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ROMIPLOSTIM INJ,LYPHL

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 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 an appropriate candidate)
  • Pregnancy and/or breastfeeding

Inclusion Criteria

  • Diagnosis of chronic Immune Thrombocytopenia (ITP)
  • Platelet count < 30,000 mm3 and/or persistent bleeding resistant/refractory to glucocorticoids
  • Relapse after second-line therapies (unless contraindicated or patient is not a candidate):
  • Splenectomy
  • Rituximab
  • For patients who can become pregnant: Counseling provided on potential risks vs. benefits of taking drug if patient were to become pregnancy; advise patients not to breastfeed during treatment

Source Documents