RecruitingPhase 4NCT05522465

Short-course High-dose Prednisone and Dexamethasone in Children With ITP

Short-course High-dose Prednisone and Dexamethasone in Children With Immune A Multicenter, Randomized Controlled Study of Thrombocytopenia


Sponsor

Fujian Medical University Union Hospital

Enrollment

608 participants

Start Date

Oct 11, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

Comparison of the efficacy and safety of short-course high-dose prednisone and dexamethasone in the treatment of children with newly diagnosed immune thrombocytopenia (ITP)


Eligibility

Min Age: 29 DaysMax Age: 14 Years

Inclusion Criteria4

  • Meet the ITP diagnostic criteria, within 3 months of the first diagnosis
  • Age > 28 days and ≤ 14 years old
  • Untreated PLT<20×109/L, or PLT<30×109/L after 1 week of intravenous gamma globulin (IVIG) treatment
  • Have signed the informed consent

Exclusion Criteria7

  • Intracranial hemorrhage or severe gastrointestinal or urinary tract hemorrhage requiring emergency treatment, such as simultaneous use of platelet transfusion and thrombopoietic drugs (recombinant human thrombopoietin, eltrombopag, etc.)
  • Received glucocorticoid therapy within 6 months
  • Menstrual female children
  • Patients with underlying diseases such as tumor diseases, autoimmune diseases or genetic diseases
  • Patients who have received radiotherapy and chemotherapy
  • There are contraindications to the use of glucocorticoids (hypertension, glaucoma, peptic ulcer, etc.)
  • There are any significant abnormal coexisting diseases or mental illnesses that affect the patient's life safety and compliance, and affect informed consent, research participation, follow-up or interpretation of results

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Interventions

DRUGPrednisone

Prednisone 4mg/kg.d, d1-4

DRUGDexamethasone

Dexamethasone 0.6mg/kg.d, d1-4


Locations(1)

Children with newly dignosed ITP

Fujian, Fujian, China

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NCT05522465


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