Evidence map›Paper›PMID 25964100›Full record

ArticleInternational journal of hematology2015

Identification of anti-thrombopoietin receptor antibody in prolonged thrombocytopenia after allogeneic hematopoietic stem cell transplantation treated successfully with eltrombopag.

Akihito Fujimi, Yusuke Kamihara, Akari Hashimoto, Yuji Kanisawa, Chisa Nakajima, Naotaka Hayasaka, Shota Yamada, Toshinori Okuda, Shinya Minami, Kaoru Ono and 2 more

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In one paragraph

Article in International journal of hematology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.1field-weighted citation impact, top 23% 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.

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

10 citing papers in PubMed, 20 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Akihito FujimiDepartment of Hematology and Oncology, Oji General Hospital, 3-4-8 Wakakusa-cho, Tomakomai City, 053-8506, Japan. akihito.fujimi@ojihosp.or.jp.
Yusuke KamiharaDepartment of Hematology and Oncology, Oji General Hospital, 3-4-8 Wakakusa-cho, Tomakomai City, 053-8506, Japan.
Akari HashimotoDepartment of Hematology and Oncology, Oji General Hospital, 3-4-8 Wakakusa-cho, Tomakomai City, 053-8506, Japan.
Yuji KanisawaDepartment of Hematology and Oncology, Oji General Hospital, 3-4-8 Wakakusa-cho, Tomakomai City, 053-8506, Japan.
Chisa NakajimaDepartment of Gastroenterology, Oji General Hospital, Tomakomai, Japan.
Naotaka HayasakaDepartment of Gastroenterology, Oji General Hospital, Tomakomai, Japan.
Shota YamadaDepartment of Gastroenterology, Oji General Hospital, Tomakomai, Japan.
Toshinori OkudaDepartment of Gastroenterology, Oji General Hospital, Tomakomai, Japan.
Shinya MinamiDepartment of Gastroenterology, Oji General Hospital, Tomakomai, Japan.
Kaoru OnoDepartment of Medical Oncology and Hematology, Sapporo Medical University, Sapporo, Japan.
Satoshi IyamaDepartment of Medical Oncology and Hematology, Sapporo Medical University, Sapporo, Japan.
Junji KatoDepartment of Medical Oncology and Hematology, Sapporo Medical University, Sapporo, Japan.
Oji General Hospital · JPSapporo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 55-year-old female with stage IVA follicular lymphoma in third complete remission underwent allogeneic peripheral blood stem cell transplantation. Neutrophil engraftment was achieved on day +18; however, platelet counts remained below 10 × 10(3)/µL, necessitating transfusions twice a week for more than 3 months. Bone marrow showed a decreased number of megakaryocytes with hypolobulated nuclei. No graft versus host disease, viral infection, or disease relapse was observed. Furthermore, severe thrombocytopenia below 5.0 × 10(3)/µL refractory to transfusion appeared on day +240 after influenza virus infection. Treatments with intravenous immunoglobulin, romiplostim, and rituximab were administered without any recovery. Subsequently, eltrombopag was initiated on day +443, after which platelet counts rose gradually and continued to rise above 20 × 10(3)/µL after 10 weeks of administration. The serum thrombopoietin (TPO) level was markedly elevated, and anti-TPO receptor (TPOR) antibody was detected in the patient's serum. Anti-TPOR antibody may play an important role in some cases of prolonged thrombocytopenia after allogeneic hematopoietic stem cell transplantation with unknown etiology, and eltrombopag could be a novel therapeutic option for such cases.

Indexed as

Hematopoietic Stem Cell TransplantationLymphoma, FollicularReceptors, ThrombopoietinThrombocytopeniaAllograftsAutoantibodiesBenzoatesFemaleHumansHydrazinesMiddle AgedPyrazolesAutoantibodiesBenzoateseltrombopagHydrazinesMPL protein, humanPyrazolesReceptors, ThrombopoietinAllogeneic hematopoietic stem cell transplantationAnti-thrombopoietin receptor antibodyEltrombopagProlonged thrombocytopenia

Identifiers

PMID25964100
OpenAlexW211279767

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.