Evidence map›Paper›PMID 28667351›Full record

Trial reportInternational journal of hematology2017

Efficacy and safety of eltrombopag in persistent and newly diagnosed ITP in clinical practice.

Tomás José González-López, Fernando Fernández-Fuertes, José Angel Hernández-Rivas, Blanca Sánchez-González, Violeta Martínez-Robles, María Teresa Alvarez-Román, Gloria Pérez-Rus, Cristina Pascual, Silvia Bernat, Esther Arrieta-Cerdán and 8 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in International journal of hematology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
–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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Platelet Disorders and Medication Strategies.Thrombosis and haemostasis · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Article
  19. A Multi-Center Study on the Efficacy of Eltrombopag in Management of Refractory Chronic Immune Thrombocytopenia: A Real-Life ExperienceTurkish journal of haematology : official journal of Turkish Society of Haematology · 2019
    Article
  20. Platelet to Lymphocyte Ratio and Glucocorticoid Resistance in Newly Diagnosed Primary Immune Thrombocytopenia: A Retrospective Cohort Study.Medical science monitor : international medical journal of experimental and clinical research · 2019
    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

18 authors.

Tomás José González-LópezDepartment of Hematology, Hospital Universitario de Burgos, Avenida Islas Baleares s/n, 09006, Burgos, Spain. tjgonzalez@saludcastillayleon.es.ORCID http://orcid.org/0000-0003-2458-2554
Fernando Fernández-FuertesDepartment of Hematology, Hospital Universitario Insular de Gran Canaria, Las Palmas De Gran Canaria, Spain.
José Angel Hernández-RivasDepartment of Hematology, Hospital Infanta Leonor, Madrid, Spain.
Blanca Sánchez-GonzálezDepartment of Hematology, Hospital del Mar, Barcelona, Spain.
Violeta Martínez-RoblesDepartment of Hematology, Hospital de León, León, Spain.
María Teresa Alvarez-RománDepartment of Hematology, Hospital Universitario La Paz, Madrid, Spain.
Gloria Pérez-RusDepartment of Hematology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Cristina PascualDepartment of Hematology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Silvia BernatDepartment of Hematology, Hospital de La Plana, Castellón, Spain.
Esther Arrieta-CerdánDepartment of Statistics, Hospital Universitario de Burgos, Burgos, Spain.
Carlos AguilarDepartment of Hematology, Hospital de Soria, Soria, Spain.
Abelardo BárezDepartment of Hematology, Hospital de Avila, Avila, Spain.
María Jesús PeñarrubiaDepartment of Hematology, Hospital Clínico de Valladolid, Valladolid, Spain.
Pavel OliveraDepartment of Hematology, Hospital Universitario Vall de Hebron, Barcelona, Spain.
Angeles Fernández-RodríguezDepartment of Hematology, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
Erik de CaboDepartment of Hematology, Hospital del Bierzo, Ponferrada, León, Spain.
Luis Javier García-FradeDepartment of Hematology, Hospital Universitario Río Hortega, Valladolid, Spain.
José Ramón González-PorrasDepartment of Hematology, IBSAL-Hospital Universitario de Salamanca, Salamanca, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Eltrombopag is safe and effective in primary chronic ITP. However, lack of clinical trials avoids a clear demonstration of its utility in newly diagnosed and persistent ITP. Our aim here is to report Spanish results for this type of patients. We retrospectively evaluated 220 adult primary ITP patients. According to standard definition, patients were allocated to newly diagnosed (n = 30), persistent (n = 30), and chronic (n = 160) ITP. Groups were homogenous regarding most relevant parameters. 180 (90%) of 220 patients achieved a platelet response (R) with 167 (75.9%) complete responses (CR) after a 15-month follow-up. No statistical significant differences among groups but a trend towards a greater efficacy in newly diagnosed ITP were observed (93.3% of responses with 86.7% of CR). Efficacy in persistent ITP (83.3% of responses with 80.0% of CR) and chronic ITP (79.4% of responses with 73.1% of CR) was similar. 70 patients (31.8%) experienced adverse events. 15 of them were grade 3-4. Most common adverse effects were headache and hepatobiliary laboratory abnormalities (HBLAs). One persistent ITP had a venous thrombosis and one chronic ITP had grade II myelofibrosis. We consider Eltrombopag use for the early stage ITP as effective and safe as it is in chronic ITP.

Indexed as

AgedBenzoatesChronic DiseaseFollow-Up StudiesHumansHydrazinesMiddle AgedPurpura, Thrombocytopenic, IdiopathicPyrazolesBenzoateseltrombopagHydrazinesPyrazolesImmuneITPThrombocytopeniaThrombopoietinTPO

Identifiers

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.