Indications

Nplate® is a prescription medicine used to treat low blood platelet counts (thrombocytopenia) in:

  • adults with chronic immune thrombocytopenia (ITP) when certain medicines or surgery to remove your spleen have not worked well enough.
  • children 1 year of age and older with ITP for at least 6 months when certain medicines or surgery to remove the spleen have not worked well enough.

Nplate® is not for use in people with a precancerous condition called myelodysplastic syndrome (MDS) or low platelet count caused by any condition other than chronic (lasting a long time) immune thrombocytopenia (ITP). Nplate® is only used if your low platelet count and medical condition increase your risk of bleeding. Nplate® is used to try to keep your platelet count about 50,000 per microliter in order to lower the risk for bleeding. Nplate® is not used to make your platelet count normal. It is not known if Nplate® works or if it is safe in people under the age of 1.

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Normal platelet counts | Low platelet countsNormal platelet counts | Low platelet counts

Hear from
patients

More than 70,000 people worldwide have been treated with Nplate® over the last 10 years.

Find out what others experienced on Nplate®

Lib is one of those Nplate® patients with her own story to share. Watch Lib’s story below.

Video: Lib’s Story
Lib’s Story
“I have ITP, and I have to be respectful
and mindful of that, but I have ITP.
It
doesn't have me.”Lib, chronic ITP patient on Nplate®

My Journey to ITP diagnosis

Debra, a patient on Nplate
“Even though I was diagnosed with something I thought was scary, … I kept a positive mind and outlook.”Debra, chronic ITP patient on Nplate®

It took quite some time for me to receive a chronic ITP diagnosis. It was quite baffling for the medical team to determine exactly what was wrong with me. I didn’t understand much at the time I was in the intensive care unit. I didn’t understand why I kept receiving platelet transfusions, yet my platelet levels never went up. The doctors were trying to figure this out as well. At the time, all I really understood was that my platelets were extremely low.

At first, I was so confused it didn’t scare me. As a matter of fact, at the time I felt great physically and mentally, so aside from some bruising, I thought the doctors may be crazy! After spending more than a week in the ICU without definite confirmation of what was wrong with me, I left the hospital with an array of possible diagnoses such as ITP, aplastic anemia, and pancytopenia.

I finally received a definitive diagnosis of chronic ITP. I actually was relieved when they matched a diagnosis to my symptoms so that we could try to successfully treat it. I was told that there was no cure and that this would be a lifelong battle, but that there are treatment options. I was very relieved to hear this, and after a few months on other treatment, doctors noticed I wasn't responding enough and I was started on Nplate®!

I feel positive about the way my ITP is being managed. I love to educate people about my disease, and I love to prove to people that even though you are diagnosed with something that seems scary, it helps if you have a positive mind and outlook. Always talk to your doctor and keep researching to learn more and never give up!

My ITP support system

As soon as I was diagnosed with chronic ITP, my mom became my sole support system. She was with me as much as possible during my stay at the ICU. When I found out that I would need to go back to the hospital for outpatient platelet transfusions, my mom was not only my transportation to and from my appointments, but my primary caretaker. If my mom was unable to get me to a treatment appointment, a few good friends would offer to help.

When treatments proved to be unsuccessful for me, my mom supported my decision to get a second opinion from another doctor at another medical center. Again, Mom drove me to and from the medical center, all the while providing me with emotional support and advice as the doctor gave me my treatment options. My mom and I are best friends, and because of my chronic ITP, our bond has become closer than ever. Four years after receiving my diagnosis, she still goes with me every Tuesday for my Nplate® treatment and any additional appointments, which may include dose adjustments and platelet monitoring. My mom is my best friend and my rock, and it means the world to me to have her with me through this journey.

My doctors, nurses, and the staff at my treatment center are not just my “care team” anymore. They have become friends and family. Throughout my treatment, they not only provided me with professional advice, education, care, and wisdom; but also, the compassion and love that I needed when I was scared. Whenever I voiced concerns, they were there to give hugs and ensure Mom and me that things would get better.

I can remember multiple times that my tears were met with arms wrapped around me. The ladies and men at my treatment facility are some of the most compassionate and caring people I know. I am not the only person who receives this kindness. My treatment team cares for all sorts of patients, with the same love, care, and concern of a family member.

I also have met a gentleman who just started treatment with Nplate®. It is so neat to tell him my story of where I was, what I have been through, what worked and didn’t work, and where I am today. It also is neat to hear his story, as it is quite different than mine.

My ITP community network

Kristen, a patient on Nplate
“Although I wish I never had ITP, I am grateful for all the support
I have had on this journey.”Kristen, chronic ITP patient on Nplate®

I was diagnosed with chronic ITP in the winter of 2010. Even though I had never heard of this condition and wanted to find out more, I initially avoided the Internet. I knew that the Internet can be full of misinformation when it comes to medical problems.

We tried several treatments, including steroids and intravenous immunoglobulin (IVIG). None of the treatments were effective in helping me achieve my treatment goal, so my hematologist recommended a splenectomy. This concerned me, so I decided to research what other options were available to me. I finally turned to the Internet while searching for answers and came across the Platelet Disorder Support Association (PDSA). I particularly liked the firsthand experiences of others with ITP that I could read about on the discussion boards.

The uncertainty with ITP can lead to negative repercussions in your life from worry and anxiety. No one quite understands what it is like to live with this condition unless they have experienced it. By far my biggest support through this journey has been my husband Dan. Dan spent countless hours researching splenectomies, Nplate®, and various other forms of treatment that were recommended to us. He went with me to my doctors’ appointments, which included visiting seven hematologists and two rheumatologists. He regularly consulted two of our friends who are doctors for advice, and we spent a lot of time praying together with friends from our church.

Although I wish I never had ITP, I am grateful for all the support I have had on this journey and I hope I can now be a support to others.

Learn how Nplate® has been helping people with
ITP for over 10 years

Commitment to every patient
Commitment to every patient
10 years and counting

Continued commitment
to every patient

Are you interested in sharing your ITP story?

People often find it comforting and inspiring to hear about others with similar experiences.
We want to hear your story. To join the Share Your Journey program and share your Nplate®

story, just call toll-free 1-888-293-1964.

Share your journey program

Talk to your healthcare team regularly

Important Safety Information

What is the most important information I should know about Nplate®?

  • Nplate® can cause serious side effects, including:
  • Worsening of a precancerous blood condition to a blood cancer (leukemia): Nplate® is not for use in people with a precancerous condition called myelodysplastic syndromes (MDS) or for any condition other than chronic (lasting a long time) immune thrombocytopenia (ITP). If you have MDS and receive Nplate®, your MDS condition may worsen and become an acute leukemia. If MDS worsens to become acute leukemia you may die sooner from the acute leukemia.

  • Higher risk for blood clots:

    • You may have a higher risk of getting a blood clot if your platelet count becomes high during treatment with Nplate®. You may have severe complications or die from some forms of blood clots, such as clots that spread to the lungs or that cause heart attacks or strokes.
    • If you have a chronic liver disease, you may get blood clots in the veins of your liver. This may affect your liver function.
  • What are the possible side effects of Nplate®?

    • Nplate® may cause serious side effects. See “What is the most important information I should know about Nplate®?”
    • The most common side effects of Nplate® in adults include:
      • headache
      • joint pain
      • dizziness
      • trouble sleeping
      • muscle tenderness or weakness
      • pain in arms and legs
      • stomach (abdomen) pain
      • shoulder pain
      • indigestion
      • tingling or numbness in hands and feet
    • The most common side effects of Nplate® in children 1 year of age and older include:
      • inflammation of the passages in the nose and throat
      • upper respiratory tract infection
      • itchy, runny, or blocked nose
      • sore throat and discomfort with swallowing
      • inflammation of the eye
      • ear infection
      • inflammation in the lining of the intestines
      • inflammation of the sinuses
      • cough
      • pain in mouth and throat
      • upper stomach (abdomen) pain
      • diarrhea
      • rash
      • bleeding beneath the surface of the skin or bruising under the skin
      • itchy rash
      • fever
      • swelling in the limbs/hands/feet
      • bruising
    • People who take Nplate® may have an increased risk of developing new or worsening changes in the bone marrow called “increased reticulin.” These changes may improve if you stop taking Nplate®. Your healthcare provider may need to check your bone marrow for this problem during treatment with Nplate®.
    • These are not all the possible side effects of Nplate®. Tell your healthcare provider if you have any side effect that bothers you or that does not go away. For more information, ask your healthcare provider or pharmacist.
    • If you have any questions about this information, be sure to discuss with your doctor. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

How will I receive Nplate®?

Nplate® is given under the skin (subcutaneous injection) one time each week by your healthcare provider. Your healthcare provider will check your platelet count every week and change your dose of Nplate® as needed. This will continue until your healthcare provider decides that your dose of Nplate® can stay the same. After that, you will need to get blood tests every month. When you stop receiving Nplate®, you will need blood tests for at least 2 weeks to check if your platelet count drops too low.

Pregnancy Surveillance Program: Women who become pregnant during Nplate® treatment are encouraged to enroll in Amgen’s Pregnancy Surveillance Program. The purpose of this program is to collect safety information about the health of you and your baby. Contact the program as soon as you become aware of the pregnancy, or ask your healthcare provider to contact the program for you. You or your healthcare provider can get information and enroll in the program by calling 1-800-77-AMGEN (1-800-772-6436).

Indications

Nplate® is a prescription medicine used to treat low blood platelet counts (thrombocytopenia) in:

  • adults with chronic immune thrombocytopenia (ITP) when certain medicines or surgery to remove your spleen have not worked well enough.
  • children 1 year of age and older with ITP for at least 6 months when certain medicines or surgery to remove the spleen have not worked well enough.

Nplate® is not for use in people with a precancerous condition called myelodysplastic syndrome (MDS) or low platelet count caused by any condition other than chronic (lasting a long time) immune thrombocytopenia (ITP). Nplate® is only used if your low platelet count and medical condition increase your risk of bleeding. Nplate® is used to try to keep your platelet count about 50,000 per microliter in order to lower the risk for bleeding. Nplate® is not used to make your platelet count normal. It is not known if Nplate® works or if it is safe in people under the age of 1.

Please see Prescribing Information and Medication Guide for more information about Nplate® on Nplate.com.

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