Romiplostim is a thrombopoiesis stimulating dimer Fc-peptide fusion protein (peptibody) to increase platelet production through activation of the thrombopoietin receptor. The peptibody molecule has two identical single-chain subunits, each one is made up of 269 amino acid residues. Each subunit consists of an IgG1 Fc carrier domain that is covalently attached to a polypeptide sequence that contains two binding domains to interact with thrombopoietin receptor c-Mpl. Each domain consists of 14 amino acids. Interestingly, romiplostim's amino acid sequence is not similar to that of endogenous thrombopoietin. Romiplostim is produced by recombinant DNA technology in Escherichia coli. FDA approved on August 22, 2008.
Treatment of chronic immune thrombocytopenic purpura.
The First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital), Hefei, Anhui, China
The First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu, China
The First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital), Hefei, Anhui, China
Peking Union Medical College Hospital, Beijing, Beijing, China
Peking Union Medical College Hospital, Beijing, Beijing, China
Kaluga Regional Clinical Hospital, Kaluga, Russian Federation
Samara State Medical University" of the Ministry of Health of the Russian Federation, Samara, Russian Federation
City Clinical Hospital S.P. Botkin of the Moscow City Health Department, Moscow, Russian Federation
MD Anderson Cancer Center, Houston, Texas, United States
Ain Shams University Children's Hospital, Cairo, Egypt
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