INDICATIONS

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

  • adults with immune thrombocytopenia (ITP) when certain medicines or surgery to remove your spleen have not worked well enough. Read More
  • children 1 year of age and older with ITP for at least 6 months when certain medicines or surgery to remove your spleen have not worked well enough.
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NPLATE® (romiplostim) FOR CHILDREN

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Learn how children with immune thrombocytopenia (ITP) may also benefit from Nplate®.

Nplate® boosts platelets to lower the risk of bleeding in children

  • Children with ITP may have tried other treatments and experienced mixed results
  • Living with ITP can feel like a roller coaster ride. If you have been disappointed with your child's treatments so far, you may be looking for more stability
Learn more about how nplate® works

Why Nplate® for children?

Nplate® is safe and effective for childrenNplate® is safe and effective for children

Nplate® safety and
effectiveness in children

have been studied in 3 medical studies

  • 2 studies looked at how pediatric patients responded to Nplate® compared to a placebo
  • 1 study looked at the long-term safety profile of Nplate® in pediatric patients

7 out of 10 patients were able to raise their platelet counts to 50,000 platelets per microliter or higher7 out of 10 patients were able to raise their platelet counts to 50,000 platelets per microliter or higher

7 out of 10 patients
(n=30/42)

were able to raise their platelet counts to 50,000 platelets per microliter or higher

young male ITP patient

WHAT TO EXPECT

Nplate® has no dietary restrictions or known drug interactions

While other ITP treatments may require you to plan meals around a pill schedule or stop taking other medicines, Nplate® does not.

Your child can enjoy the calcium-rich foods they love:

Milk and cereal

Milk and cereal

Bread

Bread

Cheese

Cheese

Leafy green vegetables

Leafy green vegetables

Pizza

Pizza

Ice cream

Ice cream

HOW IS NPLATE® GIVEN?

Nplate® is given once a week as an injection (shot) under the skin by a member of your child's healthcare team

These weekly visits can help with staying on track to raise and sustain platelet counts. If your child misses a scheduled dose of Nplate®, make sure to schedule the next dose as soon as possible.

Once-weekly Nplate®Once-weekly Nplate®

Once-weekly Nplate®

Means you don't have to remind your child to take medicine every day

Personalized treatmentPersonalized treatment

Personalized treatment

Your child's doctor can increase or decrease the amount of Nplate® given to find the right dose to keep platelet levels stable

young female ITP patient
Download Nplate® conversation starterDownload Nplate® conversation starter

Keep track of your child's platelet counts

Download the Nplate® platelet tracker

POSSIBLE SIDE EFFECTS

The most common side effects of Nplate® in children 1 year of age and older include:

  • bruising
  • upper respiratory tract infection
  • pain in mouth and throat
    (oropharyngeal pain)

Ask a doctor if Nplate® could be
right for your child

Download Nplate® conversation starterDownload Nplate® conversation starter

Learn more about ITP and how Nplate® could help your child.
Download the Nplate® PEDIATRIC PATIENT AND CAREGIVER brochure
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Patient
Resources

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 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
      • bronchitis
      • inflammation of the sinuses (sinusitis)
      • vomiting
      • diarrhea
      • upper respiratory tract infection
      • cough
      • nausea
      • pain in mouth and throat (oropharyngeal pain)
    • The most common side effects of Nplate® in children 1 year of age and older include:
      • bruising
      • upper respiratory tract infection
      • pain in mouth and throat (oropharyngeal pain)
      • headache
    • 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 as an injection under the skin (subcutaneous) 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.

APPROVED USES

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

  • adults with 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 your 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 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.

References

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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 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.