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. 2021 Oct 9;12:20406207211048361. doi: 10.1177/20406207211048361

Table 1.

Statements on administration and on tapering/discontinuation of second-line TPO-RAs for treatment of ITP.

Statement % agreement
1 An early switch from corticosteroids to a TPO-RA has the dual advantage of sparing patients from corticosteroid abuse and improve long-term clinical outcomes. 100%
2A Dose reduction (tapering) of TPO-RAs can be considered in patients with a stable response and platelet count >50 × 109/L (PR) that is maintained for at least 6 months in the absence of concomitant treatments. 54.5%
2B Dose reduction (tapering) of TPO-RAs can be considered in patients with a stable response and platelet count >50 × 109/L (PR) that is maintained for at least 6 months in the absence of concomitant treatments. 63.6%
3 Dose reduction (tapering) of TPO-RAs can be considered in patients with a stable response and platelet count >100 × 109/L (CR) that is maintained for at least 6 months in the absence of concomitant treatments. 100%
4A If TPO-RA treatment is given early, there is a greater chance of achieving partial or complete response. 72.7%
4B Early treatment with a TPO-RA is associated with an increase in clinically significant response (partial or complete). 72.7%
5 Optimization of tapering and discontinuation of TPO-RA therapy in selected patients can improve the quality of life. 90.1%

CR, complete response; ITP, immune thrombocytopenia; PR, partial response; TPO-RA, thrombopoietin receptor agonists.