Efficacy of thrombopoietin receptor agonists versus rituximab in non‐responsive immune thrombocytopenia—A single centre retrospective analysis

Summary Management of immune thrombocytopenia (ITP) beyond initial glucocorticoid therapy is challenging. In this retrospective single‐centre cohort study, we compared all ITP patients relapsed or non‐responsive to glucocorticoid therapy treated with either continuous TPO‐RAs (n = 35) or rituximab i...

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Veröffentlicht in:British journal of haematology 2024-09, Vol.205 (3), p.1121-1125
Hauptverfasser: Stolz, Sebastian M., Schwotzer, Rahel, Rösler, Wiebke, Hofer, Kevin D., Balabanov, Stefan, Manz, Markus G., Rieger, Max J.
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Sprache:eng
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Zusammenfassung:Summary Management of immune thrombocytopenia (ITP) beyond initial glucocorticoid therapy is challenging. In this retrospective single‐centre cohort study, we compared all ITP patients relapsed or non‐responsive to glucocorticoid therapy treated with either continuous TPO‐RAs (n = 35) or rituximab induction (n = 20) between 2015 and 2022. While both groups showed high initial complete response rates (CR, 68.6 vs. 80.0%, ns), the overall rate of progression to the next therapy was higher after time‐limited rituximab (75.0 vs. 42.9%), resulting in a lower relapse‐free survival (median 16.6 vs. 25.8 months, log‐rank; p 
ISSN:0007-1048
1365-2141
1365-2141
DOI:10.1111/bjh.19629