Eltrombopag, Low-Dose Rituximab, and High-Dose Dexamethasone Combination for Patients with Newly Diagnosed Immune Thrombocytopenia: A Pilot "Total Therapy" Study
Gómez Almaguer, David y Cantú Rodríguez, Olga Graciela y Gutiérrez Aguirre, César Homero y Jaime Pérez, José Carlos y Tarín Arzaga, Luz del Carmen y Sánchez Cárdenas, Mónica y Lozano Morales, Rosa Elena y Sotomayor Duque, Guillermo y Cárdenas Araujo, Daniela y Gómez de León, Andrés y Santana Hernández, Paola y Colunga Pedraza, Perla Rocío (2016) Eltrombopag, Low-Dose Rituximab, and High-Dose Dexamethasone Combination for Patients with Newly Diagnosed Immune Thrombocytopenia: A Pilot "Total Therapy" Study. Blood, 128 (22). p. 1369. ISSN 0006-4971
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Resumen
Immune thrombocytopenia (ITP) is an autoimmune disorder that results from platelet destruction and production suppression. Frontline-therapy includes corticosteroids, intravenous immune globulin or anti-D immunoglobulin. Single-agent treatments have not been successful in inducing prolonged remission, as relapse will occur in approximately 50% of patients. Low-dose rituximab (100 mg) has been used for the treatment of ITP, showing an activity almost similar to the 375 mg/m2 standard dose. We and others have reported sustained response rates ranging from 58% to 76% using rituximab plus dexamethasone as a frontline therapy. Eltrombopag is a thrombopoietin nonpeptide mimetic that has been shown to raise platelet count in chronic ITP, and we have previously reported eltrombopag/ dexamethasone as a feasible frontline therapy for ITP reaching 100% response rates.The lack of sustained response in many adult patients with newly diagnosed acute ITP has stimulated the search for a treatment that modifies the natural course of the disease.
| Tipo de elemento: | Article | |||||||||||||||||||||||||||||||||||||||
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| Materias: | R Medicina > RC Medicina Interna, Psiquiatría, Neurología | |||||||||||||||||||||||||||||||||||||||
| Divisiones: | Medicina | |||||||||||||||||||||||||||||||||||||||
| Usuario depositante: | Editor Repositorio | |||||||||||||||||||||||||||||||||||||||
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| Fecha del depósito: | 19 Ene 2026 20:57 | |||||||||||||||||||||||||||||||||||||||
| Última modificación: | 28 Mayo 2026 16:23 | |||||||||||||||||||||||||||||||||||||||
| URI: | http://eprints.uanl.mx/id/eprint/29118 |
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