New combo aims to free ITP patients from lifelong medication

NCT ID NCT07278908

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tests whether adding all-trans retinoic acid (ATRA) to the drug avatrombopag can help adults with immune thrombocytopenia (ITP) maintain normal platelet levels without needing ongoing treatment. About 248 participants who have not responded well to first-line therapy or have relapsed will be randomly assigned to receive either avatrombopag alone or avatrombopag plus ATRA for up to 24 weeks, followed by a tapering period. The main goal is to see how many people can stop all treatment and still have safe platelet counts at one year.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

avatrombopag and all-trans retinoic acid

What this could lead to

If it works, this combination could help more people with ITP stop taking medication for a longer time, reducing the need for ongoing treatment.

What could go wrong

This is an early-to-mid stage trial with only 248 people, so results may not apply to everyone. The combination may cause side effects like headache, nausea, or liver issues, and it's not yet proven to be better than avatrombopag alone.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

autoimmune thrombocytopenic purpura Purpura, Thrombocytopenic, Idiopathic

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.