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ELTROMBOPAG POWDER,ORAL

Clinical Criteria Summary

Exclusion Criteria

  • Stem cell disorder (i.e., myelodysplastic syndrome)
  • Patient has not received prior therapy, with steroids, to increase platelet counts
  • Thrombocytopenia is secondary to bone marrow suppressive anti-cancer therapy, antibiotics or other drugs
  • Thromboembolic events within the past year, unless evaluated by a hematology provider and deemed to be an appropriate candidate
  • Pregnancy and/or lactating

Inclusion Criteria

  • Diagnosis of chronic immune thrombocytopenia (ITP)
  • Platelet count less than 30,000 mm3 and/or persistent bleeding resistant / refractory to glucocorticoids
  • Patient has relapse after the following second-line therapies (unless contraindicated or patient is not a candidate): Splenectomy and rituximab

Additional Inclusion Criteria

  • For patients who can become pregnant: Counseling provided on potential risks vs benefits of treatment and the use of effective contraception during therapy

Source Documents