实用医学杂志 ›› 2023, Vol. 39 ›› Issue (4): 519-524.doi: 10.3969/j.issn.1006⁃5725.2023.04.024

• 综述 • 上一篇    

阿伐曲泊帕的临床应用进展

郝晓静 马梁明   

  1. 山西医科大学第三医院(山西白求恩医院,山西医学科学院,同济山西医院)(太原 030032)

  • 出版日期:2023-02-25 发布日期:2023-02-25
  • 通讯作者: 马梁明 E⁃mail:maliangming620928@163.com
  • 基金资助:
    山西省回国留学人员科研资助项目(编号:2017⁃126)

Advances in clinical application of avatrombopag

HAO Xiaojing,MA Liangming.   

  1. The Third Hospital of Shanxi Medical University,Shanxi Bethune Hospital,Shanxi Academy of Medical Sciences,Tongji Shanxi Hospital Taiyuan 030032,China

  • Online:2023-02-25 Published:2023-02-25
  • Contact: MA Liangming E⁃mail:maliangming620928@163.com

摘要:

阿伐曲泊帕(avatrombopag)是一种口服第 2 代血小板生成素受体激动剂(TPO⁃RA),被批准用于治疗难治性或对其他治疗反应不足的成人慢性原发免疫性血小板减少症(cITP),以及择期行侵入性检查或手术的成人慢性肝病(CLD)相关性血小板减少症,在治疗化疗引起的血小板减少症(CIT)方面被授予孤儿药资格。Ⅲ期临床研究数据表明,阿伐曲泊帕在此3种适应证中的安全性及耐受性良好。目前,阿伐曲泊帕治疗再生障碍性贫血(AA)和造血干细胞移植(HSCT)后血小板减少的疗效和安全性研究正在进行中。本文就其临床应用进展作一综述。

关键词:

Abstract:

Avatrombopag(Doptelet®)is an orally administered second generation thrombopoietin recep⁃ tor agonists(TPO⁃RA)approved for the treatment of primary chronic immune thrombocytopenia(CITP)in adult patients who are refractory or have an unsatisfactory response to other treatments,as well as for the treatment of thrombocytopenia in adult patients with chronic liver disease(CLD)scheduled to undergo an invasive procedure and granted Orphan Drug Designation for the treatment of chemotherapy⁃induced thrombocytopenia(CIT). The data of phase Ⅲ studies indicate that avatrombopag is safe and generally well tolerated in three indications. At present the research is underway on the efficacy and safety of avatrombopag for the treatment of thrombocytopenia in aplastic anemia(AA)and hemapoietic stem cell transplantation(HSCT). The clinical application of avatrombopag is reviewed in this article.

Key words:

avatrombopag, clinical development, thrombocytopenia, thrombopoietin receptor ago? nist, chronic liver disease, cancer therapy, aplastic anemia, hemapoietic stem cell transplantation