Drugs / Romiplostim
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Romiplostim

also known as AMG-531 · N-Plate · N01 · Romiplate · Romiplostim N01

Peptide targets MPL via activation

Developed for
autoimmune thrombocytopenic purpura · thrombocytopenia · aplastic anemia · autoimmune thrombocytopenia · myelodysplastic syndrome · chemotherapy-induced toxicity · non-Hodgkin lymphoma · Hodgkins lymphoma
+13 more · lymphoma · plasma cell myeloma · bone marrow failure syndrome · disease related to hematopoietic stem cell transplant · Ewing sarcoma · hematopoietic and lymphoid cell neoplasm · infectious disease with sepsis · refractory cytopenia of childhood · thrombocytopenia due to immune destruction · thrombocytopenic purpura · transient neonatal thrombocytopenia · Wiskott-Aldrich syndrome · hepatitis C virus infection
Investigated by
Amgen · Kyowa Kirin, Inc. · Memorial Sloan Kettering Cancer Center · Peking Union Medical College Hospital · Anhui Provincial Hospital · Anjali Sharathkumar
+45 more · Assistance Publique - Hôpitaux de Paris · Gesellschaft fur Medizinische Innovation - Hamatologie und Onkologie mbH · Kyowa Kirin Co., Ltd. · M.D. Anderson Cancer Center · The First Affiliated Hospital of Soochow University · Affiliated Hospital of Hebei University · Affiliated Hospital of Nantong University · Ain Shams University · Andalusian Public Foundation for Health Research in Seville · Andres J. M. Ferreri · Changshu Affiliated Hospital of Soochow University · Children's Hospital Medical Center, Cincinnati · David Gomez Almaguer · Department of Health and Human Services · European Organisation for Research and Treatment of Cancer - EORTC · Federal Research Institute of Pediatric Hematology, Oncology and Immunology · Food and Drug Administration (FDA) · Geropharm · GlaxoSmithKline · Kyowa Kirin Co., Ltd. · Masonic Cancer Center, University of Minnesota · NYU Langone Health · Nahda University · Nantes University Hospital · National Cancer Institute (NCI) · Peking University People's Hospital · Samsung Medical Center · Shandong Cancer Hospital and Institute · Shanghai 10th People's Hospital · Shanghai Tong Ren Hospital · Shanghai Tongji Hospital, Tongji University School of Medicine · Soochow Hopes Hematonosis Hospital · Tangshan People's Hospital · Tel-Aviv Sourasky Medical Center · The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School · The First Affiliated Hospital with Nanjing Medical University · The First People's Hospital of Changzhou · Tianjin Medical University Cancer Institute and Hospital · Union Hospital, Tongji Medical College, Huazhong University of Science and Technology · University Children's Hospital Basel · University Hospital, Basel, Switzerland · University Hospital, Lille · University of Miami Sylvester Comprehensive Cancer Center · Weill Medical College of Cornell University · Zhangjiagang First People's Hospital

Regulatory milestones approvals, filings & regulatory actions · 5 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansions (3) US (FDA) NPLATE 2018-12-14 – 2021-01-28 fda.gov
Approved EU (EMA) Nplate 2009-02-04 europa.eu
Approved US (FDA) NPLATE 2008-08-22 fda.gov

Trials 70 · started per year

today
US approved 2008
EU approved 2009
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200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025202620272028
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 02 trials
Phase 0 NCT07048249 Jan 2024 → Jan 2027 expected Ewing sarcoma, thrombocytopenia Children's Hospital Medical Center, Cincinnati Recruiting No outcome recorded
Phase 0 NCT04478227 Aug 2020 → Jan 2024 aplastic anemia, bone marrow failure syndrome, refractory cytopenia of childhood, thrombocytopenia Anjali Sharathkumar Completed No outcome recorded
Phase 13 trials
Phase 1 NCT07595133 Jun 2026 → Dec 2027 expected infectious disease with sepsis Shanghai 10th People's Hospital Not yet recruiting No outcome recorded
Phase 1 NCT05652595 Jun 2022 → Jun 2024 Geropharm Unknown No outcome recorded
Phase 1 NCT02046291 Apr 2015 → Dec 2020 hematopoietic and lymphoid cell neoplasm Masonic Cancer Center, University of Minnesota Completed No outcome recorded
Phase 1/27 trials
Phase 1/2 NCT02868060 Sep 2015 → Aug 2017 autoimmune thrombocytopenia Kyowa Kirin Co., Ltd. Completed No outcome recorded
Phase 1/2 NCT01980030 Nov 2013 → Dec 2015 disease related to hematopoietic stem cell transplant Assistance Publique - Hôpitaux de Paris Completed No outcome recorded
Phase 1/2 NCT00515203 Jul 2007 → Mar 2009 autoimmune thrombocytopenic purpura Amgen Completed No outcome recorded
Phase 1/2 NCT00299182 Mar 2006 → Apr 2012 lymphoma M.D. Anderson Cancer Center Completed No outcome recorded
Phase 1/2 NCT00283439 Oct 2005 → May 2008 Hodgkins lymphoma, cancer, non-Hodgkin lymphoma, thrombocytopenia Amgen Completed No outcome recorded
Phase 1/2 NCT00147225 Aug 2005 → Mar 2013 cancer M.D. Anderson Cancer Center Completed No outcome recorded
Phase 1/2 NCT00117143 Dec 2002 → Jul 2004 thrombocytopenic purpura Amgen Completed No outcome recorded
Phase 227 trials
Phase 2 NCT07278661 Sep 2026 → Dec 2028 expected thrombocytopenia Nantes University Hospital Recruiting No outcome recorded
Phase 2 NCT07001254 Aug 2026 → Dec 2031 expected aplastic anemia Anjali Sharathkumar Not yet recruiting No outcome recorded
Phase 2 NCT07400341 Jan 2026 → Jan 2028 expected aplastic anemia, myelodysplastic syndrome The First Affiliated Hospital of Soochow University Recruiting No outcome recorded
Phase 2 NCT06898983 Jul 2025 → Jun 2026 overdue chemotherapy-induced toxicity Anhui Provincial Hospital Recruiting No outcome recorded
Phase 2 NCT06693791 Dec 2024 → Nov 2026 expected transient neonatal thrombocytopenia Anhui Provincial Hospital Recruiting No outcome recorded
Phase 2 NCT05323617 Aug 2023 → Feb 2025 aplastic anemia Amgen Withdrawn No outcome recorded
Phase 2 NCT04933942 Sep → Dec 2022 high grade astrocytic tumor European Organisation for Research and Treatment of Cancer - EORTC Withdrawn No outcome recorded
Phase 2 NCT04673266 Dec 2020 → Apr 2026 lymphoma, thrombocytopenia Memorial Sloan Kettering Cancer Center Completed No outcome recorded
Phase 2 NCT04671901 Dec 2020 → Mar 2023 carcinoma, childhood malignant neoplasm Memorial Sloan Kettering Cancer Center Terminated No outcome recorded
Phase 2 NCT04588194 Nov 2020 → Nov 2021 autoimmune thrombocytopenia, thrombotic thrombocytopenic purpura David Gomez Almaguer Unknown No outcome recorded
Phase 2/34 trials
Phase 2/3 NCT04095936 Dec 2019 → Oct 2021 aplastic anemia Kyowa Kirin, Inc. Completed No outcome recorded
Phase 2/3 NCT03957694 Apr 2019 → Nov 2020 aplastic anemia Kyowa Kirin, Inc. Completed No outcome recorded
Phase 2/3 NCT02773290 May 2016 → Nov 2017 aplastic anemia Kyowa Kirin, Inc. Completed No outcome recorded
Phase 2/3 NCT00440037 Nov 2006 → Jul 2011 autoimmune thrombocytopenic purpura Kyowa Kirin, Inc. Completed No outcome recorded
Phase 316 trials
Phase 3 NCT07700238 Jul 2026 → Sep 2029 expected autoimmune thrombocytopenia Amgen Not yet recruiting No outcome recorded
Phase 3 NCT06759636 Feb 2025 → Apr 2026 overdue chemotherapy-induced toxicity The First Affiliated Hospital with Nanjing Medical University Recruiting No outcome recorded
Phase 3 NCT06201663 Dec 2023 → May 2025 cancer, thrombocytopenia Ain Shams University Unknown No outcome recorded
Phase 3 NCT05325593 Dec 2022 → Oct 2026 expected autoimmune thrombocytopenia Andalusian Public Foundation for Health Research in Seville Active not recruiting No outcome recorded
Phase 3 NCT03937154 Feb 2020 → Mar 2026 overdue thrombocytopenia Amgen Active not recruiting No outcome recorded
Phase 3 NCT03362177 Sep 2019 → Jan 2024 thrombocytopenia Amgen Completed No outcome recorded
Phase 3 NCT03343847 Jan 2018 → Jul 2021 thrombocytopenia Amgen Withdrawn No outcome recorded
Phase 3 NCT02868099 Sep 2015 → Feb 2017 autoimmune thrombocytopenia Kyowa Kirin Co., Ltd. Completed No outcome recorded
Phase 3 NCT02279173 Dec 2014 → Aug 2018 autoimmune thrombocytopenia Amgen Completed No outcome recorded
Phase 3 NCT01444417 Jan 2012 → Feb 2015 autoimmune thrombocytopenic purpura Amgen Completed No outcome recorded
Phase 47 trials
Phase 4 NCT06535685 Aug 2024 → Mar 2025 overdue aplastic anemia Peking Union Medical College Hospital Not yet recruiting No outcome recorded
Phase 4 NCT06516484 Jul 2024 → Jul 2025 overdue aplastic anemia Peking Union Medical College Hospital Not yet recruiting No outcome recorded
Phase 4 NCT06009497 Aug 2023 → Dec 2024 aplastic anemia Peking Union Medical College Hospital Unknown No outcome recorded
Phase 4 NCT05861297 May 2020 → Jan 2024 autoimmune thrombocytopenic purpura Nahda University Unknown No outcome recorded
Phase 4 NCT03119974 Sep 2017 → Aug 2020 autoimmune thrombocytopenic purpura Assistance Publique - Hôpitaux de Paris Completed No outcome recorded
Phase 4 NCT02760251 Apr 2016 → Jul 2019 autoimmune thrombocytopenia University Hospital, Basel, Switzerland Completed No outcome recorded
Phase 4 NCT00907478 Aug 2009 → Jan 2014 autoimmune thrombocytopenic purpura Amgen Completed No outcome recorded
Phase not applicable4 trials
NCT07662525 Jun 2026 → Dec 2027 expected autoimmune thrombocytopenic purpura Peking University People's Hospital Not yet recruiting No outcome recorded
NCT07612319 Mar 2026 → Sep 2027 expected autoimmune thrombocytopenic purpura The First Affiliated Hospital of Soochow University Recruiting No outcome recorded
NCT07162519 Sep 2025 → Aug 2026 overdue breast cancer, chemotherapy-induced toxicity Tianjin Medical University Cancer Institute and Hospital Not yet recruiting No outcome recorded
NCT00472290 Apr 2007 → Jul 2011 myelodysplastic syndrome, thrombocytopenia Amgen Completed No outcome recorded
Also used as a comparator or background therapy in 9 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 26 trials
Phase 2 NCT07421167 Background Jun 2026 → Apr 2028 expected Evans syndrome Novartis Pharmaceuticals Recruiting No outcome recorded
Phase 2 NCT06345495 Background Oct 2024 → Jan 2027 expected myelofibrosis, splenic disorder M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 2 NCT04289207 Background Mar → Sep 2020 autoimmune thrombocytopenia Seoul National University Hospital Unknown No outcome recorded
Phase 2 NCT01153919 Comparator Jun 2010 → Jul 2014 hepatitis C virus infection, thrombocytopenia University of Southern California Terminated No outcome recorded
Phase 2 NCT00418665 Comparator Dec 2006 → Mar 2009 myelodysplastic syndrome, thrombocytopenia Amgen Completed No outcome recorded
Phase 33 trials
Phase 3 NCT06497036 Comparator Apr 2023 → Mar 2028 expected Geropharm Active not recruiting No outcome recorded
Phase 3 NCT05220878 Comparator Sep 2021 → Aug 2023 autoimmune thrombocytopenic purpura AO GENERIUM Completed No outcome recorded
Phase 3 NCT00603642 Comparator Oct 2007 → Apr 2009 autoimmune thrombocytopenic purpura Amgen Completed No outcome recorded

Press releases naming this drug 5 releases

DateIssuerRelease
2019-10-18 Amgen Nplate® (romiplostim) Now Approved For Earlier Use In Adults With Immune Thrombocytopenia amgen.com
2018-12-19 Amgen Amgen Submits Supplemental Biologics License Application For Nplate® (romiplostim) amgen.com
2018-12-14 Amgen FDA Approves Nplate® (Romiplostim) For Use In Pediatric Patients With Immune Thrombocytopenia amgen.com
2017-11-10 Amgen Amgen Receives Positive CHMP Opinion To Expand Use Of Nplate® (romiplostim) In Pediatric Patients With Chronic Immune Thrombocytopenic Purpura amgen.com
2016-04-19 Amgen Nplate® (Romiplostim) Study In The Lancet Shows Significant Increase In Durable Platelet Response Among Children With Immune Thrombocytopenia amgen.com

Evidence & citations 10 cited values

Every value below carries the sentence it was read from. 81 sources stand behind the page.

FieldValueCited text
Known as Romiplostim “AMG 531 (Romiplostim) will be administered weekly by subcutaneous injection at a dose of 500 or 750 μg during Part A and 750 μg during Part B for the 4 cycle treatment period,...” NCT00321711
64

“The investigators developed, in this study, a standardized procedure to discontinue Eltrombopag and Romiplostim, wherein the dose will be slowly tapered to limit the risk of bleeding.” NCT03119974

romiplostimNCT07421167

NCT04933942

NCT02279173

NCT05325593

NCT02052882

NCT06898983

NCT00116688

NCT00902018

NCT01516619

NCT00413283

NCT00117143

NCT02773290

NCT06759636

NCT04478227

NCT06516484

NCT00614523

NCT04478123

NCT07595133

NCT07400341

NCT04371939

NCT01444417

NCT06345495

NCT05861297

NCT02046291

NCT06693791

NCT02338414

NCT00508820

NCT00111475

NCT07662525

NCT07612319

NCT04095936

NCT07700238

NCT01143038

NCT00472290

NCT03957694

NCT02335268

NCT07048249

NCT04289207

NCT02760251

NCT03343847

NCT01153919

NCT07001254

NCT04671901

NCT00303472

NCT00415532

NCT06009497

NCT04673266

NCT01676961

NCT02868060

NCT02227576

NCT02868099

NCT01071954

NCT03622931

NCT01980030

NCT06535685

NCT03362177

NCT03937154

NCT00305435

NCT00907478

NCT05323617

NCT06201663

NCT07162519

NCT04588194

Known as AMG-531 “This is a Phase 2, multicenter, randomized, double blind, placebo controlled study designed to assess the efficacy and safety of romiplostim (formerly, AMG 531) treatment in...” NCT00614523
15

“Study of Romiplostim(AMG531) in Subjects With Aplastic Anemia” NCT02773290

“Romiplostim (formerly AMG 531)” NCT00472290

“Romiplostim (AMG-531)” NCT07048249

“Romiplostim (AMG-531)” NCT00305435

NCT00440037

NCT00283439

NCT00102323

NCT00147225

NCT00102336

NCT00299182

NCT00515203

NCT02094417

NCT00321711

NCT00418665

NCT00603642

Known as N-Plate N-Plate / romiplostim” NCT02335268
4

NCT05652595

NCT07278661

NCT05220878

NCT06497036

Known as N01 “To evaluate the efficacy of romiplostim (N01) in the treatment of chemotherapy-induced thrombocytopenia (CIT) in breast cancer patients by assessing the proportion of patients...” NCT07162519
1

“Romiplostim for injection N01 (specification: 250 μg per vial) is administered subcutaneously, 250 μg, once a week” NCT07595133

Known as Romiplate ChEMBL registry synonym — accepted as the source's own label CHEMBL1201832
Known as Romiplostim N01 Romiplostim N01 will be administered via subcutaneous injection once weekly when patients develop Grade 3 thrombocytopenia” NCT06898983
Action Activate “Romiplostim is a thrombopoietin receptor agonist that increases platelet counts” PMID 19671919 Aug 2009
1

“Thrombopoietin receptor agonist” CHEMBL1201832

Modality Peptide “a novel thrombopoiesis-stimulating peptibody” NCT00117143
Route Subcutaneous “Administered by subcutaneous injection” NCT00111475
Target MPL “Thrombopoietin receptor agonist” CHEMBL1201832