Table 3.

Current trials for novel second-line agents for patients with ITP

AgentMechanism of action
BMS-986004 (Bristol-Myers Squibb) IV administered anti-CD40L Fc-fusion protein that targets and binds CD40L expressed on T lymphocytes, which prevents T-cell-mediated proliferation and differentiation of B cells 
PRTX-100 (Protalex, Inc.) IV purified Staphylococcal protein A, an immunomodulatory protein, which binds to B lymphocytes and macrophages and modulates inflammation 
Avatrombopag (Eisai, Inc.) Oral, nonpeptide, thrombopoietin receptor agonist52  
Hetrombopag Olamine (Jiangsu HengRui Medicine Co., Ltd.) Nonpeptide, thrombopoietin receptor agonist 
R788/Fostamatinib Disodium (Rigel Pharmaceuticals) Oral Syk kinase inhibitor that blocks immunoglobulin G receptor signaling in macrophages and B cells53  
Decitabine Demethylating agent that promotes cell differentiation and maturation 
AgentMechanism of action
BMS-986004 (Bristol-Myers Squibb) IV administered anti-CD40L Fc-fusion protein that targets and binds CD40L expressed on T lymphocytes, which prevents T-cell-mediated proliferation and differentiation of B cells 
PRTX-100 (Protalex, Inc.) IV purified Staphylococcal protein A, an immunomodulatory protein, which binds to B lymphocytes and macrophages and modulates inflammation 
Avatrombopag (Eisai, Inc.) Oral, nonpeptide, thrombopoietin receptor agonist52  
Hetrombopag Olamine (Jiangsu HengRui Medicine Co., Ltd.) Nonpeptide, thrombopoietin receptor agonist 
R788/Fostamatinib Disodium (Rigel Pharmaceuticals) Oral Syk kinase inhibitor that blocks immunoglobulin G receptor signaling in macrophages and B cells53  
Decitabine Demethylating agent that promotes cell differentiation and maturation 

As listed on clinicaltrials.gov August 23, 2016.

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