Drug intelligence / Profile preview

recombinant human thrombopoietin + intravenous immunoglobulin + methylprednisolone

Development stage
Unknown
Lead developer
CSL Behring
Modality
Small Molecules, Recombinant Proteins and Enzymes, Antibody-Based Therapeutics
Administration
Intravenous, Oral, Subcutaneous
01

Overview

The combination of recombinant human thrombopoietin (rhTPO), intravenous immunoglobulin (IVIG), and methylprednisolone is a multi-modality therapeutic regimen used primarily for the emergency or frontline management of severe, refractory, or life-threatening immune thrombocytopenia (ITP). This triple combination addresses ITP through complementary mechanisms: rhTPO stimulates megakaryocytopoiesis and platelet production by binding to the thrombopoietin receptor (MPL); IVIG rapidly blocks Fc-receptor-mediated platelet clearance by splenic macrophages; and methylprednisolone, a potent glucocorticoid, suppresses the underlying autoimmune response and reduces autoantibody production. This regimen is particularly utilized in clinical scenarios requiring rapid platelet recovery, such as severe bleeding episodes, preparation for urgent surgery, gestational ITP, or immune checkpoint inhibitor-induced thrombocytopenia.

Other names
IVIG + methylprednisolone + recombinant human thrombopoietinIVIG + methylprednisolone + rhTPOintravenous immunoglobulin + methylprednisolone + recombinant human thrombopoietinmethylprednisolone + intravenous immunoglobulin + recombinant human thrombopoietinrecombinant human thrombopoietin + IVIG + methylprednisolonerhTPO + IVIG + methylprednisolonerhTPO + intravenous immunoglobulin + methylprednisolone
02

Targets

GR (Glucocorticoid receptor)FCGR1A (High affinity immunoglobulin gamma fc receptor I)FCGRT (Neonatal crystallizable fragment receptor)FCGR2A (Low affinity immunoglobulin gamma Fc receptor II-a)FCGR2B (Fc gamma receptor IIB)FCGR3A (Low affinity immunoglobulin gamma Fc region receptor III-A)TPOR (Thrombopoietin receptor)

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