Table 1.

Pediatric patients with ITP "refractory" to emergent and disease-modifying therapies

Patients receiving 1 or more emergent therapy (IVIG, corticosteroids, or anti-D), n = 325n%
Response to at least 1 therapy 279 86 
No response to 2 or more therapies 18 
No response to all eligible therapies  2.5 
Patients receiving 1 or more disease-modifying therapy , n = 95 n % 
Response to at least 1 disease-modifying therapy 87 92 
No response to 2 or more classes of disease-modifying therapy 
Patients receiving 1 or more emergent therapy (IVIG, corticosteroids, or anti-D), n = 325n%
Response to at least 1 therapy 279 86 
No response to 2 or more therapies 18 
No response to all eligible therapies  2.5 
Patients receiving 1 or more disease-modifying therapy , n = 95 n % 
Response to at least 1 disease-modifying therapy 87 92 
No response to 2 or more classes of disease-modifying therapy 

IVIG, intravenous immune globulin; anti-D, anti-D immune globulin.

All eligible therapies include all drugs available in the patient’s institution, for which they are clinically eligible (ie, patients with known Rh+ blood group status who have no clinical evidence of hemolytic anemia, in the case of anti-D therapy).2 

Disease-modifying therapy is the use of pharmacotherapy agents (eg, thrombopoietin-receptor agonists, biologics, and immunomodulating agents) and interventions (eg, splenectomy) to achieve a sustained, durable maintenance response in platelet count to prevent ongoing exacerbations of symptomatic ITP and improve quality of life.2 

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