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Randomised study to compare aspirin versus hydroxyurea/aspirin in 'intermediate risk' primary thrombocythaemia (PT) and hydroxyurea/aspirin versus anagrelide/aspirin in 'high risk' primary thrombocythaemia
ISRCTN ISRCTN72251782
DOI 10.1186/ISRCTN72251782
ClinicalTrials.gov identifier NCT00175838
EudraCT number 2004-000245-38
Public title Randomised study to compare aspirin versus hydroxyurea/aspirin in 'intermediate risk' primary thrombocythaemia (PT) and hydroxyurea/aspirin versus anagrelide/aspirin in 'high risk' primary thrombocythaemia
Scientific title
Acronym PT1
Serial number at source AA3
Study hypothesis 1. In 'low risk' patients: what is the incidence of vascular occlusion while receiving aspirin alone?
2. In 'intermediate risk' patients: does hydroxyurea reduce vascular occlusive events when added to aspirin?
3. In 'high risk' patients: does anagrelide reduce vascular occlusive events as effectively as hydroxyurea?
4. In 'high risk' patients: is anagrelide as effective as hydroxyurea in reducing elevated platelet counts?
5. What is the effect of the treatment modalities on quality of life?
6. Secondary objective In 'intermediate' and 'high risk' patients: does treatment modality alter the risk of leukaemic or myelofibrotic transformation?

Please note as of 08/02/2011 the anticipated end date of this trial has been extended from 31/10/2003 to 31/07/2012 and the participant number has increased from 1200 to 1600.
As of 28/08/2012 the anticipated end date of this trial has been extended from 31/07/2012 to 30/04/2014.
Lay summary http://www.cancerhelp.org.uk/trials/a-trial-looking-at-treatment-for-adults-with-primary-thrombocythaemia
Ethics approval South Thames Multi Centre Research Ethics Committee (now called the South East Research Ethics Committee) on 01/08/1997 (MREC ref: 97/1/004)
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Leukaemia
Participants - inclusion criteria All patients over 18 years of age meeting diagnostic criteria of PT
Participants - exclusion criteria Severe heart disease excludes patients from the 'high risk' study.
Anticipated start date 01/07/1997
Anticipated end date 30/04/2014
Status of trial Ongoing
Patient information material
Target number of participants 1600
Interventions 'Low risk': aspirin only
'Intermediate risk': aspirin/aspirin plus hydroxyurea
'High risk': aspirin plus hydroxyurea/aspirin plus anagrelide
Primary outcome measure(s) Vascular occlusion, haemorrhagic events, death, drug side-effects, transformation to acute leukaemia or myelofibrosis
Secondary outcome measure(s) Not provided at time of registration
Sources of funding Medical Research Council (MRC) (UK)
Trial website http://www.haem.cam.ac.uk/primary-thrombocythaemia/
Publications 1. 2012 results (high risk arm) in http://www.ncbi.nlm.nih.gov/pubmed/22709688
Contact name Prof  AR  Green
  Address Department of Haematology
MRC Centre
Hills Road
  City/town Cambridge
  Zip/Postcode CB2 2QH
  Country United Kingdom
  Email arg1000@cam.ac.uk
Sponsor Medical Research Council (MRC) (UK)
  Address 20 Park Crescent
  City/town London
  Zip/Postcode W1B 1AL
  Country United Kingdom
  Tel +44 (0)20 7636 5422
  Fax +44 (0)20 7436 6179
  Email clinical.trial@headoffice.mrc.ac.uk
  Sponsor website: http://www.mrc.ac.uk
Date applied 25/10/2000
Last edited 28/08/2012
Date ISRCTN assigned 25/10/2000
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