This study is designed to evaluate the efficacy and safety of single agent Doxil in the treatment of patients with refractory ITP (Idiopathic Thrombocytopenic Purpura).

Eligible patients will receive Doxil 20 mg/m2 IV over 1 hour every 2 weeks. Treatment will be continued for 1 course beyond return of the platelet count to normal with a maximum of 18 courses.

Genders Eligible for Study:  Both

Criteria

Inclusion Criteria:

• Thrombocytopenia with bone marrow findings showing normal or increased numbers of megakaryocytes.
• Failure to respond to initial treatment with steroids, IV immune globulin, splenectomy and post splenectomy steroids.
• Platelet count of 30,000 or less.
• Performance status score of 2 or less.
• Adequate organ function: *bilirubin< 2; *AST < 3 times normal; *creatinine < 2.
• No prior treatment with anthracycline or chemically related drugs.

Exclusion Criteria:

• Pregnant or lactating women.
• Presence of a malignancy other than basal cell carcinoma of the skin.