Evidence map›Paper›PMID 30504345›Full record

ReviewHematology. American Society of Hematology. Education Program2018

Activity of eltrombopag in severe aplastic anemia.

Phillip Scheinberg

3 registry-linked trialsAbstract readReview
In one paragraph

Review in Hematology. American Society of Hematology. Education Program, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 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.

NCT05433922 naunknown statusnot on this mapstarted 2022, after this paper: background citation

A Multicenter, Single-arm Clinical Study of the Efficacy and Safety of CSA in Combination With Avatrombopag for the Treatment of Primary Treatment of Severe Aplastic Anemia in the Elderly

TypeinterventionalSponsorInstitute of Hematology & Blood Diseases Hospital, ChinaRan2022 to 2024Enrolled80ConditionsSevere Aplastic AnemiaArmsAvatrombopag
NCT05518331 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Avatrombopag in TPO-RA Refractory Aplastic Anemia Patients Safety and Efficacy Study --Single-arm, Multicenter, Open, Phase Π Clinical Study

TypeinterventionalSponsorInstitute of Hematology & Blood Diseases Hospital, ChinaRan2022 to 2026Enrolled39ConditionsRefractory Aplastic AnemiaArmsavatrombopag
NCT05571332 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Efficacy and Safety of Avatrombopag Combined With IST for the Treatment of HAAA and SAA With Abnormal Liver Function

TypeinterventionalSponsorInstitute of Hematology & Blood Diseases Hospital, ChinaRan2022 to 2024Enrolled39ConditionsAplastic AnemiaArmsAvatrombopag 20 MG Oral Tablet
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Chemotherapy-induced thrombocytopenia: from "platelet counting" to ecological repair of the bone marrow.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Modern management of Fanconi anemia.Hematology. American Society of Hematology. Education Program · 2022
    Review
  9. [Hematologic responses to avatrombopag switch in TPO-RA refractory aplastic anemia].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. [Efficacy and safety of eltrombopag in aplastic anemia: A multi-center survey in China].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2020
    Article
  16. Review
  17. [Progress in diagnosis and treatment in the elderly patients with aplastic anemia].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2020
    Article
  18. Article
  19. 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

1 author.

Phillip ScheinbergDivision of Hematology, Hospital A Beneficência Portuguesa, Sao Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since the approval of horse antithymocyte globulin (ATG) decades ago, there was a long hiatus in therapies with activity in severe aplastic anemia (SAA). This scenario changed in 2014 when eltrombopag, a thrombopoietin receptor agonist, was approved for SAA after an insufficient response to initial immunosuppressive therapy (IST). The basis for this approval was the observation of single-agent activity of eltrombopag in this patient population, where 40% to 50% recovered blood counts at times involving >1 lineage. The achievement of transfusion independence confirmed the clinical benefit of this approach. Increase in marrow cellularity and CD34+ cells suggested a recovery to a more functioning bone marrow. Further in its development, eltrombopag was associated with standard horse ATG plus cyclosporine in first line, producing increases in overall (at about 90%) and complete response rates (at about 40%) and leading to transfusion independence and excellent survival. Interestingly, best results were observed when all drugs were started simultaneously. The cumulative incidence of clonal cytogenetic abnormalities to date has compared favorably with the vast experience with IST alone in SAA. Longer follow-up will help in define these long-term risks. In this review, the development of eltrombopag in SAA will be discussed.

Indexed as

Anemia, AplasticAntilymphocyte SerumBenzoatesCyclosporineDisease-Free SurvivalHumansHydrazinesPyrazolesSeverity of Illness IndexSurvival RateAntilymphocyte SerumBenzoatesCyclosporineeltrombopagHydrazinesPyrazoles

Identifiers

PMID30504345
PMCPMC6245975

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.