ITP showdown: daily pill vs IV infusion in major new trial

NCT ID NCT07051915

First seen Jun 26, 2026 ยท Last updated Jun 26, 2026

Summary

This phase 3 trial will compare two second-line treatments for immune thrombocytopenia (ITP), a condition where the immune system destroys platelets, causing bleeding risk. About 220 adults who didn't respond to steroids will be randomly assigned to take avatrombopag (a daily pill that boosts platelet production) or rituximab (an IV infusion that targets immune cells). The main goal is to see which treatment leads to more stable platelet counts over 28 weeks, with follow-up on quality of life and fatigue.

What this could mean

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

Active substance
Avatrombopag (daily pill) or Rituximab (IV infusion)
What this could lead to
If successful, this could show which second-line treatment works better for ITP patients who didn't respond to steroids, potentially improving platelet counts and quality of life.
What could go wrong
This is a phase 3 trial, but it's not yet recruiting. Results may not apply to all ITP patients, and both drugs have side effects like infection risk (rituximab) or liver issues (avatrombopag).

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

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