Evidence map›Paper›PMID 16778145›Full record

ReviewBlood2006

Current concepts in the pathophysiology and treatment of aplastic anemia.

Neal S Young, Rodrigo T Calado, Phillip Scheinberg

9 registry-linked trialsAbstract readReview
In one paragraph

Review in Blood, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 9 registered trials, which are not on this map. Cited by 360 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
360citing papers in PubMed, 3 pooled it
18.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00767650 completednot on this mapstarted 2008, after this paper: background citation

Neuropsychological Effects of Immunosuppressive Treatment in Subjects With Aplastic Anemia

TypeobservationalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2008 to 2011Enrolled7ConditionsAplastic Anemia
NCT00922883 phase2completednot on this mapstarted 2009, after this paper: background citation

A Pilot Study of a Thrombopoietin-Receptor Agonist (TPO-R Agonist), Eltrombopag, in Aplastic Anemia Patients With Immunosuppressive-Therapy Refractory Thrombocytopenia

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2009 to 2018Enrolled43ConditionsAnemia, Aplastic, Anemia, Hypoplastic, ThrombocytopeniaArmsEltrombopag
NCT01193283 phase1 / phase2completednot on this mapstarted 2010, after this paper: background citation

Cyclophosphamide Plus Cyclosporine in Treatment-Naive Severe Aplastic Anemia

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2010 to 2014Enrolled22ConditionsAplastic Anemia, Neutropenia, Pancytopenia, Severe Aplastic AnemiaArmsCyclophosphamide, Cyclosporine
NCT01297972 phase1 / phase2completednot on this mapstarted 2011, after this paper: background citation

Bone Marrow Mesenchymal Stem Cells in the Treatment of Refractory Severe Acquired Aplastic Anemia

TypeinterventionalSponsorUniversity of Sao PauloRan2011 to 2013Enrolled9ConditionsAplastic AnemiaArmsIntravenous bone marrow mesenchymal stem cells infusion
NCT01328587 phase2completednot on this mapstarted 2012, after this paper: background citation

A Pilot Study of a Thrombopoietin-Receptor Agonist (TPO-R Agonist), Eltrombopag, in Moderate Aplastic Anemia Patients

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2012 to 2026Enrolled34ConditionsModerate Aplastic Anemia, Unilineage Bone Marrow Failure DisordersArmsEltrombopag
NCT01408342 nawithdrawnnot on this mapstarted 2011, after this paper: background citation

Low-doses Alemtuzumab and Rituximab Combination as First Line Treatment in Aplastic Anemia

TypeinterventionalSponsorHospital Universitario Dr. Jose E. GonzalezRan2011 to 2014Enrolled0ConditionsAplastic AnemiaArmsAlemtuzumab and Rituximab
NCT01441037 phase1 / phase2completednot on this mapstarted 2011, after this paper: background citation

Male Hormones for Telomere Related Diseases

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2011 to 2016Enrolled27ConditionsAplastic AnemiaArmsDanazol
NCT01623167 phase1 / phase2active not recruitingnot on this mapstarted 2012, after this paper: background citation

Eltrombopag Added to Standard Immunosuppression in Treatment-Naive Severe Aplastic Anemia

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2012 to 2029Enrolled207ConditionsSevere Aplastic AnemiaArmsCohort 1: hATG, CsA, EPAG Day 14 to Month 6, Cohort 2: hATG, CsA, EPAG Day 14 to Month 3, Cohort 3: hATG, CsA (dose reduced), EPAG day 1 to month 6, Extension Cohort
NCT02055456 phase1 / phase2completednot on this mapstarted 2014, after this paper: background citation

Male Hormones for Telomere Related Diseases

TypeinterventionalSponsorUniversity of Sao PauloRan2014 to 2017Enrolled20ConditionsAplastic Anemia, Bone Marrow Failure Syndromes, Idiopathic Pulmonary Fibrosis, Telomere ShorteningArmsNandrolone Decanoate
3 · Its place in the literature

Who cites it

360 citing papers in PubMed, 3 syntheses or guidelines pooled it, 882 citations in OpenAlex.

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  19. Reconceptualizing Aplastic Anemia-Seed, Worm, Soil.Journal of clinical laboratory analysis · 2026
    Review
  20. Review

300 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Neal S YoungHematology Branch, National Heart, Lung, and Blood Institute/NIH, 10 Center Drive, Bldg 10/CRC, Rm 3E-5140, Bethesda, MD 20892-1202, USA. youngns@mail.nih.gov
Rodrigo T Calado
Phillip Scheinberg
National Institutes of Health · US

Funding

Intramural NIH HHS
6 · The paper itself

Abstract

Aplastic anemia, an unusual hematologic disease, is the paradigm of the human bone marrow failure syndromes. Almost universally fatal just a few decades ago, aplastic anemia can now be cured or ameliorated by stem-cell transplantation or immunosuppressive drug therapy. The pathophysiology is immune mediated in most cases, with activated type 1 cytotoxic T cells implicated. The molecular basis of the aberrant immune response and deficiencies in hematopoietic cells is now being defined genetically; examples are telomere repair gene mutations in the target cells and dysregulated T-cell activation pathways. Immunosuppression with antithymocyte globulins and cyclosporine is effective at restoring blood-cell production in the majority of patients, but relapse and especially evolution of clonal hematologic diseases remain problematic. Allogeneic stem-cell transplant from histocompatible sibling donors is curative in the great majority of young patients with severe aplastic anemia; the major challenges are extending the benefits of transplantation to patients who are older or who lack family donors. Recent results with alternative sources of stem cells and a variety of conditioning regimens to achieve their engraftment have been promising, with survival in small pediatric case series rivaling conventional transplantation results.

Indexed as

Anemia, AplasticHematopoiesisHematopoietic Stem Cell TransplantationHumansImmunosuppression TherapyT-Lymphocytes

Identifiers

PMID16778145
PMCPMC1895575
OpenAlexW2052285621

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 3 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.