TheraRadar
Data updated: May 26, 2026

MULPLETA (lusutrombopag)

Trial Activity: Stable 1 active trials
Priority Review Fast Track
Hepatology Approved 2018-07-31

MULPLETA is indicated for the treatment of Thrombocytopenia; Chronic Liver Disease.

Source: FDA Label • VANCOCIN ITALIA

How MULPLETA Works

Lusutrombopag is an orally bioavailable, small-molecule thrombopoietin (TPO) receptor agonist. It interacts with the transmembrane domain of human TPO receptors expressed on hematopoietic stem cells and megakaryocytic progenitor cells. This interaction induces the proliferation and differentiation of these progenitors and promotes megakaryocyte maturation, resulting in an increase in endogenous platelet production.

Development Insights

Shionogi conducting 3 trials (75%)
5 indications explored (Moderate)
aplastic anemia (1 trials)
immune thrombocytopenia (itp) (1 trials)
immune thrombocytopenia (1 trials)
1
Indication
--
Phase 3 Trials
1
Priority Reviews
7
Years on Market

Details

Status
Prescription
First Approved
2018-07-31
Patent Cliff
2031

Pro Metrics

Patent cliff and revenue data

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Routes
ORAL
Dosage Forms
TABLET

Companies

Active Ingredient: LUSUTROMBOPAG

MULPLETA Approval History

2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
1 FDA actions from 2018 to 2018
Jul 2018 ORIGINAL Priority
New Drug · Type 1 - New Molecular Entity

What MULPLETA Treats

2 indications

MULPLETA is approved for 2 conditions since its original approval in 2018. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Thrombocytopenia
  • Chronic Liver Disease
Source: FDA Label

MULPLETA Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

What's emerging in MULPLETA's indications

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Phase 3 candidates targeting molecules with no FDA-approved drug, in indications MULPLETA treats. First-in-class if their pivotal trials read out positive.

Drugs Similar to MULPLETA

3 of 9

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

DOPTELET
AVATROMBOPAG MALEATE
2 shared
AKARX INC
Shared indications:
ThrombocytopeniaChronic Liver Disease
DOPTELET SPRINKLE
AVATROMBOPAG MALEATE
2 shared
AKARX INC
Shared indications:
ThrombocytopeniaChronic Liver Disease
ALVAIZ
ELTROMBOPAG CHOLINE
1 shared
Teva
Shared indications:
Thrombocytopenia
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Clinical Trial Registry

4 trials
Trial Sponsor ID Phase Status Title
NCT06426043 LNA-2024 Ph 4 not yet recruiting A Prospective Study on the Treatment of Recurrent/Refractory/Intolerable NSAA With Lusutrombopag
NCT01054443 results posted 0913M0621 Ph 2 terminated A Study to Investigate the Efficacy and Safety of Lusutrombopag (S-888711) Tablets Administered to Adults With Immune Thrombocytopenia (ITP)
NCT01129024 results posted 0914M0622 Ph 2 terminated An Open-label Safety Study of Lusutrombopag (S-888711) in Adults With Chronic Immune Thrombocytopenia (ITP)
NCT02389621 L-PLUS 2 results posted 1423M0634 2014-004942-91 Ph 3 completed Safety and Efficacy Study of Lusutrombopag for Thrombocytopenia in Patients With Chronic Liver Disease Undergoing Elective Invasive Procedures
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

MULPLETA FDA Label Details

Indications & Usage

FDA Label (PDF)

MULPLETA is indicated for the treatment of Thrombocytopenia; Chronic Liver Disease.

View full patent landscape →
3 OB patents · 2 families · 60 international docs across 21 countries

MULPLETA Patents & Exclusivity

Latest Patent: Sep 2031

Patents (3 active)

US9427402 Expires Sep 29, 2031
US8530668 Expires Jan 21, 2030
US8889722 Expires Jul 29, 2028
Source: FDA Orange Book

Pro Intelligence Preview

Deep insights for MULPLETA

Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2031
  • 3 active patents

Trial Analysis

  • 4 total trials
  • Stage: Stable

Competitive Landscape

  • 9 similar drugs
  • Same target/indication analysis
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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment