Evidence map›Paper›PMID 27307776›Full record

ReviewJournal of blood medicine2016

Long-term safety and efficacy of romiplostim for treatment of immune thrombocytopenia.

Prakash Vishnu, David M Aboulafia

2 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Journal of blood medicine, 2016. 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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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.

NCT04588194 phase2unknown statusnot on this mapstarted 2020, after this paper: background citation

Romiplostim in Combination With Low-dose Rituximab and High-dose Dexamethasone as Frontline Treatment for Immune Thrombocytopenia

TypeinterventionalSponsorDavid Gomez AlmaguerRan2020 to 2022Enrolled12ConditionsImmune Thrombocytopenia, Thrombotic Thrombocytopenic PurpuraArmsRomiplostim, Rituximab, Dexamethasone
NCT07048249 early_phase1recruitingnot on this mapstarted 2024, after this paper: background citation

Single Arm Evaluation of Romiplostim to Prevent Chemotherapy Induced Thrombocytopenia in Patients With Ewing Sarcoma

TypeinterventionalSponsorChildren's Hospital Medical Center, CincinnatiRan2024 to 2028Enrolled26ConditionsEwings Sarcoma, Chemotherapy Induced ThrombocytopeniaArmsRomiplostim (AMG-531)
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Platelet Disorders and Medication Strategies.Thrombosis and haemostasis · 2026
    Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Thrombopoietic agents enhance bone healing in mice, rats, and pigs.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
    Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. 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

2 authors at 2 institutions in 1 country.

Prakash VishnuFloyd and Delores Jones Cancer Institute at Virginia Mason Medical Center, University of Washington, Seattle, WA, USA.
David M AboulafiaFloyd and Delores Jones Cancer Institute at Virginia Mason Medical Center, University of Washington, Seattle, WA, USA; Division of Hematology, University of Washington, Seattle, WA, USA.
University of Washington · USVirginia Mason Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inhibition of platelet production and mediated by antiplatelet antibodies is a well-known mechanism causing low platelet counts in immune thrombocytopenia (ITP). Use of thrombopoietin receptor agonists increases platelet counts and decreases the risk of bleeding in patients with ITP. Two such thrombopoietin receptor agonists, romiplostim and eltrombopag, are approved by the US Food and Drug Administration to treat thrombocytopenia in adults, and most recently, children with persistent or chronic ITP. This review focuses on the efficacy data and safety analysis of the pooled data from the clinical trials evaluating romiplostim for treatment of adults with ITP. The rates of hemorrhage, thrombosis, hematologic and nonhematologic cancers, and myelodysplastic syndrome were not overrepresented among the groups who received romiplostim versus placebo or other standard-of-care treatments. Yet, as after-market experience with thrombopoietin receptor agonists increases, there are emerging reports of increased incidence of thrombosis and bone marrow reticulin among patients who are treated with long-term use of these agents. Ongoing clinical research will continue to evaluate romiplostim's efficacy and safety in other primary and secondary thrombocytopenic states.

Indexed as

immune thrombocytopenialong-term efficacyrandomized clinical trialsromiplostimsafetythrombopoietin receptor agonists

Identifiers

PMID27307776
PMCPMC4888762
OpenAlexW2403246139

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.