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Table 2 Romiplostim therapy in five dogs with primary and secondary immune thrombocytopenia: Dosage, response and outcome

From: Treatment of 5 dogs with immune-mediated thrombocytopenia using Romiplostim

Dog

Current therapy at the commencement of romiplostim

Platelets count

x103/μl

Romiplostim

μg/kg (initial dose)

Response

Maintenance therapy

Outcome

Day

Platelets count

x103/μl

1

pred 0.5 mg/kg twice daily

MMF 5 mg/kg twice daily

19

5

6 / 73

13 / 226

2.3 μg romi

CR > 10 mon

2

pred 0.6 mg/kg twice daily

57

3

3 / 83

5 / 131

8 / 222

15 / 332

now 2 μg/kg romi

0.1 mg/kg pred every other daya

CR > 3 mon

3

pred 0.6 mg/kg twice daily

MMF 5 mg/kg twice daily

25

5

4

7

10

58

189

217

2.5 μg

ITP CR

but euthanized due to AIHA after 2.5 mon

4

pred 0.5 mg/kg twice daily

123

4.5

3 / 178

5 / 213 

3.4

CR > 5 mon

5

a) pred 0.4 mg/kg once daily, doxycycline

b) 2 months later: pred 0.5 mg/kg, amoxicillin

a) 4

b) 1

a) 5.3

b) 13

a) No response

b) 4

 11

 15

7

3

115

 

b) Lost for follow-up

  1. Romi romiplostim, pred prednisolone, MMF mycofenolate mofetil, CR complete remission (platelet counts > 200 × 103/μl), ITP immune thrombocytopenia, AIHA autoimmune hemolytic anemia, mon months
  2. adue to autoimmune hemolysis