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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Drug+Des+Devel+Ther
2017 ; 11
(ä): 1055-1063
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Spotlight on romiplostim in the treatment of children with chronic immune
thrombocytopenia: design, development, and potential place in therapy
#MMPMID28408804
Buchbinder D
; Nugent D
; Hsieh L
Drug Des Devel Ther
2017[]; 11
(ä): 1055-1063
PMID28408804
show ga
Primary immune thrombocytopenia (ITP) is an autoimmune disorder characterized by
isolated thrombocytopenia. In approximately one-third of cases, the duration of
thrombocytopenia will extend beyond 12 months consistent with a diagnosis of
chronic ITP. Minor bleeding manifestations are common in chronic ITP while severe
or life-threatening bleeding complications are uncommon. Moreover, spontaneous
resolution occurs in the majority of children with chronic ITP necessitating
treatment in only those children with ongoing bleeding manifestations or
impairment in health-related quality of life (HRQOL). The characterization of
thrombopoietin (TPO) and remarkable advancements in our understanding of the
pathophysiology of ITP has led to the development of a new class of agents, the
TPO-receptor agonists that have documented efficacy in the amelioration of
thrombocytopenia and bleeding manifestations in chronic ITP. Romiplostim is a
second-generation TPO-receptor agonist that has undergone limited evaluation in
the treatment of chronic ITP in children. Evolving data suggest that romiplostim
may be a safe and effective agent in the treatment of chronic ITP in children.
Additional data are needed to confirm its ability to increase platelet counts,
decrease bleeding manifestation, and improve the HRQOL of children and caregivers
impacted by chronic ITP.