Evidence map›Paper›PMID 29170252›Full record

ArticleHaematologica2018

Nationwide survey on the use of eltrombopag in patients with severe aplastic anemia: a report on behalf of the French Reference Center for Aplastic Anemia.

Etienne Lengline, Bernard Drenou, Pierre Peterlin, Olivier Tournilhac, Julie Abraham, Ana Berceanu, Brigitte Dupriez, Gaelle Guillerm, Emmanuel Raffoux, Flore Sicre de Fontbrune and 10 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Haematologica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
6.5field-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.

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

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  7. Article
  8. Review
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  11. Idiopathic Aplastic anemia: Indian Perspective.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2023
    Review
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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

20 authors at 14 institutions in 1 country.

Etienne LenglineDepartment of Hematology, CRNMR Aplasie Médullaire, Saint-Louis University Hospital - AP-HP, Paris, France etienne.lengline@aphp.fr.
Bernard DrenouDepartment of Hematology, Hôpital Emile Muller - CH de Mulhouse, France.
Pierre PeterlinDepartment of Hematology, Nantes University Hospital, France.
Olivier TournilhacService d'Hematologie Clinique et de Therapie Cellulaire, CHU, Universite d'Auvergne, Clermont-Ferrand, France.
Julie AbrahamService d'Hématologie Clinique et Thérapie Cellulaire, CHU de Limoges, France.
Ana BerceanuDepartment of Hematology, Besançon University Hospital, France.
Brigitte DupriezDepartment of Hematology, Centre hospital-ier de Lens, France.
Gaelle GuillermDepartment of Hematology and Oncology, CH Augustin Morvan, Brest, France.
Emmanuel RaffouxDepartment of Hematology, CRNMR Aplasie Médullaire, Saint-Louis University Hospital - AP-HP, Paris, France.
Flore Sicre de FontbruneDepartment of Hematology, CRNMR Aplasie Médullaire, Saint-Louis University Hospital - AP-HP, Paris, France.
Lionel AdesDepartment of Hematology, CRNMR Aplasie Médullaire, Saint-Louis University Hospital - AP-HP, Paris, France.
Marie BalsatDepartment of Hematology 1G, Centre Hospitalier Lyon Sud, Pierre Benite, France.
Driss ChaouiDepartment of Hematology, CH Victor Dupouy, Argenteuil, France.
Paul CoppoDepartment of Hematology, French Reference Center for Thrombotic Microangiopathies, Saint Antoine University Hospital, Paris, France.
Selim CormDepartment of Hematology, Hôpital Privé Médipole de Savoie, Challes les Eaux, France.
Thierry LeblancDepartment of Hematology, CRNMR Aplasie Médullaire, Saint-Louis University Hospital - AP-HP, Paris, France.
Natacha MaillardBone Marrow Transplant Unit Clinical Hematology, Hopital La Miletrie, Poitiers University Hospital, France.
Louis TerriouDepartment of Internal Medicine, Clinical Immunology, Hôpital Huriez Lille University Hospital, France.
Gerard SociéDepartment of Hematology, CRNMR Aplasie Médullaire, Saint-Louis University Hospital - AP-HP, Paris, France.
Regis Peffault de LatourDepartment of Hematology, CRNMR Aplasie Médullaire, Saint-Louis University Hospital - AP-HP, Paris, France.
Hôpital Saint-Louis · FRAssistance Publique – Hôpitaux de Paris · FRCentre Hospitalier de Lens · FRCentre Hospitalier Régional Universitaire de Brest · FRCentre Hospitalier Universitaire de Besançon · FRCentre Hospitalier Universitaire de Limoges · FRCentre Hospitalier Victor Dupouy · FRHôpital Claude Huriez · FRHôpital Émile-Roux · FRHôpital Lyon Sud · FRHôpital Saint-Antoine · FRLaboratoire de Génétique Cellulaire · FRNantes Université · FRUniversité Clermont Auvergne · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Few therapeutic options are available for patients with aplastic anemia who are ineligible for transplantation or refractory to immunosuppressive therapy. Eltrombopag was recently shown to produce trilineage responses in refractory patients. However, the effects of real-life use of this drug remain unknown. This retrospective study (2012-2016) was conducted by the French Reference Center for Aplastic Anemia on patients with relapsed/refractory aplastic anemia, and patients ineligible for antithymocyte globulin or transplantation, who received eltrombopag for at least 2 months. Forty-six patients with aplastic anemia were given eltrombopag without prior antithymocyte globulin treatment (n=11) or after antithymocyte globulin administration (n=35) in a relapsed/refractory setting. Eltrombopag (median daily dose 150 mg) was introduced 17 months (range, 8-50) after the diagnosis of aplastic anemia. At last followup, 49% were still receiving treatment, 9% had stopped due to a robust response, 2% due to toxicity and 40% due to eltrombopag failure. Before eltrombopag treatment, all patients received regular transfusions. The overall rates of red blood cell and platelet transfusion independence were 7%, 33%, 46% and 46% at 1, 3, 6 months and last follow-up. Responses were slower to develop in antithymocyte treatment-naïve patients. In patients achieving transfusion independence, hemoglobin concentration and platelet counts improved by 3 g/dL (interquartile range, 1.4-4.5) and 42×10

Indexed as

AgedAnemia, AplasticAntilymphocyte SerumAntineoplastic Combined Chemotherapy ProtocolsBenzoatesFemaleFranceHumansHydrazinesMaleMiddle AgedPyrazolesRetrospective StudiesSalvage TherapySurveys and QuestionnairesTreatment OutcomeAntilymphocyte SerumBenzoateseltrombopagHydrazinesPyrazoles

Identifiers

PMID29170252
PMCPMC5792265
OpenAlexW2769836308

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

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.