Real-World data may reveal which ITP treatments work best
NCT ID NCT07805408
First seen Sep 04, 2026 · Last updated Sep 04, 2026
Summary
This study looks back at health records from over 3,700 adults with immune thrombocytopenia (ITP), a condition where the immune system destroys blood platelets, raising bleeding risk. Researchers want to see which second-line treatments doctors prescribe after first-line steroids fail, and how long patients stay on those treatments. They will compare options like romiplostim, eltrombopag, rituximab, and splenectomy using a large US database of electronic health records and insurance claims. The goal is to understand real-world effectiveness and treatment patterns, not to test a new drug.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- This study could help doctors understand which second-line treatments for immune thrombocytopenia work best in everyday practice, guiding better care decisions.
- What could go wrong
- Because this is a retrospective database study, it can show patterns but cannot prove cause and effect. The results may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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3,714 people
The number who actually took part.
- Started
-
May 2025
- Finished
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Nov 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adult patients diagnosed with primary ITP from a US medical claim and EHR data source during the study period.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria 1. Evidence of a diagnosis of primary ITP during the study identification period. 2. Evidence of treatment with any allowed second-line treatment during the study identification period after the first primary ITP diagnosis. 3. Evidence of treatment with any allowed first-line treatment prior to index. 4. Aged ≥18 years at index. Exclusion criteria 1. Fewer than 12 months continuous enrollment or activity prior to index. 2. Fewer than one inpatient or fewer than two outpatient records during baseline. 3. Evidence of any allowed second-line therapies or splenectomy prior to index. 4. Evidence of diagnosis of Evans syndrome, systemic lupus erythematosus, autoimmune lymphoproliferative syndrome, human immunodeficiency virus (HIV), hepatitis C virus (HCV), Helicobacter pylori, Sjogren's antiphospholipid syndrome prior to index, or active b-cell malignancies (not in remission) in the baseline period. 5. Continuous enrollment end date or death date prior to index.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Novartis
East Hanover, New Jersey, 07936, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Experimental injection aims to boost platelets in chronic blood disorder
- New combo therapy aims to boost platelets in immune disorder
- Double attack on blood disorder: could two drugs beat one for stubborn ITP?