Abstract

Very few randomised clinical trials have investigated the available treatments for primary immune thrombocytopenia.1,2 Rituximab was introduced as a treatment for primary immune thrombocytopenia in the early 2000s and was quickly adopted as an effective second-line treatment, but its use is mainly based on results from uncontrolled observational studies. The results from these investigations—including 300 adult patients in 19 studies—were systematically reviewed by Arnold and colleagues in 2007.

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