Evidence map›Paper›PMID 26224646›Full record

Trial reportBlood2015

Effects of eltrombopag on platelet count and platelet activation in Wiskott-Aldrich syndrome/X-linked thrombocytopenia.

Anja J Gerrits, Emily A Leven, Andrew L Frelinger, Sophie L Brigstocke, Michelle A Berny-Lang, W Beau Mitchell, Shoshana Revel-Vilk, Hannah Tamary, Sabrina L Carmichael, Marc R Barnard and 2 more

2 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Blood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 3% 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.

NCT00909363 phase2terminatednot on this map

Effects Of Eltrombopag On Thrombocytopenia, Platelet Function and Bleeding In Patients With Wiskott-Aldrich Syndrome/X-Linked Thrombocytopenia.

TypeinterventionalSponsorWeill Medical College of Cornell UniversityRan2009 to 2017Enrolled24ConditionsWiskott-Aldrich Syndrome, Thrombocytopenia, BleedingArmsPromacta, blood drawing in patients with WAS, blood drawing in healthy controls
NCT03638817 phase2completednot on this mapstarted 2019, after this paper: background citation

Evaluation of Perioperative Eltrombopag for the Management of Elective Surgery and Invasive Acts in Patients With Inherited Thrombocytopenia

TypeinterventionalSponsorUniversity Hospital, ToulouseRan2019 to 2023Enrolled13ConditionsThrombocytopeniaArmsEltrombopag
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Review
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  10. X-Linked Thrombocytopenia in a 6-Year-Old Boy.Turkish archives of pediatrics · 2025
    Article
  11. Review
  12. Article
  13. Review
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  15. Review
  16. Article
  17. Article
  18. Role of Thrombopoietin Receptor Agonists in Inherited Thrombocytopenia.International journal of molecular sciences · 2021
    Review
  19. Review
  20. Review
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 8 institutions in 2 countries.

Anja J GerritsCenter for Platelet Research Studies, Division of Hematology/Oncology, Boston Children's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA;
Emily A LevenDivision of Pediatric Hematology/Oncology, New York Presbyterian Hospital/Weill Cornell Medical College, New York, NY;
Andrew L FrelingerCenter for Platelet Research Studies, Division of Hematology/Oncology, Boston Children's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA;
Sophie L BrigstockeDivision of Pediatric Hematology/Oncology, New York Presbyterian Hospital/Weill Cornell Medical College, New York, NY;
Michelle A Berny-LangCenter for Platelet Research Studies, Division of Hematology/Oncology, Boston Children's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA;
W Beau MitchellDivision of Pediatric Hematology/Oncology, New York Presbyterian Hospital/Weill Cornell Medical College, New York, NY; Platelet Biology Laboratory, New York Blood Center, New York, NY;
Shoshana Revel-VilkDepartment of Pediatric Hematology/Oncology, Hadassah Hebrew University Hospital, Jerusalem, Israel; and.
Hannah TamaryPediatric Hematology Oncology, Schneider Children's Medical Center of Israel, Petah Tikva, Israel.
Sabrina L CarmichaelCenter for Platelet Research Studies, Division of Hematology/Oncology, Boston Children's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA;
Marc R BarnardCenter for Platelet Research Studies, Division of Hematology/Oncology, Boston Children's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA;
Alan D MichelsonCenter for Platelet Research Studies, Division of Hematology/Oncology, Boston Children's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA;
James B BusselDivision of Pediatric Hematology/Oncology, New York Presbyterian Hospital/Weill Cornell Medical College, New York, NY;
Boston Children's Hospital · USDana-Farber Cancer Institute · USHarvard University · USNew York Hospital Queens · USHebrew University of Jerusalem · ILNew York Blood Center · USPresbyterian Hospital · USSchneider Children's Medical Center · IL

Funding

Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
NCATS NIH HHS UL1 TR000457NCATS NIH HHS UL1TR00457
6 · The paper itself

Abstract

unlabelledBecause Wiskott-Aldrich syndrome (WAS) and X-linked thrombocytopenia (XLT) patients have microthrombocytopenia, hemorrhage is a major problem. We asked whether eltrombopag, a thrombopoietic agent, would increase platelet counts, improve platelet activation, and/or reduce bleeding in WAS/XLT patients. In 9 WAS/XLT patients and 8 age-matched healthy controls, platelet activation was assessed by whole blood flow cytometry. Agonist-induced platelet surface activated glycoprotein (GP) IIb-IIIa and P-selectin in WAS/XLT patients were proportional to platelet size and therefore decreased compared with controls. In contrast, annexin V binding showed no differences between WAS/XLT and controls. Eltrombopag treatment resulted in an increased platelet count in 5 out of 8 patients. Among responders to eltrombopag, immature platelet fraction in 3 WAS/XLT patients was significantly less increased compared with 7 pediatric chronic immune thrombocytopenia (ITP) patients. Platelet activation did not improve in 3 WAS/XLT patients whose platelet count improved on eltrombopag. IN

conclusion(1) the reduced platelet activation observed in WAS/XLT is primarily due to the microthrombocytopenia; and (2) although the eltrombopag-induced increase in platelet production in WAS/XLT is less than in ITP, eltrombopag has beneficial effects on platelet count but not platelet activation in the majority of WAS/XLT patients. This trial was registered at www.clinicaltrials.gov as #NCT00909363.

Indexed as

AdolescentAdultBenzoatesCase-Control StudiesChildChild, PreschoolGenetic Diseases, X-LinkedHumansHydrazinesInfantMaleMean Platelet VolumePlatelet ActivationPlatelet CountPlatelet Glycoprotein GPIIb-IIIa ComplexP-SelectinBenzoateseltrombopagHydrazinesMPL protein, humanPlatelet Glycoprotein GPIIb-IIIa ComplexP-SelectinPyrazolesReceptors, Thrombopoietin

Identifiers

PMID26224646
PMCPMC4729539
OpenAlexW1835743819

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.