On 14 April 2026, the European Commission withdrew the marketing authorisation for Mulpleo (lusutrombopag) in the European Union (EU). The withdrawal was at the request of the marketing authorisation holder, Shionogi B.V., which notified the European Commission of its decision to permanently discontinue the marketing of the product for commercial reasons. Mulpleo was granted marketing authorisation in the EU on 18 February 2019 to prevent excessive bleeding in adults with thrombocytopenia due to long\-standing liver disease. The marketing authorisation was initially valid for a 5\-year period. It was then granted unlimited validity in 2023\.
Therapeutic Indication
Mulpleo is indicated for the treatment of severe thrombocytopenia in adult patients with chronic liver disease undergoing invasive procedures
Therapeutic Area (MeSH)
ATC Code
B02BX
ATC Item
N/A
Pharmacotherapeutic Group
Antihemorrhagics
Active Substance (Summary)
INN / Common Names
EMA Name
Mulpleo (previously Lusutrombopag Shionogi)
Medicine Name
Mulpleo (previously Lusutrombopag Shionogi)
Aliases
N/ANo risk management plan link.