Evidence map›Paper›PMID 23585526›Full record

Trial reportHaematologica2013

Hematologic responses in patients with aplastic anemia treated with deferasirox: a post hoc analysis from the EPIC study.

Jong Wook Lee, Sung-Soo Yoon, Zhi Xiang Shen, Arnold Ganser, Hui-Chi Hsu, Ali El-Ali, Dany Habr, Nicolas Martin, John B Porter

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Haematologica, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Activity of eltrombopag in severe aplastic anemia.Hematology. American Society of Hematology. Education Program · 2018
    Review
  13. Review
  14. Article
  15. Myelodysplastic Syndromes and Iron Chelation Therapy.Mediterranean journal of hematology and infectious diseases · 2017
    Review
  16. Article
  17. [Advances in the treatment of severe aplastic anemia].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2015
    Article
  18. Review
  19. Recent advances in treatment of aplastic anemia.The Korean journal of internal medicine · 2014
    Review
  20. Iron chelation therapy with deferasirox in the management of iron overload in primary myelofibrosis.Mediterranean journal of hematology and infectious diseases · 2014
    Article
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

9 authors.

Jong Wook LeeThe Catholic University of Korea, Seoul, South Korea. jwlee@catholic.ac.kr
Sung-Soo Yoon
Zhi Xiang Shen
Arnold Ganser
Hui-Chi Hsu
Ali El-Ali
Dany Habr
Nicolas Martin
John B Porter

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reports are emerging of hematologic responses associated with iron chelation therapy; however, studies are limited in aplastic anemia patients. Deferasirox reduced iron overload in aplastic anemia patients enrolled in the EPIC (Evaluation of Patients' Iron Chelation with Exjade(®)) study (n=116). A post hoc analysis of hematologic responses was conducted on 72 patients with evaluable hematologic parameters (according to UK guideline criteria), 24 of whom received deferasirox without concomitant immunosuppressive treatment. Partial hematologic responses were observed in 11 of 24 (45.8%) patients; all became transfusion-independent. One patient had an additional platelet response and one patient had an additional platelet and hemoglobin response. Mean serum ferritin levels at end of study were significantly reduced in partial hematologic responders (n=11; -3948 ± 4998 ng/mL; baseline 6693 ± 7014 ng/mL; percentage change from baseline -45.7%; P=0.0029). In non-responders, the reduction in serum ferritin was less pronounced (n=13; -2021 ± 3242 ng/mL; baseline 4365 ± 3063 ng/mL; % change from baseline -27.6%; P=0.0171). Alongside reduction in iron overload, deferasirox may, therefore, improve hematologic parameters in a subset of aplastic anemia patients. Further investigation is required to elucidate the mechanisms involved.

Indexed as

AdolescentAdultAnemia, AplasticBenzoatesBlood PlateletsChildDeferasiroxFemaleFerritinsHemoglobinsHumansImmunosuppressive AgentsIron Chelating AgentsMaleMiddle AgedNeutrophilsBenzoatesDeferasiroxFerritinsHemoglobinsImmunosuppressive AgentsIron Chelating AgentsTriazoles

Identifiers

PMID23585526
PMCPMC3696607

What OpenQuestion holds

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Registered trials

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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.