Title

Avatrombopag for the Treatment of Thrombocytopenia in Adults Scheduled for a Surgical Procedure
An Open-Label Study to Evaluate the Efficacy and Safety of Avatrombopag for the Treatment of Subjects With Thrombocytopenia Scheduled for a Surgical Procedure
  • Phase

    Phase 3
  • Study Type

    Interventional
  • Study Participants

    4
Phase 3b open-label, multicenter study to evaluate the safety and efficacy of avatrombopag in subjects with thrombocytopenia scheduled for operations to critical sites or operations with a high risk of bleeding.
Subjects will receive oral avatrombopag once daily for 5 days beginning on Day 1, followed by a wait period prior to the procedure, which will occur on Day 10 to 13. The Follow-up Period will include 2 visits; 7 days post-procedure and 30 days after last dose.
Study Started
Mar 26
2018
Primary Completion
Feb 25
2019
Study Completion
Feb 25
2019
Results Posted
Apr 15
2020
Last Update
Apr 15
2020

Drug Avatrombopag 60 mg

Oral avatrombopag administered once daily for 5 days prior to procedure.

Avatrombopag 60 mg Experimental

Open-label: oral avatrombopag

Criteria

Inclusion Criteria:

Men and women greater than or equal to 18 years of age;

A mean baseline platelet count between:

50 × 10^9/L and <100 × 10^9/L for non-chronic liver disease participants
50 × 10^9/L and <75 × 10^9/L for participants with chronic liver disease;
Participant is scheduled to undergo operations to critical sites (eg, eye surgery, neurosurgery) or operations with a high risk of bleeding (eg, major abdominal surgery), or, in the opinion of the Investigator, would otherwise require a pre-operative platelet transfusion to prevent bleeding

Exclusion Criteria:

Participant with a history of arterial or venous thrombosis within 6 months of baseline;
Participant with known portal vein blood flow velocity rate <10 cm/second or previous portal vein thrombosis within 6 months of baseline;
Participant plans to have a platelet transfusion or plans to receive blood products containing platelets within 7 days of the Baseline Visit;
Use of erythropoietin-stimulating agents;
Participant has a known medical history of genetic prothrombotic syndromes; or
Participant has abnormal hemoglobin levels or prothrombin time/international normalized ratio

Summary

Avatrombopag 60 mg

All Events

Event Type Organ System Event Term Avatrombopag 60 mg

Evaluate Efficacy of Avatrombopag in Increasing Platelet Counts in Subjects With Thrombocytopenia Scheduled for Operations

Proportion of subjects that achieve a platelet count >100 x 10^9 platelets/L on procedure day

Avatrombopag 60 mg

0.75
proportion of total participants

Evaluate Safety of Avatrombopag: Incidence of Treatment Emergent Adverse Events

Incidence of treatment emergent adverse events

Avatrombopag 60 mg

Age, Continuous

66
years (Mean)
Full Range: 51.0 to 77.0

Platelet Counts

68
10^9 platelets/L (Mean)
Full Range: 64.0 to 73.0

Age, Categorical

Ethnicity (NIH/OMB)

Race (NIH/OMB)

Region of Enrollment

Sex: Female, Male

Overall Study

Avatrombopag 60 mg