Thrombopoietin receptor agonists in pharmacotherapy of pediatric immune thrombocytopenia

نویسندگان

چکیده

Introduction: Thrombopoietin receptor agonists are commonly second-line drugs in immune thrombocytopenia (ITP) pharmacotherapy children and prescribed for chronic ITP refractory to first-line therapy.
 Standard children: includes prescribing glucocorticoids or intravenous immunoglobulins.
 agonists: Currently Romiplostim Eltrombopag used the Russian Federation pediatrics. Their pharmacodynamic features comparison with other presented paper. Increased thrombocytopoiesis is dominant, but not only component of mechanism action. It relevant study their effect on tolerance ITP, which may be associated a persistent platelet response some patients after drug discontinuation.
 Conclusion: The issue thrombopoietin agonist efficacy safety as well mode use treatment continues studied. high cost limiting factor earlier prescription. Generic – partly solve problem, promote prescription require additional bioequivalence therapeutic equivalence original drugs.
 Graphical Abstract
 

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Use of Thrombopoietin Receptor Agonists in Childhood Immune Thrombocytopenia

Most children with immune thrombocytopenia (ITP) will have spontaneous remission regardless of therapy, while about 20% will go on to have chronic ITP. In those children with chronic ITP who need treatment, standard therapies for acute ITP may have adverse effects that complicate their long-term use. Thus, alternative treatment options are needed for children with chronic ITP. Thrombopoietin re...

متن کامل

Will thrombopoietin receptor agonists become a treatment option for pediatric chronic immune thrombocytopenia in the future?

2015 Immune thrombocytopenia (ITP) is an autoimmune disorder characterized by a low platelet count and increased bleeding tendency. Most children with ITP spontaneously recover. However, children with severe bleeding may require treatment. Traditional treatments such as corticosteroids or splenectomy are often associated with increased risks of infections. Currently, there is evidence that plat...

متن کامل

Treatment of immune thrombocytopenia in adults: the role of thrombopoietin-receptor agonists.

The pathophysiology, classification, epidemiology, and treatment of immune thrombocytopenia (ITP) have witnessed great progresses in the last decade and are briefly addressed here. After more than 5 years of use in clinical practice, a new class of drugs acting as thrombopoietin-receptor (TPO-R) agonists is gaining a more definite role in the treatment of primary ITP in adults. The two currentl...

متن کامل

Efficacy and safety of thrombopoietin receptor agonists in children with chronic immune thrombocytopenia: a meta-analysis

Background and Aim Thrombopoietin receptor agonists (TPO-RAs) have been shown to be safe and effective for adults with chronic immune thrombocytopenia (ITP). The aim of this meta-analysis is to assess the efficacy and safety of thrombopoietin receptor agonists for children with chronic ITP. Materials and Methods Clinical randomized controlled trials (RCTs) evaluating the efficacy and safety o...

متن کامل

Association between acute myelogenous leukemia and thrombopoietin receptor agonists in patients with immune thrombocytopenia.

OBJECTIVE The development of myeloid malignancies is a concern when administering thrombopoietin receptor (or the myeloproliferative leukemia virus proto-oncogene product, MPL) agonists. Progression from myelodysplastic syndrome (MDS) to acute myelogenous leukemia [AML, 9 (6.12%) AML patients among 147 MDS subjects] was reported in a clinical trial. However, only one (0.15%) case of AML among 6...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Research results in pharmacology

سال: 2023

ISSN: ['2658-381X']

DOI: https://doi.org/10.18413/rrpharmacology.9.10011