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LABELS · 7f47b815-d08b-46fe-aee9-d2cef6e86ec0

Nplate

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Preserved label snapshot, not confirmation of a current approved indication. Approval/withdrawal status must be checked for the exact disease, setting and regimen.

Label effective date
2026-06-23
Captured
2026-09-09T23:37:51.659493+00:00
Current indication reconciliation
Not reconciled

Indications and usage: exact source text

  1. 1 INDICATIONS AND USAGE Nplate is a thrombopoietin receptor agonist indicated for the treatment of thrombocytopenia in: Adult patients with immune thrombocytopenia (ITP) who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. ( 1.1 ) Pediatric patients 1 year of age and older with ITP for at least 6 months who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. ( 1.1 ) Nplate is indicated to increase survival in adults and in pediatric patients (including term neonates) acutely exposed to myelosuppressive doses of radiation (Hematopoietic Syndrome of Acute Radiation Syndrome [HS-ARS]). ( 1.2 ) Limitations of Use: Nplate is not indicated for the treatment of thrombocytopenia due to myelodysplastic syndrome (MDS) or any cause of thrombocytopenia other than ITP. Nplate should be used only in patients with ITP whose degree of thrombocytopenia and clinical condition increases the risk for bleeding. Nplate should not be used in an attempt to normalize platelet counts. ( 1 ) 1.1 Patients with Immune Thrombocytopenia (ITP) Nplate is indicated for the treatment of thrombocytopenia in: Adult patients with immune thrombocytopenia (ITP) who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. Pediatric patients 1 year of age and older with ITP for at least 6 months who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. 1.2 Patients with Hematopoietic Syndrome of Acute Radiation Syndrome Nplate is indicated to increase survival in adults and in pediatric patients (including term neonates) acutely exposed to myelosuppressive doses of radiation [see Clinical Studies (14.3) ] . Limitations of Use: Nplate is not indicated for the treatment of thrombocytopenia due to myelodysplastic syndrome (MDS) or any cause of thrombocytopenia other than ITP [see Warnings and Precautions ( 5.1 )] . Nplate should be used only in patients with ITP whose degree of thrombocytopenia and clinical condition increases the risk for bleeding. Nplate should not be used in an attempt to normalize platelet counts [see Warnings and Precautions ( 5.2 )] .
Full extracted label fields
application numbers
  1. BLA125268
boxed warning exact
    brand names
    1. Nplate
    current indication status
    not_reconciled
    dailymed set url
    https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=c45f9a58-37c1-4f76-8e36-97d38c577037
    generic names
    1. ROMIPLOSTIM
    id
    7f47b815-d08b-46fe-aee9-d2cef6e86ec0
    indications and usage exact
    1. 1 INDICATIONS AND USAGE Nplate is a thrombopoietin receptor agonist indicated for the treatment of thrombocytopenia in: Adult patients with immune thrombocytopenia (ITP) who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. ( 1.1 ) Pediatric patients 1 year of age and older with ITP for at least 6 months who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. ( 1.1 ) Nplate is indicated to increase survival in adults and in pediatric patients (including term neonates) acutely exposed to myelosuppressive doses of radiation (Hematopoietic Syndrome of Acute Radiation Syndrome [HS-ARS]). ( 1.2 ) Limitations of Use: Nplate is not indicated for the treatment of thrombocytopenia due to myelodysplastic syndrome (MDS) or any cause of thrombocytopenia other than ITP. Nplate should be used only in patients with ITP whose degree of thrombocytopenia and clinical condition increases the risk for bleeding. Nplate should not be used in an attempt to normalize platelet counts. ( 1 ) 1.1 Patients with Immune Thrombocytopenia (ITP) Nplate is indicated for the treatment of thrombocytopenia in: Adult patients with immune thrombocytopenia (ITP) who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. Pediatric patients 1 year of age and older with ITP for at least 6 months who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. 1.2 Patients with Hematopoietic Syndrome of Acute Radiation Syndrome Nplate is indicated to increase survival in adults and in pediatric patients (including term neonates) acutely exposed to myelosuppressive doses of radiation [see Clinical Studies (14.3) ] . Limitations of Use: Nplate is not indicated for the treatment of thrombocytopenia due to myelodysplastic syndrome (MDS) or any cause of thrombocytopenia other than ITP [see Warnings and Precautions ( 5.1 )] . Nplate should be used only in patients with ITP whose degree of thrombocytopenia and clinical condition increases the risk for bleeding. Nplate should not be used in an attempt to normalize platelet counts [see Warnings and Precautions ( 5.2 )] .
    indications and usage tables exact
      is original packager
      1. true
      manufacturer names
      1. Amgen, Inc
      matched search terms
      1. myelodysplastic
      package ndcs
      1. 55513-222-01
      2. 55513-222-21
      3. 55513-223-01
      4. 55513-223-21
      5. 55513-221-01
      6. 55513-221-21
      product ndcs
      1. 55513-221
      2. 55513-222
      3. 55513-223
      product types
      1. HUMAN PRESCRIPTION DRUG
      recent major changes exact
      1. Warnings and Precautions, Thrombotic/Thromboembolic Complications ( 5.2 ) 02/2025 Warnings and Precautions, Loss of Response to Nplate ( 5.3 ) 02/2025
      record type
      complete_spl_indications_section_candidate
      routes
      1. SUBCUTANEOUS
      rxcuis
      1. 1728092
      2. 1728095
      3. 1728097
      4. 1728099
      5. 2201538
      6. 2201540
      source batch
      file
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      meta
      disclaimer
      Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. We may limit or otherwise restrict your access to the API in line with our Terms of Service.
      last updated
      2026-09-09
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      sha256
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      url
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      source url
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      spl effective date
      2026-06-23
      spl effective time
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      spl set id
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      spl version
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      substance names
      1. ROMIPLOSTIM
      uniis
      1. GN5XU2DXKV
      verification flags
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      2. spl_text_not_verified_identical_to_latest_approved_label
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      Drugs@FDA application source records
      1. application number
        BLA125268
        payload
        all indexed label documents
        1. Appl No
          125268
          Application Docs Date
          2008-08-25 00:00:00
          Application Docs ID
          18827
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          1
          Submission Type
          ORIG
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          Application Docs Date
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          Application Docs ID
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          Application Docs Title
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          Application Docs Type ID
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          Submission No
          26
          Submission Type
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        3. Appl No
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          Application Docs Date
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          Application Docs ID
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          Application Docs Title
          0
          Application Docs Type ID
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          Submission No
          77
          Submission Type
          SUPPL
        4. Appl No
          125268
          Application Docs Date
          2014-02-11 00:00:00
          Application Docs ID
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          Application Docs Title
          0
          Application Docs Type ID
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          Submission No
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        5. Appl No
          125268
          Application Docs Date
          2016-04-20 00:00:00
          Application Docs ID
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          Application Docs Title
          0
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          2
          Submission No
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        6. Appl No
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          Application Docs Date
          2012-11-06 00:00:00
          Application Docs ID
          39886
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          106
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        7. Appl No
          125268
          Application Docs Date
          2013-06-04 00:00:00
          Application Docs ID
          39887
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          121
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        8. Appl No
          125268
          Application Docs Date
          2016-04-20 00:00:00
          Application Docs ID
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          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          156
          Submission Type
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        9. Appl No
          125268
          Application Docs Date
          2017-06-06 00:00:00
          Application Docs ID
          48658
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          160
          Submission Type
          SUPPL
        10. Appl No
          125268
          Application Docs Date
          2018-12-14 00:00:00
          Application Docs ID
          56745
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          163
          Submission Type
          SUPPL
        11. Appl No
          125268
          Application Docs Date
          2019-10-18 00:00:00
          Application Docs ID
          60582
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          164
          Submission Type
          SUPPL
        12. Appl No
          125268
          Application Docs Date
          2020-11-25 00:00:00
          Application Docs ID
          65322
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          169
          Submission Type
          SUPPL
        all submission records
        1. Appl No
          125268
          Review Priority
          STANDARD
          Submission Class Code ID
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          Submission No
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          Submission Status
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          Submission Status Date
          2025-02-21 00:00:00
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          Submissions Public Notes
        2. Appl No
          125268
          Review Priority
          STANDARD
          Submission Class Code ID
          3
          Submission No
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          Submission Status
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          2022-02-10 00:00:00
          Submission Type
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          Submissions Public Notes
        3. Appl No
          125268
          Review Priority
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          Submission Class Code ID
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          Submission No
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          Submission Status
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          Submission Status Date
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          Submission Type
          SUPPL
          Submissions Public Notes
        4. Appl No
          125268
          Review Priority
          STANDARD
          Submission Class Code ID
          3
          Submission No
          169
          Submission Status
          AP
          Submission Status Date
          2020-11-23 00:00:00
          Submission Type
          SUPPL
          Submissions Public Notes
        5. Appl No
          125268
          Review Priority
          STANDARD
          Submission Class Code ID
          3
          Submission No
          168
          Submission Status
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          Submission Status Date
          2021-02-10 00:00:00
          Submission Type
          SUPPL
          Submissions Public Notes
        6. Appl No
          125268
          Review Priority
          PRIORITY
          Submission Class Code ID
          2
          Submission No
          167
          Submission Status
          AP
          Submission Status Date
          2021-01-28 00:00:00
          Submission Type
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          Submissions Public Notes
        7. Appl No
          125268
          Review Priority
          STANDARD
          Submission Class Code ID
          2
          Submission No
          164
          Submission Status
          AP
          Submission Status Date
          2019-10-17 00:00:00
          Submission Type
          SUPPL
          Submissions Public Notes
        8. Appl No
          125268
          Review Priority
          PRIORITY
          Submission Class Code ID
          2
          Submission No
          163
          Submission Status
          AP
          Submission Status Date
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          Submission Type
          SUPPL
          Submissions Public Notes
        9. Appl No
          125268
          Review Priority
          STANDARD
          Submission Class Code ID
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          Submission No
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          Submission Status
          AP
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          Submission Type
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          Submissions Public Notes
        10. Appl No
          125268
          Review Priority
          STANDARD
          Submission Class Code ID
          3
          Submission No
          156
          Submission Status
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          Submission Status Date
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          Submissions Public Notes
        11. Appl No
          125268
          Review Priority
          STANDARD
          Submission Class Code ID
          3
          Submission No
          155
          Submission Status
          AP
          Submission Status Date
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          Submission Type
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          Submissions Public Notes
        12. Appl No
          125268
          Review Priority
          STANDARD
          Submission Class Code ID
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          Submission No
          141
          Submission Status
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          Submission Status Date
          2014-02-10 00:00:00
          Submission Type
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          Submissions Public Notes
        application number
        BLA125268
        approval interpretation
        Application linkage and approved submission are not indication-level current approval verification
        current indication status
        not_reconciled
        has approved submission record
        true
        latest approved submission date
        2025-02-21
        latest label selection rule
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        latest posted label documents
        1. Appl No
          125268
          Application Docs Date
          2025-02-21 00:00:00
          Application Docs ID
          81340
          Application Docs Title
          0
          Application Docs Type ID
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          Submission No
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          Submission Type
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        official application record
        Appl No
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        Appl Public Notes
        Appl Type
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        Sponsor Name
        AMGEN
        openfda application present
        true
        products
        1. Active Ingredient
          ROMIPLOSTIM
          Appl No
          125268
          Drug Name
          NPLATE
          Form
          INJECTABLE; SUBCUTANEOUS
          Product No
          001
          Reference Drug
          2
          Reference Standard
          Strength
          250MCG/0.5ML; 500MCG/1ML.
          marketing status
          1. Prescription

      Source passages and status connections

      Passage classifications are automated and are not treatment recommendations. Connections apply only to their recorded indication scope.

      Passage 1 · positive indication candidate
      application numbers
      1. BLA125268
      brand names
      1. Nplate
      classification reasons
      1. explicit_positive_indication_predicate
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      clinical review status
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      content role
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      context span
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      460
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      true
      exact text
      1 INDICATIONS AND USAGE Nplate is a thrombopoietin receptor agonist indicated for the treatment of thrombocytopenia in: Adult patients with immune thrombocytopenia (ITP) who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. ( 1.1 ) Pediatric patients 1 year of age and older with ITP for at least 6 months who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. ( 1.1 ) Nplate is indicate
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      is a thrombopoietin receptor agonist indicated
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      qualifier mentions
      1. context exact
        agonist indicated for the treatment of thrombocytopenia in: Adult patients with immune thrombocytopenia (ITP) who have had an insuffic
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          1 INDICATIONS AND USAGE Nplate is a thrombopoietin receptor agonist indicated for the treatment of thrombocytopenia in: Adult patients with immune thrombocytopenia (ITP) who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy.
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          gonist indicated for the treatment of thrombocytopenia in: Adult patients with immune thrombocytopenia (ITP) who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. ( 1.1 ) Pediatric patients 1 year of age and older with ITP for at least 6 months who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. ( 1.1 ) Nplate is indicated to inc
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                ndicated for the treatment of thrombocytopenia in: Adult patients with immune thrombocytopenia (ITP) who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. ( 1.1 ) Pediatric patients 1 year of age and older with ITP for at least 6 months who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. ( 1.1 ) Nplate is indicated to increase survival in adults and in pediatric patients (including term neonates) acutely exposed to myelosuppressive doses of radiation (Hematopoietic Syndrome of Acute
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                                                    ate is indicated for the treatment of thrombocytopenia in: Adult patients with immune thrombocytopenia (ITP) who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. Pediatric patients 1 year of age and older with ITP for at least 6 months who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. 1.2 Patients with Hematopoietic Syndrome of Acute Radiation Syndrome Nplate is indicated to increase survival in adults and in pediatric patients (including term neonates) acutely exposed to myelosup
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                                                        Pediatric patients 1 year of age and older with ITP for at least 6 months who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy.
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                                                        , immunoglobulins, or splenectomy. Pediatric patients 1 year of age and older with ITP for at least 6 months who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. 1.2 Patients with Hematopoietic Syndrome of Acute Radiation Syndrome Nplate is indicated to increase survival in adults and in pediatric patients (including term neonates) acutely exposed to myelosuppressive doses of radiation [see Clinical Studies (14.3) ] . Limitations of Use: Nplate is not indicated for the treatment of thrombocytopenia due to myelodysplastic syndrome (MDS) or any cause of thrombocytopenia other than ITP [see Warnings and Precautions (
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                                                            Syndrome Nplate is indicated to increase survival in adults and in pediatric patients (including term neonates) acutely exposed to myelosuppressive doses of radiation [see Clinical Studies (14.3) ] . Limitations of Use: Nplate is not indicated for the treatment of thrombocytopenia due to myelodysplastic syndrome (MDS) or any cause of thrombocytopenia other than ITP [see Warnings and Precautions ( 5.1 )] . Nplate should be used only in patients with ITP whose degree of thrombocytopenia and clinical condition increases the risk for bleeding. Nplate should not be used in an attempt to normalize platelet
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                                                                              use intent
                                                                              not_applicable

                                                                              Preserved source evidence · Not medical advice