The UK’s National Institute for Health and Care Excellence (NICE) and Scottish Medicines Consortium (SMC) have published positive appraisals recommending the use of Mulpleo (lusutrombopag) by the National Health Service (NHS) in England, Wales and Scotland for the treatment of severe thrombocytopenia in adult patients with chronic liver disease (CLD) undergoing planned invasive procedures, Japanese drug major Shionogi (TYO: 4507).
These two recommendations are based principally on evidence from L-PLUS 18 and L-PLUS 29, two multicenter, randomized, double-blind, parallel-group, placebo-controlled, Phase III studies where 312 patients with CLD, severe thrombocytopenia with a platelet count of <50,000/µL and a scheduled invasive procedure received either lusutrombopag or placebo once daily for up to seven days. Lusutrombopag met the pre-specified primary endpoint and all key secondary endpoints with statistically-significant results.
Lusutrombopag is currently available in Japan and the USA, where it is marketed under the brand name Mulpleta.
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