"In this study, nearly all Nplate-treated patients were able to maintain platelet counts within the target range for more than five years," said David J. Kuter, M.D.,chief of Hematology, Massachusetts General Hospital, Boston and lead investigator. "The most common and serious adverse events were consistent with those reported in past studies and did not increase over time. These results, from the largest and longest interventional study of TPO-mimetic exposure to date, provide physicians and their patients with important information on the continued long-term safety and efficacy of Nplate."
In the long-term extension study, Nplate maintained platelet counts within a range of 50,000 to 200,000 platelets per microliter in the majority of adult patients with chronic ITP with minimal decreased or increased dose adjustments for up to 277 weeks. Over the course of the study, a platelet count of greater than or equal to 50,000 platelets per microliter was achieved by 95 percent of 292 patients receiving Nplate, and the median platelet count remained greater than or equal to 50,000 platelets per microliter for the duration of the study after week one. Patients were treated for a median of 78 weeks with a maximum duration of 277 weeks and 33 percent of patients had previously undergone splenectomy.
In addition, results showed that adverse event rates in patients treated with Nplate were consistent with those reported in previous studies and did not increase with longer duration of treatment. The most common side effects were mild and included headache (38 percent), nasopharyngitis (34 percent) and fatigue (32 percent). Of the 37 patients who received concurrent ITP treatment at baseline, 81 percent were able to discontinue or reduce the dose by more than 25 percent.
This is an open-label, long-term efficacy and safety study of Nplate for the treatment of patients with chronic ITP. Nplate was administered once weekly by subcutaneous injection, with dose adjustments to maintain platelet counts in the target range (50,000 to 200,000 platelet count per microliter). The primary study objective was to determine long-term safety of Nplate. Secondary study objectives were to evaluate long-term platelet responses and the use of concurrent ITP therapies.
About Adult ITP
In patients with ITP, platelets - blood elements needed to prevent bleeding - are destroyed by the patient's own immune system. Recent data also suggest that low platelet counts in the blood may be caused by the inability of the body's natural processes to produce platelets. Low platelet counts leave adult ITP patients open to sudden serious bleeding events. The risk for serious bleeding events increases when platelet counts drop to less than 30,000 platelets per microliter; normal counts range from 150,000 to 400,000 platelets per microliter. ITP has historically been considered a disease of platelet destruction although recent data suggest that the body's natural platelet production processes in ITP are unable to compensate for low levels of platelets in the blood. Increasing the rate of platelet production may address low platelet levels associated with ITP. Currently, there are approximately 90,000 adult chronic ITP patients in Europe and the United States (U.S.). ITP affects about twice as many adult women as men.
Nplate is the first platelet producer approved in the European Union (EU), Canada, Australia, Russia, Mexico, Switzerland and the U.S. Nplate also has received orphan designation for chronic ITP in the U.S. (2003), the EU (2005), Switzerland (2005), Japan (2006) and Mexico (2010).
Nplate is the first treatment FDA approved treatment specifically for adult chronic ITP. It is also being investigated for potential use in children ages 12 months to 18 years old with persistent severe thrombocytopenia, myelodysplastic syndromes (MDS) and chemotherapy-induced thrombocytopenia (CIT).
In the U.S., Nplate is indicated for the treatment of thrombocytopenia in patients with chronic immune ITP who have had an insufficient response to corticosteroids, immunoglobulins or splenectomy. Nplate should be used only in patients with ITP whose degree of thrombocytopenia and clinical condition increases the risk for bleeding. Nplate should not be used in an attempt to normalize platelet counts.
In the EU, Nplate is indicated for the treatment of splenectomized adult chronic ITP patients who are refractory to other treatments (e.g. corticosteroids, immunoglobulins). Nplate may be considered as a second-line treatment for adult non-splenectomized ITP patients for whom surgery is contraindicated.
Nplate was named as a recipient of the U.S. Prix Galien2009 "Best Biotechnology Product" award and also received the 2009 Scrip Awards for "Best New Drug." Nplate has also been honored with numerous awards throughout the EU, including a 2010 Prix Galien in France in the category of "Drugs for Rare Diseases." In September 2010, Nplate was awarded the 2010 International Prix Galien Award, an award granted every two years which recognizes the "best of the best" selected from previous national Prix Galien award recipients.
For more information about Nplate, please visit http://www.Nplate.com.
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