New drug cocktail aims to tame rare bleeding disorder
NCT ID NCT07400250
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 study tests whether combining orelabrutinib (a targeted drug) with romiplostim (a platelet booster) can improve platelet counts in adults with chronic immune thrombocytopenia (ITP) who haven't responded well to standard treatments. About 28 participants will receive the combo for 24 weeks, with follow-up to 56 weeks. The goal is to see if this approach leads to more stable platelet levels and longer remission without rescue therapy.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Orelabrutinib (a targeted cancer drug) and romiplostim (a platelet-boosting drug)
- What this could lead to
- If successful, this combination could help ITP patients achieve stable platelet counts and possibly reduce or stop other treatments.
- What could go wrong
- This is a small, early-phase trial (28 people) with no results yet. The combination may cause side effects or fail to improve outcomes.
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.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 28 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- 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. Subjects voluntarily participate in this study and provide written informed consent; 2. Age 18-80 years, inclusive, regardless of gender; 3. ECOG score 0 to 2; 4. Documented diagnosis of chronic primary Immune Thrombocytopenia (ITP) with a disease duration \>12 months; 5. Patients with an inadequate sustained response, relapse, intolerance, or insufficient response to first-line ITP therapy (corticosteroids and/or intravenous immunoglobulin). Prior receipt of other ITP treatments is allowed, with no limit on the number of prior lines; 6. A history of response to prior standard ITP therapy (defined as achieving a platelet count ≥50×10⁹/L); 7. During or following the most recent ITP treatment, patients must have experienced either: treatment failure (platelet count \<30×10⁹/L after treatment, or failure to double the baseline count, or occurrence of bleeding), relapse after initial response (platelet count decreased to \<30×10⁹/L, or fell below twice the baseline, or bleeding symptoms recurred), treatment intolerance, or an inability to maintain response after treatment discontinuation; 8. Subjects demonstrate adequate comprehension of and are able to comply with the study protocol requirements, and are willing to complete the study according to the schedule. Exclusion Criteria: 1. Subjects suffer from severe ITP at screening; 2. Subjects have other diseases which mention in protocol; 3. Subjects develop intracranial hemorrhage within 6 months prior to screening; 4. Active and uncontrollable infection; 6\. Subjects have a history of coagulopathy other than ITP; 7. Subjects with a history of malignancies; 8. History of major organ transplantation or hematopoietic stem cell/bone marrow transplantation; 9. Subjects with a known history of hypersensitivity to the investigational drug as described in the Protocol, or any ingredients; 10. Subjects with a Medication history and surgical history which mention in protocol; 11. Subjects do not meet the criterion of the laboratory test in protocol. Withdrawal Criteria: 1. If, after 4 consecutive weeks of Romiplostim N01 administration at the maximum dose (10 µg/kg once weekly), the platelet count remains \<50×10⁹/L and the investigator judges the investigational product to be ineffective for the subject, such that continued use is not in the subject's best interest; 2. Subjects who are unable to successfully undergo treatment tapering or discontinuation; 3. Subjects who, during the treatment period, require rescue therapy based on clinical assessment; 4. Subjects who withdraw their informed consent. 5. Occurrence of pregnancy during the trial period 6. Poor subject compliance or a significant protocol violation; 7. Loss to follow-up; 8. The investigator decides that withdrawal is necessary for the subject's safety; 9. Presence of other conditions, as determined by the investigator, that may affect the study results or lead to premature termination of the study; 10. Study completion or early termination of the entire study.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100010, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Real-World data may reveal which ITP treatments work best
- What Trade-Offs are ITP patients willing to make for better treatment?
- Experimental injection aims to boost platelets in chronic blood disorder
- New combo therapy aims to boost platelets in immune disorder
- New hope for kids with ITP: drug combo aims to control bleeding
- Can a vitamin a drug boost platelets in Hard-to-Treat ITP?