RecruitingPhase 2Phase 3NCT02707497

The Effect of REcombinant Human Thrombopoietin (rhTPO) on Sepsis Patients With aCUte Severe thrombocytopEnia

The Effect of Recombinant Human Thrombopoietin(rhTPO) on Sepsis Patients With Acute Severe Thrombocytopenia:a Prospective, Multi-center, Open-label, ,Randomized, Controlled Trial


Sponsor

Ruilan Wang

Enrollment

200 participants

Start Date

Apr 1, 2019

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to determine whether recombinant human thrombopoietin(rhTPO) can rapidly increase the platelets counts, shorten the time of the platelet returned to normal, reduce platelet transfusion and bleeding events, prompt recovery of organ function, decrease the length of ICU stay, and eventually reduce the 28-day mortality in sepsis patients with severe thrombocytopenia.


Eligibility

Min Age: 18 YearsMax Age: 85 Years

Inclusion Criteria4

  • Confirmed or clinical diagnosed infection
  • The change of Sequential Organ Failure Assessment(ΔSOFA) score ≥ 2
  • PLT< 50×10\^9/L
  • Informed consent

Exclusion Criteria8

  • History of the treatments with chemotherapeutic drugs or heparin within six months
  • History of bone marrow stem cell disorders, malignancy, or immunologic diseases
  • History of bone marrow, lung, liver, kidney, pancreas, or small bowel transplantation.
  • Confirmed End-stage renal failure(GFR <10ml/min,Scr>707μmol/L)
  • Confirmed Disseminated Intravascular Coagulation(DIC)
  • Confirmed Hemorrhagic brain injury or need craniocerebral operation
  • Died anticipated within 24 hours
  • Known pregnancy or at breastfeeding

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Interventions

DRUGrhTPO

Recombinant Human Thrombopoietin,TPIAO®, Shenyang Sunshine Pharmaceutical Company Limited \[SUNSHINE\], Shenyang, China), 15000u/d, qd, subcutaneous injection, daily for no more than 7 consecutive days

DRUGPlacebo

The control group will not use any platelet-increased drugs.


Locations(1)

Shanghai General Hospital, Shanghai Jiaotong University

Shanghai, Shanghai Municipality, China

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NCT02707497


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