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Risk of thrombosis in adults with primary immune thrombocytopenia treated with eltrombopag versus romiplostim: a target trial emulation in the French Adult Immune Thrombocytopenia (FAITH) Cohort - Pub

3 hours ago
  • #TPO-RAs comparison
  • #immune thrombocytopenia
  • #thrombosis risk
  • The study compared thrombosis risk between eltrombopag and romiplostim in adults with primary immune thrombocytopenia (ITP).
  • Using French healthcare data from 2011-2022, it involved 2,761 patients on eltrombopag and 949 on romiplostim, with the latter group being older and having more thrombosis risk factors.
  • The 1-year weighted cumulative incidence of thrombosis was higher with eltrombopag (5.1%) than romiplostim (1.9%), with an adjusted hazard ratio of 1.93 favoring romiplostim.
  • Significant risk differences emerged after 6 months of treatment and were most pronounced in patients aged 75 years and older.
  • Both venous and arterial thrombosis risks were similarly elevated with eltrombopag compared to romiplostim.