Eleftheria Hatzimichael: ASH 2026 Guidelines for Primary ITP What Is Changing
Eleftheria Hatzimichael, Special Secretary of the Board of Directors at Hellenic Society of Hematology, shared a post on LinkedIn:
“ASH 2026 Guidelines for Primary ITP — what is changing?
The new ASH focused update brings an important shift in the management of adults with primary ITP: moving beyond corticosteroids alone and beyond platelet count as the main therapeutic goal.
For initial therapy, rituximab plus corticosteroids or a thrombopoietic agent plus corticosteroids are now suggested over corticosteroids alone.
After failure of first-line corticosteroids, thrombopoietic agents receive a strong recommendation, while rituximab remains an important alternative.
Perhaps the most important message, however, is broader: treatment should focus on outcomes that matter to patients bleeding, fatigue, quality of life, treatment burden and sustained response off therapy, not simply achieving a higher platelet count.
A useful update for everyday hematology practice summarized in the infographic below.”
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