Table 2.
Romiplostim therapy in five dogs with primary and secondary immune thrombocytopenia: Dosage, response and outcome
| Dog | Current therapy at the commencement of romiplostim | Platelets count x103/μl |
Romiplostim μg/kg (initial dose) |
Response | Maintenance therapy | Outcome | |
|---|---|---|---|---|---|---|---|
| Day | Platelets count x103/μl |
||||||
| 1 | pred 0.5 mg/kg twice daily MMF 5 mg/kg twice daily |
19 | 5 | 673 | 13226 | 2.3 μg romi | CR > 10 mon |
| 2 | pred 0.6 mg/kg twice daily | 57 | 3 | 383 5131 |
8222 15332 |
now 2 μg/kg romi 0.1 mg/kg pred every other daya |
CR > 3 mon |
| 3 | pred 0.6 mg/kg twice daily MMF 5 mg/kg twice daily |
25 | 5 | 4710 | 58 189 217 |
2.5 μg | ITP CR but euthanized due to AIHA after 2.5 mon |
| 4 | pred 0.5 mg/kg twice daily | 123 | 4.5 | 3178 | 5213 | 3.4 | CR > 5 mon |
| 5 | a) pred 0.4 mg/kg once daily, doxycycline b) 2 months later: pred 0.5 mg/kg, amoxicillin |
a) 4 b) 1 |
a) 5.3 b) 13 |
a) No response b) 4 11 15 |
7 3 115 |
b) Lost for follow-up | |
Romi romiplostim, pred prednisolone, MMF mycofenolate mofetil, CR complete remission (platelet counts > 200 × 103/μl), ITP immune thrombocytopenia, AIHA autoimmune hemolytic anemia, mon months
adue to autoimmune hemolysis