Clinical experience with romiplostim

Twenty patients with primary immune thrombocytopenia (ITP) received romiplastim as a second line therapy, and 3 patients with secondary thrombocytopenia as off-label. Romiplostim appeared effective in 85 % of patients with both persistent and chronic primary ITP. In patients with resistant and refra...

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Main Authors: G. B. Kuchma, L. K. Kozlova, Ye. Ye. Kuznetsova, S. B. Borisyuk
Format: Article
Language:Russian
Published: ABV-press 2014-07-01
Series:Онкогематология
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Online Access:https://oncohematology.abvpress.ru/ongm/article/view/10
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author G. B. Kuchma
L. K. Kozlova
Ye. Ye. Kuznetsova
S. B. Borisyuk
author_facet G. B. Kuchma
L. K. Kozlova
Ye. Ye. Kuznetsova
S. B. Borisyuk
author_sort G. B. Kuchma
collection DOAJ
description Twenty patients with primary immune thrombocytopenia (ITP) received romiplastim as a second line therapy, and 3 patients with secondary thrombocytopenia as off-label. Romiplostim appeared effective in 85 % of patients with both persistent and chronic primary ITP. In patients with resistant and refractory ITP romiplostim response has not been registered, or it was lost. Achieving complete response to romiplostim therapy allowed its cancelation in 30 % of patients while maintaining the therapeutic effect; 15 % of patients switched to the 1 injection/biweekly in doses 4–5 mg/kg. Adverse events were observed in 21 % of patients and were temporary. With long-term use drug efficacy is not reduced, and the frequency of adverse events do not increase. Short course of romiplostim was successfully applied before surgical intervention for correction of thrombocytopenia in 3 patients with rheumatic diseases.
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issn 1818-8346
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language Russian
publishDate 2014-07-01
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series Онкогематология
spelling doaj-art-cece2b9308584ed28b61eaa4e6e190002025-08-20T03:21:30ZrusABV-pressОнкогематология1818-83462413-40232014-07-0191424610.17650/1818-8346-2014-9-1-42-4625Clinical experience with romiplostimG. B. Kuchma0L. K. Kozlova1Ye. Ye. Kuznetsova2S. B. Borisyuk3ГБОУ ВПО «Оренбургская государственная медицинская академия» Минздрава РоссииГБОУ ВПО «Оренбургская государственная медицинская академия» Минздрава РоссииГБУЗ «Оренбургская областная клиническая больница»ГБУЗ «Оренбургская областная клиническая больница»Twenty patients with primary immune thrombocytopenia (ITP) received romiplastim as a second line therapy, and 3 patients with secondary thrombocytopenia as off-label. Romiplostim appeared effective in 85 % of patients with both persistent and chronic primary ITP. In patients with resistant and refractory ITP romiplostim response has not been registered, or it was lost. Achieving complete response to romiplostim therapy allowed its cancelation in 30 % of patients while maintaining the therapeutic effect; 15 % of patients switched to the 1 injection/biweekly in doses 4–5 mg/kg. Adverse events were observed in 21 % of patients and were temporary. With long-term use drug efficacy is not reduced, and the frequency of adverse events do not increase. Short course of romiplostim was successfully applied before surgical intervention for correction of thrombocytopenia in 3 patients with rheumatic diseases.https://oncohematology.abvpress.ru/ongm/article/view/10immune thrombocytopeniaromiplostimcomplete responseobjective responseabsence of a response
spellingShingle G. B. Kuchma
L. K. Kozlova
Ye. Ye. Kuznetsova
S. B. Borisyuk
Clinical experience with romiplostim
Онкогематология
immune thrombocytopenia
romiplostim
complete response
objective response
absence of a response
title Clinical experience with romiplostim
title_full Clinical experience with romiplostim
title_fullStr Clinical experience with romiplostim
title_full_unstemmed Clinical experience with romiplostim
title_short Clinical experience with romiplostim
title_sort clinical experience with romiplostim
topic immune thrombocytopenia
romiplostim
complete response
objective response
absence of a response
url https://oncohematology.abvpress.ru/ongm/article/view/10
work_keys_str_mv AT gbkuchma clinicalexperiencewithromiplostim
AT lkkozlova clinicalexperiencewithromiplostim
AT yeyekuznetsova clinicalexperiencewithromiplostim
AT sbborisyuk clinicalexperiencewithromiplostim