Evidence map›Paper›PMID 30679824›Full record

ArticleBone marrow transplantation2019

Eltrombopag for post-transplant cytopenias due to poor graft function.

Serena Marotta, Luana Marano, Patrizia Ricci, Fabiana Cacace, Camilla Frieri, Luigia Simeone, Fabio Trastulli, Selenia Vitiello, Flora Cardano, Fabrizio Pane and 1 more

Registry-linked trialOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Bone marrow transplantation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05466201 (A Multicenter Clinical Study of a TPO Receptor Agonist), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
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.

NCT05466201 phase2 / phase3completednot on this mapstarted 2022, after this paper: background citation

A Multicenter Clinical Study of a TPO Receptor Agonist (Eltrombopag) in the Acceleration of Engraftment Post Hematopoietic Stem Cell Transplantation of Bone Marrow Failure Diseases

TypeinterventionalSponsorThe First Affiliated Hospital of Soochow UniversityRan2022 to 2025Enrolled118ConditionsStem Cell Transplant ComplicationsArmsEltrombopag 25 MG Oral Tablet, Supportive care
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 57 citations in OpenAlex.

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  11. Eltrombopag for Treatment of Thrombocytopenia Following Hematopoietic Stem Cell TransplantationTurkish journal of haematology : official journal of Turkish Society of Haematology · 2022
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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

11 authors at 1 institution in 1 country.

Serena MarottaHematology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Luana MaranoHematology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Patrizia RicciHematology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Fabiana CacaceHematology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Camilla FrieriHematology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Luigia SimeoneHematology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Fabio TrastulliHematology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Selenia VitielloHematology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Flora CardanoHematology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Fabrizio PaneHematology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Antonio M RisitanoHematology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy. amrisita@unina.it.ORCID 0000-0002-4744-5109
Federico II University Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Persistent cytopenia due to poor graft function (PoGF) is a relatively common complication which may affect up to 20% of patients undergoing allogeneic hematopoietic stem cell transplantation (HSCT). Treatment options for PoGF remain limited, and reinfusion of additional HSC is often the only way to rescue hematopoiesis. Here we describe a retrospective single-center experience with the thrombopoietin-mimetic agent eltrombopag for the treatment of PoGF. Thirteen patients have received eltrombopag for either PoGF (n = 12) or primary graft failure (n = 1). In the 12 PoGF patients eltrombopag was started at the median time of 79 days after HSCT, due to persistent thrombocytopenia, with concomitant anemia and neutropenia in 7 and 3 patients, respectively. The treatment was started at the dose of 50 mg per day, and eventually increased up to 150 mg in case of lack of response. Hematological response was seen in 7 patients, with 6 complete responses. Hematological responses were seen both in patients with evidence of immune-mediated pathophysiology, and with possible infectious/iatrogenic causes. In responding patients, eltrombopag was discontinued in 6/7 patients without further relapse. These results suggest that eltrombopag is safe and possibly effective in the setting of the treatment of PoGF, and pave the way for future prospective studies.

Indexed as

AdultAgedBenzoatesFemaleHumansHydrazinesMaleMiddle AgedPyrazolesRetrospective StudiesThrombocytopeniaBenzoateseltrombopagHydrazinesPyrazoles

Identifiers

PMID30679824
OpenAlexW2912609414

What OpenQuestion holds

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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.