Inclusion Criteria
PROTOCOL ENTRY CRITERIA:
--Disease Characteristics--
Clinically confirmed immune thrombocytopenic purpura (ITP) Platelet count less than
75,000/mm3 on two occasions at least 1 week apart within past month
Normal to increased numbers of megakaryocytes on bone marrow examination within past 6
months
Failed prior steroid therapy (i.e., unable to achieve sustained platelet count greater
than 75,000/mm3)
No drug associated ITP
No B cell malignancies
No evidence of disseminated intravascular coagulation (DIC)
--Prior/Concurrent Therapy--
Endocrine therapy: Concurrent steroids allowed as long as platelet count is less than
75,000/mm3 and dose is not changed within past 2 weeks or during study
Other:
- No other concurrent medical therapy for immune thrombocytopenia purpura (ITP)
- At least 2 weeks since prior therapy for ITP (except steroids)
- At least 4 weeks since prior cyclosporine
--Patient Characteristics--
Performance status: ECOG 0-2
Life expectancy: At least 6 months
Renal: Creatinine no greater than 2.0 mg/dL
Cardiovascular: No congestive heart failure or symptomatic coronary insufficiency
Other:
- No clinically significant bleeding (i.e., other than mild mucosal bleeding or
petechiae)
- No sepsis or fever
- No active infection requiring therapy
- No active chronic viral infection
- HIV negative
- No other concurrent or prior malignancy within past 5 years except squamous or basal
cell carcinoma of the skin or carcinoma in situ of the cervix
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception