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Medical Standard of Care for ITP

Phase 3

Idiopathic Thrombocytopenic Purpura | Small molecule | Hematology |Amgen Inc.|Last Updated: Nov 8, 2022

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLED
Total Trials1
Total Enrollment234
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00415532Romiplostim (AMG 531) Versus Medical Standard of Care for Immune (Idiopathic) Thrombocytopenic PurpuraPHASE3 COMPLETED 234Dec 1, 2006May 11, 2009Nov 8, 2022 -
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Study Endpoints
Primary Endpoints
Number of Participants With Splenectomy During 52-Week Treatment Period
52 weeks

Occurrence of a splenectomy. Participants who discontinued study during the treatment period prior to reporting a splenectomy were considered as having had a splenectomy.

Number of Participants With Treatment Failure During 52-Week Treatment Period
52 weeks

Treatment failure was defined by platelet counts ≤ 20 x 10\^9/L for 4 consecutive weeks at the highest recommended dose and schedule, a major bleeding event, or change in therapy due to an intolerable side effect or bleeding symptom.

Secondary Endpoints
Time to Splenectomy
52 weeks
Percentage of Participants With Platelet Response
Weeks 1-8, and Weeks 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52
Change in ITP-PAQ Physical Health Domain of Symptoms
Baseline and 52 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
RomiplostimEXPERIMENTALRomiplostim administered by subcutaneous injection once weekly at a starting dose of 3 μg/kg, adjusted to a maximum dose of 10 μg/kg to maintain a platelet count between 50 and 200 x 10\^9/L for up to 52 weeks.
Standard of CareOTHERMedical standard of care treatments were selected and prescribed by the investigator according to standard institutional practices or therapeutic guidelines and administered for up to 52 weeks.
Interventions
NameTypeDescription
Medical Standard of Care for ITPDRUG -
RomiplostimBIOLOGICAL -
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Subject is ≥ 18 years of age * Subject has a diagnosis of Idiopathic Thrombocytopenia Purpura (ITP) according to the American Society of Hematology (ASH) guidelines * If subject is \> 60 years of age, subject has a written bone marrow biopsy report confirming the diagnosis of ...

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