Evidence map›Paper›PMID 23821332›Full record

ReviewInternational journal of hematology2013

The biology of thrombopoietin and thrombopoietin receptor agonists.

David J Kuter

4 registry-linked trialsOpen access · bronzeAbstract readReview
PubMed Publisher
In one paragraph

Review in International journal of hematology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 117 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed, 2 pooled it
8.6field-weighted citation impact, top 2% 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.

NCT04214951 unknown statusnot on this mapstarted 2020, after this paper: background citation

A Prospective Observational Study of Switching Eltrombopag and Recombinant Human Thrombopoietin In Primary Immune Thrombocytopenia

TypeobservationalSponsorPeking University People's HospitalRan2020 to 2022Enrolled100ConditionsCorticosteroid-resistant or Relapsed ITPArmsEltrombopag, Recombinant human thrombopoietin (rh-TPO)
NCT04913597 unknown statusnot on this mapstarted 2021, after this paper: background citation

A Prospective Observational Study of Switching Avatrombopag and Rh-TPO in Chinese Adult Patients With Primary Immune Thrombocytopenia

TypeobservationalSponsorPeking University People's HospitalRan2021 to 2023Enrolled100ConditionsCorticosteroid-resistant or Relapsed ITP
NCT06009497 phase4unknown statusnot on this mapstarted 2023, after this paper: background citation

Romiplostim in Combination With Ciclosporin Versus Ciclosporin in the Treatment of Newly Diagnosed Non-severe Aplastic Anemia

TypeinterventionalSponsorPeking Union Medical College HospitalRan2023 to 2025Enrolled44ConditionsNon Severe Aplastic AnemiaArmsRomiplostim, Ciclosporin
NCT06516484 phase4unknown statusnot on this mapstarted 2024, after this paper: background citation

Ropustin for Refractory Aplastic Anaemia After Radiotherapy - a Single-centre, Prospective, Open-label, Single-arm Study

TypeinterventionalSponsorPeking Union Medical College HospitalRan2024 to 2025Enrolled40ConditionsAplastic AnemiaArmsRomiplostim
3 · Its place in the literature

Who cites it

117 citing papers in PubMed, 2 syntheses or guidelines pooled it, 281 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Association of Nonalcoholic Fatty Liver Disease and Venous Thromboembolism in Women With Endometrial Cancer.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis · 2017
    Trial
  6. Trial
  7. Observational
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Avatrombopag for the Treatment of Immune Thrombocytopenia.European journal of haematology · 2025
    Review
  20. Article

57 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

1 author at 1 institution in 1 country.

David J KuterHarvard Medical School, Boston, MA, USA. kuter.david@mgh.harvard.edu
Harvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thrombopoietin (TPO) is the major physiological regulator of platelet production. TPO binds the TPO receptor, activates JAK and STAT pathways, thus stimulating megakaryocyte growth and platelet production. There is no "sensor" of the platelet count; rather TPO is produced in the liver at a constant rate and cleared by TPO receptors on platelets. TPO levels are inversely proportional to the rate of platelet production. Early recombinant TPO molecules were potent stimulators of platelet production and increased platelets in patients with immune thrombocytopenia, chemotherapy-induced thrombocytopenia, myelodysplastic syndromes and platelet apheresis donors. Neutralizing antibodies formed against one recombinant protein and ended their development. A second generation of TPO receptor agonists, romiplostim and eltrombopag, has been developed. Romiplostim is an IgG heavy chain into which four TPO agonist peptides have been inserted. Eltrombopag is an oral small molecule. These activate the TPO receptor by different mechanisms to increase megakaryocyte growth and platelet production. After administration of either to healthy volunteers, there is a delay of 5 days before the platelet count rises and subsequently reaches a peak after 12-14 days. Both have been highly effective in treating ITP and hepatitis C thrombocytopenia. Studies in a wide variety of other thrombocytopenic conditions are underway.

Indexed as

AnimalsHematologic AgentsHumansReceptors, ThrombopoietinSignal TransductionThrombocytopeniaThrombopoiesisThrombopoietinHematologic AgentsMPL protein, humanReceptors, ThrombopoietinThrombopoietin

Identifiers

PMID23821332
OpenAlexW2038554277

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.