A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate Efficacy and Safety of Mezagitamab Subcutaneous Injection in Participants with Persistent or Chronic Primary Immune Thrombocytopenia
Recipient organisationNIHR University College London Hospitals Biomedical Research Centre
NIHR supportRecorded as supported by this research centre
PeriodFeb 2025 — Feb 2028
In plain English
AI plain-English summary
Around one in five patients with immune thrombocytopenia (ITP) stop responding to existing drugs, leaving them at risk of severe or life-threatening bleeding. ITP is an autoimmune disorder where the body destroys its own platelets, the cells that form clots. This trial tests a new injectable drug, mezagitamab, in a phase 3 randomised, double-blind, placebo-controlled study. The goal is to see whether it can produce a sustained rise in platelet counts, prevent bleeding episodes, and improve quality of life for patients who have already failed or cannot tolerate current therapies. If mezagitamab proves effective and safe, it would offer a new treatment option for a group that currently has few alternatives. That could reduce hospitalisations for bleeding emergencies, lower the need for rescue therapies, and allow patients to live with less fear of a sudden haemorrhage. The trial is a direct test of a practical intervention, not fundamental science—success would mean a new drug entering the clinic for a condition with an unmet medical need.
View original technical description
ITP is an autoimmune bleeding disorder that results in a decreased platelet count and may lead to bleeding events, some of which can be severe or life-threatening. Approximately 20% of patients with ITP do not respond to currently available treatments, or experience a loss of response or intolerance, resulting in increased bleeding-related morbidity and diminished quality of life. The purpose of this trial is to evaluate efficacy and safety of mezagitamab as a new treatment option that can provide a sustained platelet response, prevent bleeding, and improve the quality of life for patients with primary ITP who have had an insufficient response or intolerance to prior therapy.
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