Table 3.

Clinical studies of 2 forms of recombinant thrombopoietin as adjunct to induction/consolidation chemotherapy in patients with newly diagnosed acute myelogenous leukemia

FormInvestigatorNo. of patientsChemotherapyDose (μg/kg)RouteInductionConsolidation
DosingOutcomeDosingOutcome
PEG-rHuMGDF Archimbaud et al112 PEG-rHuMGDF = 38 Daunorubicin, cytarabine, etoposide 2.5 or 5.0 SC Multiple or single Dose-related increase in median platelet count Multiple or single Dose-related increase in remission median platelet count  
  Placebo = 12     No difference between groups in time to platelet recovery or platelet transfusion requirements  No difference between groups in time to platelet recovery or platelet transfusion requirements  
 Schiffer et al114 PEG-rHuMGDF = 24 Daunorubicin, cytarabine +/− high-dose cytarabine 2.5 or 5.0 SC Multiple No difference between groups in time to platelet count ≥ 20 × 109/L or platelet transfusion requirements Multiple No difference between groups in time to platelet recovery to ≥ 20 × 109/L and ≥ 50 × 109/L or platelet transfusion requirements 
  Placebo = 11        
rhTPO Cripe et al115 rhTPO = 28 Idarubicin, cytarabine 2.5-5.0 IV Multiple No difference between rhTPO and historical controls in time to platelet count ≥ 20 × 109/L or ≥ 50 × 109/L NA NA 
FormInvestigatorNo. of patientsChemotherapyDose (μg/kg)RouteInductionConsolidation
DosingOutcomeDosingOutcome
PEG-rHuMGDF Archimbaud et al112 PEG-rHuMGDF = 38 Daunorubicin, cytarabine, etoposide 2.5 or 5.0 SC Multiple or single Dose-related increase in median platelet count Multiple or single Dose-related increase in remission median platelet count  
  Placebo = 12     No difference between groups in time to platelet recovery or platelet transfusion requirements  No difference between groups in time to platelet recovery or platelet transfusion requirements  
 Schiffer et al114 PEG-rHuMGDF = 24 Daunorubicin, cytarabine +/− high-dose cytarabine 2.5 or 5.0 SC Multiple No difference between groups in time to platelet count ≥ 20 × 109/L or platelet transfusion requirements Multiple No difference between groups in time to platelet recovery to ≥ 20 × 109/L and ≥ 50 × 109/L or platelet transfusion requirements 
  Placebo = 11        
rhTPO Cripe et al115 rhTPO = 28 Idarubicin, cytarabine 2.5-5.0 IV Multiple No difference between rhTPO and historical controls in time to platelet count ≥ 20 × 109/L or ≥ 50 × 109/L NA NA 

NA indicates not applicable; PEG-rHuMGDF, pegylated recombinant human megakaryocyte growth and development factor; rhTPO, recombinant human thrombopoietin; SC, subcutaneous; and IV, intravenous.

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