What is the best second-line treatment for immune thrombocytopenia?

Br J Haematol. 2024 Oct;205(4):1267-1268. doi: 10.1111/bjh.19777.

Abstract

The choice between thrombopoietin receptor agonists (TPO-RAs) and anti-CD20 as the preferred second-line therapies for immune thrombocytopenia remains in the eye of the beholders. Each has major advantages and certain weaknesses. Stolz et al. describe a single-centre experience that whets our appetite for a large randomized controlled trial comparing a TPO agonist and an anti-CD20 agent. Commentary on: Stolz et al. Efficacy of thrombopoietin receptor agonists versus rituximab in non-responsive immune thrombocytopenia - A single center retrospective analysis. Br J Haematol 2024; 205:1121-1125.

Keywords: ITP; TPO agents; anti‐CD20 agent.

MeSH terms

  • Humans
  • Purpura, Thrombocytopenic, Idiopathic* / drug therapy
  • Receptors, Thrombopoietin* / agonists
  • Rituximab* / therapeutic use

Substances

  • Receptors, Thrombopoietin
  • Rituximab