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Mahévas, Matthieu; Fain, Olivier; Ebbo, Mikael; Roudot‐Thoraval, Françoise; Limal, Nicolas; Khellaf, Mehdi; Schleinitz, Nicolas; Bierling, Philippe; Languille, Laeticia; Godeau, Bertrand; Michel, Marc
British journal of haematology, June 2014, Volume: 165, Issue: 6Journal Article
Summary Thrombopoietin‐receptor agonists (Tpo‐RAs) are highly effective in immune thrombocytopenia (ITP). Recently, cases of durable remission after Tpo‐RA discontinuation in adult ITP have been reported. We aimed to describe the subset of patients in whom transient Tpo‐RA therapy may induce a durable response. We studied all adults with primary ITP treated with at least one Tpo‐RA over a 5‐year period (n = 54) and seen at one of three participating referral centres in France. Tpo‐RAs were discontinued in 20 of 28 patients who achieved a complete response. We excluded six patients because a previous treatment at the start of Tpo‐RA treatment may have interfered with the response. Overall, eight patients with chronic ITP showed a sustained response median follow‐up: 13·5 months (range 5–27 months). We could not identify a predictive factor of sustained response. In conclusion, a substantial proportion of ITP patients receiving Tpo‐RAs can maintain a durable response after treatment discontinuation.
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