MedPath

Romiplostim

Generic Name
Romiplostim
Brand Names
Nplate
Drug Type
Biotech
CAS Number
267639-76-9
Unique Ingredient Identifier
GN5XU2DXKV
Background

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.

Indication

Treatment of chronic immune thrombocytopenic purpura.

Associated Conditions
Chronic immune thrombocytopenia, Refractory immune thrombocytopenia

Safety of Romiplostim (Nplate®) Following UCBT

Phase 1
Completed
Conditions
Hematologic Malignancies
Interventions
First Posted Date
2014-01-27
Last Posted Date
2021-06-08
Lead Sponsor
Masonic Cancer Center, University of Minnesota
Target Recruit Count
21
Registration Number
NCT02046291
Locations
🇺🇸

University of Minnesota Masonic Cancer Center, Minneapolis, Minnesota, United States

Using ROMIPLOSTINE for Persistent Thrombocytopenia With Transfusion-dependent Patients Who Received Allogeneic Hematopoietic Stem Cell

Phase 1
Completed
Conditions
Persistent Thrombocytopenia Following Allogeneic Hematopoietic Stem Cell Transplantation (HSCT)
Interventions
First Posted Date
2013-11-08
Last Posted Date
2019-02-15
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Target Recruit Count
24
Registration Number
NCT01980030
Locations
🇫🇷

Saint Louis hospital, Paris, Ile De France, France

Secondary Prophylaxis in Non-Hodgkin Lymphoma (NHL) and Chemotherapy-induced Thrombocytopenia

Phase 2
Completed
Conditions
Non-Hodgkin Lymphoma
Interventions
First Posted Date
2012-01-25
Last Posted Date
2022-08-12
Lead Sponsor
Andres J. M. Ferreri
Target Recruit Count
3
Registration Number
NCT01516619
Locations
🇮🇹

Dip. Oncoematologia - Fondazione Centro San Raffaele del Monte Tabor, Milano, Italy

Safety and Efficacy Study of Romiplostim to Treat Immune Thrombocytopenia (ITP) in Pediatric Patients

Phase 3
Completed
Conditions
Idiopathic Thrombocytopenic Purpura
Thrombocytopenia
Thrombocytopenia in Pediatric Subjects With Immune (Idiopathic) Thrombocytopenic Purpura (ITP)
Thrombocytopenia in Subjects With Immune (Idiopathic) Thrombocytopenic Purpura (ITP)
Thrombocytopenic Purpura
Immune Thrombocytopenia
Interventions
Drug: Placebo
First Posted Date
2011-09-30
Last Posted Date
2017-02-09
Lead Sponsor
Amgen
Target Recruit Count
62
Registration Number
NCT01444417
Locations
🇨🇦

Research Site, Quebec City, Quebec, Canada

Indirect Comparison Between Eltrombopag & Romiplostim

Completed
Conditions
Thrombocytopaenia
Interventions
First Posted Date
2010-11-07
Last Posted Date
2017-06-07
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
1
Registration Number
NCT01236014

Eltrombopag and the Bcl-extra-large (xL) Pathway in Idiopathic Thrombocytopenic Purpura (ITP)

Phase 2
Completed
Conditions
Immune Thrombocytopenia
Interventions
Other: healthy controls
First Posted Date
2009-05-14
Last Posted Date
2019-03-18
Lead Sponsor
Weill Medical College of Cornell University
Target Recruit Count
20
Registration Number
NCT00902018
Locations
🇺🇸

Weill Cornell Medical College, New York, New York, United States

P3 Study to Evaluate Efficacy and Safety of AMG 531 in Thrombocytopenic Japanese Subjects With Immune (Idiopathic) Thrombocytopenic Purpura

Phase 3
Completed
Conditions
Idiopathic Thrombocytopenic Purpura
Interventions
Drug: Placebo
First Posted Date
2008-01-29
Last Posted Date
2022-11-08
Lead Sponsor
Amgen
Target Recruit Count
34
Registration Number
NCT00603642

Safety and Efficacy Study of Romiplostim (AMG 531) to Treat ITP in Pediatric Subjects

Phase 1
Completed
Conditions
Thrombocytopenia in Pediatric Subjects With Immune (Idiopathic) Thrombocytopenic Purpura (ITP)
Idiopathic Thrombocytopenic Purpura
Thrombocytopenia in Subjects With Immune (Idiopathic) Thrombocytopenic Purpura (ITP)
Interventions
Drug: Placebo
First Posted Date
2007-08-13
Last Posted Date
2014-07-25
Lead Sponsor
Amgen
Target Recruit Count
22
Registration Number
NCT00515203

Evaluating the Safety of Long Term Dosing of Romiplostim (Formerly AMG 531) in Thrombocytopenic Subjects With Myelodysplastic Syndromes (MDS)

Not Applicable
Completed
Conditions
Hematology
MDS
Myelodysplastic Syndromes
Thrombocytopenia
Interventions
First Posted Date
2007-05-11
Last Posted Date
2017-12-29
Lead Sponsor
Amgen
Target Recruit Count
72
Registration Number
NCT00472290

Safety Study of AMG 531 in Japanese Subjects With ITP

Phase 2
Completed
Conditions
Thrombocytopenia in Subjects With Immune (Idiopathic) Thrombocytopenic Purpura (ITP)
Interventions
First Posted Date
2006-03-22
Last Posted Date
2024-07-05
Lead Sponsor
Kyowa Kirin Co., Ltd.
Target Recruit Count
12
Registration Number
NCT00305435
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