subjects With Primary Myelofibrosis, Post-polycythemia Vera Myelofibrosis, Post-essential Thrombocythemia Myelofibrosis, Polycythemia Vera or Essential Thrombocythemia

Start date: April 30, 2014
Phase: Phase 2
Study type: Interventional

This open-label study is to determine the long-term safety and tolerability of momelotinib in previously enrolled study participants with primary myelofibrosis (PMF), post-polycythemia vera myelofibrosis (post-PV MF), post-essential thrombocythemia myelofibrosis (post-ET MF), polycythemia vera (PV), or essential thrombocythemia (ET), who have tolerated and achieved stable disease or better with momelotinib treatment while enrolled in a previous clinical trial.