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Completed

NCT Number: NCT00202644

A Study of Anagrelide and Hydroxyurea in High-Risk Essential Thrombocythemia Patients

Essential thrombocythaemia is a disorder of bone marrow, which causes too many platelets to be produced. Platelets are small cells carried around in the blood, which help form blood clots. When patients have too many platelets, there is a risk of blood clots forming unnecessarily and excessive bleeding. The aim of this study is to gain additional information on the safety profile of Anagrelide (Xagrid(r)) and Hydroxyurea (also known as hydroxycarbamide).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

University Multiprofile Hospital for Active Treatment ''Dr Georgi Stranski'' - Pleven, Pleven, Bulgaria

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Confirmed diagnosis of essential thrombocythaemia - high risk profile
  • Previously untreated with a cytoreductive agent
  • Females of childbearing potential must have a negative urine pregnancy test prior to entering the study and must agree to use effective birth control for the duration of the study

Exclusion criteria

  • Diagnosis of any other myeloproliferative disorder
  • Any known cause for a secondary thrombocytosis
  • Anti-coagulant and anti-aggregant therapies
  • Known or suspected heart disease
  • Left Ventricular Ejection Fraction < 55%

Treatment and study plan

Anagrelide

Drug

Anagrelide hydrochloride 0.5mg capsules;initial dose administered will be 1.0mg/day administered as 0.5mg bid. The dose will be titrated such that the total daily dose is incremented by no more than 0.5mg per week as required depending on platelet reduction versus adverse event profile.

Hydroxyurea

Drug

Hydroxyurea is 500mg hydroxycarbamide capsules; initial dose is 1000mg/day, administered in two divided doses (500mg/dose). Dose titrated to effect to achieve a response.

Primary outcomes

  1. Change From Baseline in Left Ventricular Ejection Fraction (LVEF) Over Time

    Time frame: Baseline and Month 1, 2, 3, 6, 9, 12, 18, 24, 30 and 36

    The LVEF was measured by echocardiography and considered a sufficiently sensitive measure to evaluate any changes in cardiac function.

  2. Platelet Count at Month 6

    Time frame: Month 6

    Platelet count was evaluated.

Secondary outcomes

  1. Change From Baseline in Platelet Counts at Month 3 and 36

    Time frame: Baseline and Month 3 and 36

    Platelet count was evaluated throughout the study.

  2. Percentage of Participants With Complete Response

    Time frame: Baseline up to Month 36

    A complete response was defined as a platelet count of less than (<) 400x10^9/Liter which was confirmed over 2 consecutive visits at least 28 days apart.

  3. Percentage of Participants With Partial Response

    Time frame: Baseline up to Month 36

    A partial response is defined as a platelet count of 400-600 x 10^9/Liter and a reduction in platelet count of at least 200 x 10^9/Liter from baseline which was confirmed over 2 consecutive visits at least 28 days apart.

  4. Time to Complete Response

    Time frame: Baseline up to Month 36

    Time in days from the date of the first dose of study medication to the date of the first visit at which response was classified. If a participant did not achieve response then they were censored at their last visit in the study (Month 36 or withdrawal).

  5. Time to Partial Response

    Time frame: Baseline up to Month 36

    Time in days from the date of the first dose of study medication to the date of the first visit at which response was classified. If a participant did not achieve response then they were censored at their last visit in the study (Month 36 or withdrawal).

  6. Number of Participants With Thrombotic and Haemorrhagic Events

    Time frame: From the signing of informed consent until the last study-related visit (Month 36)

    Thrombohaemorrhagic events are a well-known complication of the underlying essential thrombocythemia (ET) and disease progression. Events such as arterial and venous thrombosis, serious haemorrhage (including gastrointestinal haemorrhage), and death from vascular causes have been reported in participants who received cytoreductive treatment.

  7. Change From Baseline in White Blood Cell Count Over Time

    Time frame: Baseline and Month 6, 12, 18, 24, 30 and 36

    White blood cell count was evaluated throughout the study.

  8. Change From Baseline in Red Blood Cell Count Over Time

    Time frame: Baseline and Month 6, 12, 18, 24, 30 and 36

    Red blood cell count was evaluated throughout the study.

Sponsors and collaborators

Lead sponsor

Shire

Industry

Registry information

Official study title

A Phase IIIb, Randomized, Open Label Study to Compare the Safety, Efficacy and Tolerability of Anagrelide Hydrochloride Versus Hydroxyurea in High-Risk Essential Thrombocythaemia Patients.

Important dates

Study start
2006
Primary completion
2015
Study completion
2015
First posted
Sep 20, 2005
Registry last updated
Jun 2, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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