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Romiplostim or Standard of Care in Patients with Immune Thrombocytopenia
by
Berger, Dietmar P
, Kuter, David J
, Boccia, Ralph
, Rodeghiero, Francesco
, Pabinger, Ingrid
, Macik, B. Gail
, Selleslag, Dominik
, Wang, Xuena
, Rummel, Mathias
, Chong, Beng H
in
Adolescent
/ Adult
/ Aged
/ Aged, 80 and over
/ Autoimmune diseases
/ Biological and medical sciences
/ Female
/ General aspects
/ Glucocorticoids - therapeutic use
/ Hematologic and hematopoietic diseases
/ Humans
/ Injections, Subcutaneous
/ Intention to Treat Analysis
/ Male
/ Medical research
/ Medical sciences
/ Middle Aged
/ Platelet Count
/ Platelet diseases and coagulopathies
/ Purpura, Thrombocytopenic, Idiopathic - drug therapy
/ Purpura, Thrombocytopenic, Idiopathic - surgery
/ Quality of Life
/ Receptors, Fc - administration & dosage
/ Receptors, Fc - therapeutic use
/ Recombinant Fusion Proteins - administration & dosage
/ Recombinant Fusion Proteins - adverse effects
/ Recombinant Fusion Proteins - therapeutic use
/ Splenectomy
/ Standard of care
/ Thrombopoietin - administration & dosage
/ Thrombopoietin - adverse effects
/ Thrombopoietin - therapeutic use
/ Treatment Failure
/ Young Adult
2010
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Romiplostim or Standard of Care in Patients with Immune Thrombocytopenia
by
Berger, Dietmar P
, Kuter, David J
, Boccia, Ralph
, Rodeghiero, Francesco
, Pabinger, Ingrid
, Macik, B. Gail
, Selleslag, Dominik
, Wang, Xuena
, Rummel, Mathias
, Chong, Beng H
in
Adolescent
/ Adult
/ Aged
/ Aged, 80 and over
/ Autoimmune diseases
/ Biological and medical sciences
/ Female
/ General aspects
/ Glucocorticoids - therapeutic use
/ Hematologic and hematopoietic diseases
/ Humans
/ Injections, Subcutaneous
/ Intention to Treat Analysis
/ Male
/ Medical research
/ Medical sciences
/ Middle Aged
/ Platelet Count
/ Platelet diseases and coagulopathies
/ Purpura, Thrombocytopenic, Idiopathic - drug therapy
/ Purpura, Thrombocytopenic, Idiopathic - surgery
/ Quality of Life
/ Receptors, Fc - administration & dosage
/ Receptors, Fc - therapeutic use
/ Recombinant Fusion Proteins - administration & dosage
/ Recombinant Fusion Proteins - adverse effects
/ Recombinant Fusion Proteins - therapeutic use
/ Splenectomy
/ Standard of care
/ Thrombopoietin - administration & dosage
/ Thrombopoietin - adverse effects
/ Thrombopoietin - therapeutic use
/ Treatment Failure
/ Young Adult
2010
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Romiplostim or Standard of Care in Patients with Immune Thrombocytopenia
by
Berger, Dietmar P
, Kuter, David J
, Boccia, Ralph
, Rodeghiero, Francesco
, Pabinger, Ingrid
, Macik, B. Gail
, Selleslag, Dominik
, Wang, Xuena
, Rummel, Mathias
, Chong, Beng H
in
Adolescent
/ Adult
/ Aged
/ Aged, 80 and over
/ Autoimmune diseases
/ Biological and medical sciences
/ Female
/ General aspects
/ Glucocorticoids - therapeutic use
/ Hematologic and hematopoietic diseases
/ Humans
/ Injections, Subcutaneous
/ Intention to Treat Analysis
/ Male
/ Medical research
/ Medical sciences
/ Middle Aged
/ Platelet Count
/ Platelet diseases and coagulopathies
/ Purpura, Thrombocytopenic, Idiopathic - drug therapy
/ Purpura, Thrombocytopenic, Idiopathic - surgery
/ Quality of Life
/ Receptors, Fc - administration & dosage
/ Receptors, Fc - therapeutic use
/ Recombinant Fusion Proteins - administration & dosage
/ Recombinant Fusion Proteins - adverse effects
/ Recombinant Fusion Proteins - therapeutic use
/ Splenectomy
/ Standard of care
/ Thrombopoietin - administration & dosage
/ Thrombopoietin - adverse effects
/ Thrombopoietin - therapeutic use
/ Treatment Failure
/ Young Adult
2010
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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 . . .
Publisher
Massachusetts Medical Society
Subject
/ Adult
/ Aged
/ Biological and medical sciences
/ Female
/ Glucocorticoids - therapeutic use
/ Hematologic and hematopoietic diseases
/ Humans
/ Male
/ Platelet diseases and coagulopathies
/ Purpura, Thrombocytopenic, Idiopathic - drug therapy
/ Purpura, Thrombocytopenic, Idiopathic - surgery
/ Receptors, Fc - administration & dosage
/ Receptors, Fc - therapeutic use
/ Recombinant Fusion Proteins - administration & dosage
/ Recombinant Fusion Proteins - adverse effects
/ Recombinant Fusion Proteins - therapeutic use
/ Thrombopoietin - administration & dosage
/ Thrombopoietin - adverse effects
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