The Surrey Heartlands Area Prescribing Committee (APC) approves the use of fostamatinib as recommended by NICE TA835 as an option for treating refractory chronic immune thrombocytopenia (ITP) in adults, only if:
- they have previously had a thrombopoietin receptor agonist (TPO-RA), or a TPO-RA is unsuitable,
- the company provides fostamatinib according to the commercial arrangement.
Fostamatinib for this indication will be considered as RED on the traffic light system (treatment should be initiated and continued by specialist clinicians).
Primary care clinicians should be aware that their patient is receiving this medicine and ensure that this is recorded on the patient's medication screen as a hospital-only drug in line with guidance on the PAD. This will also alert the prescriber to potential side effects and interactions with other medicines prescribed in primary care. It will also ensure that GP records, which are accessed by other healthcare providers, are a true and accurate reflection of the patient's medication.
