Phase 2
N=38
Phase 2, Pharmacokinetics Study of Eltrombopag in Japanese Thrombocytopenic Subjects With Chronic Liver Disease
Liver Diseases
Bottom Line
View on ClinicalTrials.gov: NCT00861601 ↗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
| Outcome | Result | p-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).
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.