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Romiplostim or Standard of Care in Patients with Immune Thrombocytopenia
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Romiplostim or Standard of Care in Patients with Immune Thrombocytopenia
Romiplostim or Standard of Care in Patients with Immune Thrombocytopenia
Journal Article

Romiplostim or Standard of Care in Patients with Immune Thrombocytopenia

2010
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Overview
The platelet-stimulating agent romiplostim was compared with standard interventions for chronic immune thrombocytopenic purpura. Patients given romiplostim had higher platelet counts, less treatment failure, fewer bleeding episodes, and better quality of life. Immune thrombocytopenia is an autoimmune disease characterized by low platelet counts due to both increased platelet destruction and suboptimal platelet production. 1 After initial treatment with glucocorticoids or intravenous immune globulin or anti-D immune globulin, most adult patients require second-line medical therapy (e.g., azathioprine or rituximab) or surgical therapy (i.e., splenectomy). 2 However, most first- and second-line medical treatments are short-acting, have severe side effects, or are potentially toxic. 2 – 4 These problems can adversely affect the health and quality of life of patients. Splenectomy is used to remove the major site of platelet destruction and increase the platelet count. 5 In approximately two . . .