Evidence map›Paper›PMID 30793285›Full record

Trial reportBritish journal of haematology2019

Romiplostim in adult patients with newly diagnosed or persistent immune thrombocytopenia (ITP) for up to 1 year and in those with chronic ITP for more than 1 year: a subgroup analysis of integrated data from completed romiplostim studies.

David J Kuter, Adrian Newland, Beng H Chong, Francesco Rodeghiero, Monica T Romero, Ingrid Pabinger, Yuqi Chen, Kejia Wang, Bhakti Mehta, Melissa Eisen

4 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of haematology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
6.1field-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.

NCT00102323 phase3completednot on this map

A Randomized, Placebo Controlled Study Evaluating the Efficacy and Safety of AMG 531 Treatment of Thrombocytopenic Subjects With Immune (Idiopathic) Thrombocytopenic Purpura (ITP) Refractory to Splenectomy

TypeinterventionalSponsorAmgenRan2005 to 2007Enrolled63ConditionsThrombocytopenia, Idiopathic Thrombocytopenic PurpuraArmsPlacebo, AMG 531
NCT00102336 phase3completednot on this map

A Randomized, Placebo Controlled Study Evaluating the Efficacy and Safety of AMG 531 Treatment of Thrombocytopenic Subjects With Immune (Idiopathic) Thrombocytopenic Purpura (ITP) Prior to Splenectomy

TypeinterventionalSponsorAmgenRan2005 to 2007Enrolled62ConditionsThrombocytopenia, Idiopathic Thrombocytopenic PurpuraArmsAMG 531, Placebo
NCT00907478 phase4completednot on this map

A Prospective, Phase IV, Open-Label, Multi-Center Study Evaluating Changes in Bone Marrow Morphology in Adult Subjects Receiving Romiplostim for the Treatment of Thrombocytopenia Associated With Immune (Idiopathic) Thrombocytopenia Purpura (ITP)

TypeinterventionalSponsorAmgenRan2009 to 2014Enrolled169ConditionsThrombocytopenia, Idiopathic Thrombocytopenic PurpuraArmsromiplostim
NCT01143038 phase2completednot on this map

A Phase 2 Interventional Single Arm Study Describing Platelet Responses and ITP Remission Rates in Adult Subjects With Immune Thrombocytopenia Purpura Receiving Romiplostim

TypeinterventionalSponsorAmgenRan2010 to 2013Enrolled75ConditionsIdiopathic Thrombocytopenic PurpuraArmsRomiplostim
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Romiplostim use in immune thrombocytopenia: Experience in Cuenca, EcuadorBiomedica : revista del Instituto Nacional de Salud · 2024
    Article
  12. Article
  13. Article
  14. Efficacy and Safety of Biosimilar Romiplostim Versus Innovator Romiplostim in Patients with Chronic Immune Thrombocytopenia.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2023
    Article
  15. Article
  16. How we treat primary immune thrombocytopenia in adults.Journal of hematology & oncology · 2023
    Review
  17. Review
  18. Review
  19. Article
  20. Observational
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

10 authors at 7 institutions in 6 countries.

David J KuterDepartment of Hematology, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0003-2084-8810
Adrian NewlandThe Pathology Clinical Academic Group, the Royal London Hospital, London, UK.
Beng H ChongUniversity of New South Wales and St. George Hospital, Sydney, Australia.
Francesco RodeghieroHematology Project Foundation, Vicenza, Italy.
Monica T RomeroHospital Juárez de México, México City, México.
Ingrid PabingerMedizinische Universitat Wien, Vienna, Austria.
Yuqi ChenAmgen Inc., Thousand Oaks, CA, USA.
Kejia WangAmgen Inc., Thousand Oaks, CA, USA.
Bhakti MehtaAmgen Inc., Thousand Oaks, CA, USA.
Melissa EisenAmgen Inc., Thousand Oaks, CA, USA.
Amgen (United States) · USFondazione Progetto Ematologia · ITHospital Juárez de México · MXMassachusetts General Hospital · USMedical University of Vienna · ATRoyal London Hospital · GBUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The thrombopoietin receptor agonist romiplostim is approved for second-line use in chronic immune thrombocytopenia (ITP), but its effects in patients with ITP for ≤1 year are not well characterized. This analysis of pooled data from 9 studies included patients with ITP for ≤1 year (n = 311) or >1 year (n = 726) who failed first-line treatments and received romiplostim, placebo or standard of care. In subgroup analysis by ITP duration, patient incidences for platelet response at ≥75% of measurements were higher for romiplostim [ITP ≤1 year: 74% (204/277); ITP >1 year: 71% (450/634)] than for placebo/standard of care [ITP ≤1 year: 18% (6/34); ITP >1 year: 9% (8/92)]. Of patients with ≥9 months on study, 16% with ITP ≤1 year and 6% with ITP >1 year discontinued romiplostim and maintained platelet counts ≥50 × 10

Indexed as

Purpura, Thrombocytopenic, IdiopathicReceptors, FcRecombinant Fusion ProteinsThrombopoietinAdultAgedChronic DiseaseFemaleHemorrhageHumansMaleMiddle AgedPlatelet CountThrombosisTime FactorsReceptors, FcRecombinant Fusion ProteinsromiplostimThrombopoietinimmune thrombocytopenianewly diagnosedpersistentromiplostimthrombopoietin

Identifiers

PMID30793285
PMCPMC6593696
OpenAlexW2915557171

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.