treatment Flashcards
Eltrombopag trial name and journal
RACE
NEJM 2022
triple therapy regimen
horse ATG 40mg/kg for 4 days
CSA 5mg/kg/day on day 1
Eltrombopag 75mg daily starting day 14
steroid tapering
MP 1mg/kg/day for at least 7 days then taper within 2-3 weeks
CSA regimen
continued for at least 12 months then slow tapering in the next 6-12 months (~10% per month)
remain on treatment for at least 18 months
CSA trough level
monoclonal assay - 150-250
polyclonal assay 200-400
eltrombopag regimen
continue for 3 months if CR
continue for 6 months if PR at 3 months or no response at 3 months
RACE primary end point
CR at 3 months
22% vs 10%
RACE ORR at 3 months
59% vs 31%
RACE ORR at 6 months
68% vs 41%
RACE CR at 6 months
32% vs 20%