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    Clinical Trial Results:
    An extension study of eltrombopag in pediatric patients with chronic immune (idiopathic) thrombocytopenia purpura (ITP)

    Summary
    EudraCT number
    2017-004082-27
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    04 Jul 2017

    Results information
    Results version number
    v1(current)
    This version publication date
    24 Feb 2018
    First version publication date
    24 Feb 2018
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    117366
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02201290
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    CETB115BRU01: 2017-004082-27
    Sponsors
    Sponsor organisation name
    Novartis Pharma, AG
    Sponsor organisation address
    CH-4002, Basel, Switzerland,
    Public contact
    Clinical Disclosure Office, Novartis Pharma, AG, 41 613241111, novartis.email@novartis.com
    Scientific contact
    Clinical Disclosure Office, Novartis Pharma, AG, 41 613241111, novartis.email@novartis.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    12 Dec 2017
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    04 Jul 2017
    Global end of trial reached?
    Yes
    Global end of trial date
    04 Jul 2017
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The main objective was to provide continued treatment to patients who have completed the TRA115450 study and to describe the safety and tolerability of Eltrombopag when administered to pediatric subjects with previously treated chronic ITP.
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and the International Conference on Harmonization (ICH) Good Clinical Practice (GCP) guidelines. All the local regulatory requirements pertinent to safety of trial subjects were also followed during the conduct of the trial.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    18 Jun 2013
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Russian Federation: 9
    Worldwide total number of subjects
    9
    EEA total number of subjects
    0
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    6
    Adolescents (12-17 years)
    3
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    The study included pediatric patients with chronic ITP.

    Pre-assignment
    Screening details
    Study screening period was followed by a single arm treatment period and a follow-up period

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded
    Blinding implementation details
    This was an open-label study.

    Arms
    Arm title
    Treated participants
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Eltrombopag (CETB115B)
    Investigational medicinal product code
    Eltrombopag tablets
    Other name
    CETB115B
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    40mg

    Number of subjects in period 1
    Treated participants
    Started
    9
    Completed
    4
    Not completed
    5
         Consent withdrawn by subject
    2
         Adverse event, non-fatal
    1
         Lack of efficacy
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Treated participants
    Reporting group description
    -

    Reporting group values
    Treated participants Total
    Number of subjects
    9 9
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    5 5
        Adolescents (12-17 years)
    4 4
        Adults (18-64 years)
    0 0
        From 65-84 years
    0 0
        85 years and over
    0 0
    Age Continuous
    Units: years
        arithmetic mean (standard deviation)
    9.7 ( 3.81 ) -
    Gender, Male/Female
    Units: Subjects
        Female
    4 4
        Male
    5 5
    Subject analysis sets

    Subject analysis set title
    ATS
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    The all treated subjects (ATS) analysis set included all patients who received at least one dose of Eltrombopag.

    Subject analysis sets values
    ATS
    Number of subjects
    9
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    5
        Adolescents (12-17 years)
    4
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age Continuous
    Units: years
        arithmetic mean (standard deviation)
    9.7 ( 3.81 )
    Gender, Male/Female
    Units: Subjects
        Female
    4
        Male
    5

    End points

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    End points reporting groups
    Reporting group title
    Treated participants
    Reporting group description
    -

    Subject analysis set title
    ATS
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    The all treated subjects (ATS) analysis set included all patients who received at least one dose of Eltrombopag.

    Primary: Adverse Events

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    End point title
    Adverse Events [1]
    End point description
    Frequency of all adverse events (including Ophthalmic events) categorized using CTCAE toxicity grades and clinical laboratory test [ Time Frame: Up to Week 4 Follow-up period ] Clinical laboratory assessments and frequency of all adverse events, categorized using Common Terminology Criteria for Adverse Events (CTCAE) toxicity grades will present safety and tolerability endpoints
    End point type
    Primary
    End point timeframe
    Up to week 4 follow up period
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Stats analysis does not apply to this endpoint
    End point values
    Treated participants ATS
    Number of subjects analysed
    9
    9
    Units: participants
        Number of subjects with at least one event
    3
    6
        Infections and infestations
    0
    3
        Nervous system disorders
    0
    2
        Respiratory, thoracic and mediastinal disorders
    1
    0
        Eye disorders
    1
    0
        Hepatobiliary disorders
    1
    0
        Investigations
    0
    0
        Metabolism and nutrition disorders
    0
    1
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events are collected from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV). All adverse events reported in this record are from date of First Patient First Treatment until Last Patient Last Visit
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    19.0
    Reporting groups
    Reporting group title
    Eltrombopag
    Reporting group description
    Eltrombopag

    Serious adverse events
    Eltrombopag
    Total subjects affected by serious adverse events
         subjects affected / exposed
    3 / 9 (33.33%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Eye disorders
    Scleral haemorrhage
         subjects affected / exposed
    1 / 9 (11.11%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatobiliary disorders
    Autoimmune hepatitis
         subjects affected / exposed
    1 / 9 (11.11%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Epistaxis
         subjects affected / exposed
    1 / 9 (11.11%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Eltrombopag
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    6 / 9 (66.67%)
    Investigations
    Blood bilirubin increased
         subjects affected / exposed
    1 / 9 (11.11%)
         occurrences all number
    1
    Nervous system disorders
    Headache
         subjects affected / exposed
    2 / 9 (22.22%)
         occurrences all number
    10
    Respiratory, thoracic and mediastinal disorders
    Epistaxis
         subjects affected / exposed
    1 / 9 (11.11%)
         occurrences all number
    1
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    3 / 9 (33.33%)
         occurrences all number
    4
    Pharyngitis
         subjects affected / exposed
    1 / 9 (11.11%)
         occurrences all number
    1
    Tonsillitis
         subjects affected / exposed
    1 / 9 (11.11%)
         occurrences all number
    2
    Metabolism and nutrition disorders
    Iron deficiency
         subjects affected / exposed
    1 / 9 (11.11%)
         occurrences all number
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    08 Jul 2013
    Protocol was amended 1 time. Previous sections of this report describe the study conduct as amended. The key features of amendment are given below: Amendment 01 (08-Jul-2013) introduced the following changes:  Sponsor Medical Monitor was updated.  The rationale of the study was clarified and the study assessments simplified  Clarification of the term ‘study treatment’.  Clarification of dosing by age rather than cohort. Additional guidance was included for those subjects who switched formulation during the study.  Clarification around the time period to record prior medications. Correction of study number within table as well as clarification of assessments.  Clarification of endpoints.  Clarification consistent with revised assessments and match Time and Events Table.  Clarification physical examination and the removal of vital signs.  Renal assessments were removed.  Title was changed to reflect more streamlined assessment and focus on cataract assessment. Subsections 7.2.1.5.1. Baseline, Ocular History and Risk Factors, 7.2.1.5.2, Ophthalmic Examinations and 7.2.1.5.4 Additional Ocular Follow-up were removed.  Laboratory assessments were streamlined. Table 4 was amended to reflect this change.  Clarification around administration of Eltrombopag.  Clarification to data process and removal of repeated text.  The Reporting and Analysis Plan was removed. This section and each sub-section within were changed for the modification of analysis and data collection. These amendments were not considered to have affected the interpretation of study results.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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