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CTRI Number  CTRI/2025/09/094447 [Registered on: 09/09/2025] Trial Registered Prospectively
Last Modified On: 05/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Preventive 
Study Design  Non-randomized, Multiple Arm Trial 
Public Title of Study   Effect of Tablet Eltrombopag to prevent Decrease in the Platelet count in Patients with Solid Cancers receiving Gemcitabine based Cancer Treatment.  
Scientific Title of Study   A Comparative Study on Prophylactic use of Tablet Eltrombopag in varying doses to prevent Thrombocytopenia in Patients with Solid Tumour Malignancies receiving Gemcitabine based Chemotherapy : A Three armed, Prospective, Interventional Study. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Chilamkurty Maitreyi  
Designation  D M Medical Oncology Post Graduate  
Affiliation  Stanley Medical College and Hospital,Chennai  
Address  Department of Medical oncology, Stanley Medical college, SSB Block, OP No 53, Old Jail road, Washermanpet

Chennai
TAMIL NADU
600001
India 
Phone  9491969963  
Fax    
Email  maitreyi999@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr P N Sathiyamoorthy  
Designation  Professor and Head of the Department,Department of Medical Oncology 
Affiliation  Stanley Medical College and hospital,Chennai  
Address  Department of Medical oncology, Stanley Medical college, SSB Block, OP No 53, Old Jail road, Washermanpet

Chennai
TAMIL NADU
600001
India 
Phone  9444221535  
Fax    
Email  sathiyamoorthypn@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr P N Sathiyamoorthy  
Designation  Professor and Head of the Department, Department of Medical Oncology, 
Affiliation  Stanley Medical College and Hospital,Chennai  
Address  Department of Medical oncology, Stanley Medical college, SSB Block, OP No 53, Old Jail road, Washermanpet

Chennai
TAMIL NADU
600001
India 
Phone  9444221535  
Fax    
Email  sathiyamoorthypn@gmail.com  
 
Source of Monetary or Material Support  
Government Stanley Medical college,Chennai-01 
 
Primary Sponsor  
Name  Dr Chilamkurty Maitreyi 
Address  Department of Medical oncology, Stanley Medical college, SSB Block, OP No 53, Old Jail road, Washermanpet, Chennai. 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrChilamkurty Maitreyi  Government Stanley Medical college and Hospital  Department of Medical oncology,Stanley Medical college,Ground floor,SS block, op no.53,old jail road, washermenpet, Chennai, 600001
Chennai
TAMIL NADU 
9491969963

maitreyi999@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Government Stanley Medical College and Hospital, Chennai-01,Institutional ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C00-D49||Neoplasms, (2) ICD-10 Condition: C00-C14||Malignant neoplasms of lip, oral cavity and pharynx, (3) ICD-10 Condition: C15-C26||Malignant neoplasms of digestive organs, (4) ICD-10 Condition: C30-C39||Malignant neoplasms of respiratory and intrathoracic organs, (5) ICD-10 Condition: C50-C50||Malignant neoplasms of breast, (6) ICD-10 Condition: C60-C63||Malignant neoplasms of male genital organs, (7) ICD-10 Condition: C51-C58||Malignant neoplasms of female genital organs, (8) ICD-10 Condition: C64-C68||Malignant neoplasms of urinary tract, (9) ICD-10 Condition: C40-C41||Malignant neoplasms of bone and articular cartilage, (10) ICD-10 Condition: C45-C49||Malignant neoplasms of mesothelial and soft tissue, (11) ICD-10 Condition: C7A-C7A||Malignant neuroendocrine tumors, (12) ICD-10 Condition: C73-C75||Malignant neoplasms of thyroid and other endocrine glands, (13) ICD-10 Condition: C69-C72||Malignant neoplasms of eye, brain and other parts of central nervous system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Observation  Patients diagnosed with solid malignancies who are receiving Gemcitabine based chemotherapy will be under observation for 4 consecutive cycles. 
Intervention  Tab Eltrombopag 25 mg  Patients diagnosed with solid malignancies who are receiving Gemcitabine based chemotherapy will receive Tablet Eltrombopag 25 mg orally daily for 7 days(Day 9-Day 15 of each cycle) for 4 consecutive cycles.  
Intervention  Tablet Eltrombopag 50mg  Patients diagnosed with solid malignancies who are receiving Gemcitabine based chemotherapy will receive Tablet Eltrombopag 50 mg orally daily for 7 days(Day 9-Day 15 of each cycle) for 4 consecutive cycles. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1.In patients with Histologically/cytologically confirmed solid malignancies.
2.Patients with ECOG performance status 0-2.
3.Patients scheduled for Gemcitabine based chemotherapy (monotherapy or in combination).
4.Signed, written informed consent
5.Adequate organ function(as per standard laboratory values) 
 
ExclusionCriteria 
Details  1.History of hematologic malignancy from bone marrow aspirate and biopsy or peripheral blood test in the prior 3 months.
2.Patients with pre-existing platelet count less than 1,00,000 cells/microL.
3.Patients with Active bleeding or coagulopathy.
4.Prior use of TPO receptor agonists
5.Patients with uncontrolled infection or uncontrolled Type 2 Diabetes Mellitus, Systemic Hypertension, chronic Diseases/ illness.
6.Pregnant women and lactating women 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To asses whether prophylactic use of Tablet Eltromobopag in different doses reduce the degree and duration of Gemcitabine based chemotherapy induced thrombocytopenia
 
After 4 consecutive cycles of chemotherapy 
 
Secondary Outcome  
Outcome  TimePoints 
To assess whether the Tablet Eltrombopag is safe and adverse effect profile.  After every cycle for 4 consecutive cycles 
 
Target Sample Size   Total Sample Size="99"
Sample Size from India="99" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   25/09/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

A prospective study, patients aged more than 18years of age with solid malignancies scheduled for Gemcitabine based chemotherapy in any setting(Neo adjuvant,adjuvant ,palliative setting) will be included in the study.Gemcitabine Based Chemotherapy Will Be Given On Day 1 And Day8 Of Every 21 Day Cycle.One Day Prior To Every Chemotherapy Cycle CBC, RFTS, LFTS Will Be Checked. Patients will be taken under three arms.Arm A will receive Tablet Eltrombopag 50 mg orally daily for 7 days(Day 9-Day 15 of each cycle).Arm B will receive Tablet Eltrombopag 25 mg orally daily for 7 days(Day 9-Day 15 of each cycle).Arm C will be under observation(No Eltrombopag). Eltrombopag will be given as per assigned arm for 4 consecutive cycles will be given. Platelet counts trend will be observed across the 4 consecutive chemotherapy cycles. The efficacy of prophylactic use of Tablet Eltrombopagin various doses (25mg and 50mg) in preventing Gemcitabine based chemotherapy induced thrombocytopenia in patients with solid malignancies and Documentation of any chemotherapy Dose reductions or delays.Monitoring for adverse events and Toxicity will be assessed.

 
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