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Phase 2 N=38 Randomized Treatment

Phase 2, Pharmacokinetics Study of Eltrombopag in Japanese Thrombocytopenic Subjects With Chronic Liver Disease

Liver Diseases

Enrolled (actual)
38
Serious AEs
2.6%
Results posted
Sep 2010
Primary outcome: Primary: Change From Baseline in Platelet Counts on Day 15 — 24.8; 54.0; 60.0 10^9/Liter

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
eltrombopag 12.5 milligrams (mg) tablet (Drug); eltrombopag 25 mg tablet (Drug)
Age
Adult, Older Adult · 20+ yrs
Sex
All
Sponsor
GlaxoSmithKline
Primary completion
Aug 2009

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline in Platelet Counts on Day 15
24.8; 54.0; 60.0
SECONDARY
Analysis of Covariance for Three Patterns of Dose Response Using the Change From Baseline in Platelet Counts (Baseline Platelet Counts as Covariate)
24.8; 54.0; 60.0 0.0104 sig
SECONDARY
Analysis of Covariance for Three Patterns of Dose Response Using the Change From Baseline in Platelet Counts (Baseline of Platelet Counts and Child-Pugh Class as Covariates)
24.8; 54.0; 60.0 0.0116 sig
SECONDARY
Percent Change From Baseline in Platelet Counts on Day 15
57.86; 134.57; 158.45
SECONDARY
Platelet Counts by Treatment Visit
42.5; 38.0; 40.0; 50.5; 49.5; 52.0
SECONDARY
Platelet Counts by Post-Treatment Visit
63.5; 100.0; 109.0; 67.5; 119.0; 120.0
SECONDARY
Platelet Counts at Day 22
82.5; 72.5
SECONDARY
Change From Baseline in Platelet Counts by Treatment Visit
6.9; 14.6; 15.4; 24.8; 54.0; 60.0
SECONDARY
Change From Baseline in Platelet Counts by Post-Treatment Visit
33.0; 73.8; 97.6; 41.5; 100.9; 108.3
SECONDARY
Percentage of Responders on Day 15
25.0; 42.9; 58.3
SECONDARY
Percentage of Responders on Day 22
50.0; 50.0
SECONDARY
Change From Baseline in Platelet Counts on Day 15 by Child-Pugh Class
24.4; 44.5; 66.6; 25.8; 66.7; 50.8
SECONDARY
Change From Baseline in Platelet Counts on Day 15 by Sex
47.3; 83.5; 98.8; 13.6; 42.2; 40.6
SECONDARY
Change From Baseline in Platelet Counts on Day 15 by Age
19.7; 40.2; 49.8; 32.0; 104.7; 67.3
SECONDARY
Log-transformed Cmax on Days 14 and 15 in Participants Receiving Eltrombopag 12.5 mg
3412.999
SECONDARY
Log-transformed Tmax on Days 14 and 15 in Participants Receiving Eltrombopag 12.5 mg
3.444
SECONDARY
Log-transformed AUC(0-t) and AUC(0-24) on Days 14 and 15 in Participants Receiving Eltrombopag 12.5 mg
65244.180; 65235.699

Summary

This is an open label, multi-centre, dose ranging study to assess efficacy, safety and pharmacokinetics of eltrombopag in thrombocytopenic subjects with chronic liver disease.

Eligibility Criteria

Inclusion Criteria

  • Subject who agree to comply with protocol requirements and instructions and who provide signed and dated written informed consent.
  • Male and female subjects, ≥20 years of age (at the time of informed consent) with chronic liver disease.
  • Child-Pugh score 130 mEq/L.
  • Haemoglobin concentration >8 g/dL, stable for at least 4 weeks.
  • A female is eligible to enter and participate in the study if she is of:

Non-childbearing potential (i.e., physiologically incapable of becoming pregnant) including any female who:

  • Has had a hysterectomy
  • Has had a bilateral oophorectomy (ovariectomy)
  • Has had a bilateral tubal ligation
  • Is post-menopausal (demonstrate total cessation of menses for longer than one year)

Childbearing potential, has a negative urine and/or serum pregnancy test at screening, and within the 24 hour period prior to the first dose of investigational product and uses one of the following acceptable methods of contraception:

  • Complete abstinence from intercourse.
  • Any intrauterine device (IUD) with a documented failure rate of less than 1% per year.
  • Double-barrier contraception (condom with spermicidal jelly, or diaphragm with spermicide).
  • Male partner who is sterile (diagnosed by a qualified medical professional) prior to the female subject's study entry and is the sole sexual partner for that female.
  • Oral contraceptive (combined).
  • Subject has no physical limitation to ingest and retain oral medication.

Exclusion Criteria

  • Subjects with known or suspected hypersensitivity, intolerance or allergy to any of the ingredients in eltrombopag tablets.
  • Evidence of portal vein thrombosis on abdominal imaging (ultrasound with Doppler or appropriate magnetic resonance imaging/computed tomography (MRI/CT) imaging techniques) within 3 months before the start of the study.
  • History of arterial or venous thrombosis (including Budd-Chiari Syndrome),

AND ≥ two of the following risk factors:

  • hereditary thrombophilic disorders (e.g. antithrombinIII (ATIII) deficiency, etc.)
  • hormone replacement therapy
  • systemic contraception therapy (containing oestrogen)
  • smoking
  • diabetes
  • hypercholesterolemia
  • medication for hypertension or cancer
  • Human Immunodeficiency Virus (HIV) infection.
  • History of drug/alcohol abuse or dependence within 1 year prior to screening.
  • Any disease condition associated with current active World Health Organization (WHO) Grade 3 or 4 bleeding.
  • Active infection requiring systemic antibiotic therapy.
  • Pregnant, nursing mothers, women who may be pregnant, or women who plan to become pregnant during the time of study participation.
  • Treatment with platelet transfusion within 2 weeks prior to Day 1.
  • Treatment with interferon within 4 weeks prior to Day 1.
  • Treatment with an investigational drug within 30 days or five half-lives (whichever is longer) preceding the first dose of study medication.
  • History of platelet agglutination abnormality.
  • History of porphyria.
  • Subjects who are deemed unsuitable for the study by the investigator (or subinvestigator).
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00861601). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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