Evidence map›Paper›PMID 31545663›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2019

Romiplostim Treatment of Chemotherapy-Induced Thrombocytopenia.

Gerald A Soff, Yimei Miao, Gemma Bendheim, Jeanette Batista, Jodi V Mones, Rekha Parameswaran, Cy R Wilkins, Sean M Devlin, Ghassan K Abou-Alfa, Andrea Cercek and 3 more

3 registry-linked trialsAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2019. 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 62 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 6 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.

NCT04485416 phase1suspendednot on this mapstarted 2021, after this paper: background citation

Open Label Single Arm Prospective Pilot Trial of Eltrombopag in Patients 1 Year to 18 Years of Age Undergoing Intensive Chemotherapy for Malignant Solid Tumors (CCPO011)

TypeinterventionalSponsorUniversity of California, DavisRan2021 to 2025Enrolled10ConditionsSolid Tumor, Childhood, Solid TumorArmsEltrombopag
NCT07048249 early_phase1recruitingnot on this mapstarted 2024, after this paper: background citation

Single Arm Evaluation of Romiplostim to Prevent Chemotherapy Induced Thrombocytopenia in Patients With Ewing Sarcoma

TypeinterventionalSponsorChildren's Hospital Medical Center, CincinnatiRan2024 to 2028Enrolled26ConditionsEwings Sarcoma, Chemotherapy Induced ThrombocytopeniaArmsRomiplostim (AMG-531)
NCT07586826 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

A Prospective, Randomized, Open-Label, Controlled Study of Romiplostim N01 Combined With All-Trans Retinoic Acid Versus Romiplostim N01 Alone for Persistent Isolated Chemotherapy-Induced Thrombocytopenia in Patients With Complete Remission of Gynecologic, Breast, or Lung Solid Tumors

TypeinterventionalSponsorPeking University People's HospitalRan2025 to 2027Enrolled220ConditionsPersistent Isolated Chemotherapy-Induced Thrombocytopenia, Chemotherapy-Induced Thrombocytopenia, Gynecologic Cancers, Ovarian CancerArmsRomiplostim N01, All-trans retinoic acid
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Role of thrombopoietin receptor agonists in chemotherapy-induced thrombocytopenia: A meta-analysis.Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners · 2025
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  10. Avatrombopag Versus Placebo for Persistent Chemotherapy-Induced Thrombocytopenia in GI Cancers: The Phase II ACT-GI Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
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2 more citing papers are in PubMed but not listed here.

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

13 authors.

Gerald A SoffMemorial Sloan Kettering Cancer Center, New York, NY.
Yimei MiaoMemorial Sloan Kettering Cancer Center, New York, NY.
Gemma BendheimMemorial Sloan Kettering Cancer Center, New York, NY.
Jeanette BatistaMemorial Sloan Kettering Cancer Center, New York, NY.
Jodi V MonesMemorial Sloan Kettering Cancer Center, New York, NY.
Rekha ParameswaranMemorial Sloan Kettering Cancer Center, New York, NY.
Cy R WilkinsMemorial Sloan Kettering Cancer Center, New York, NY.
Sean M DevlinMemorial Sloan Kettering Cancer Center, New York, NY.
Ghassan K Abou-AlfaMemorial Sloan Kettering Cancer Center, New York, NY.
Andrea CercekMemorial Sloan Kettering Cancer Center, New York, NY.
Nancy E KemenyMemorial Sloan Kettering Cancer Center, New York, NY.
Debra M SarasohnMemorial Sloan Kettering Cancer Center, New York, NY.
Simon ManthaMemorial Sloan Kettering Cancer Center, New York, NY.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeChemotherapy-induced thrombocytopenia (CIT) leads to delay or reduction in cancer treatment. There is no approved treatment.

methodsWe conducted a phase II randomized trial of romiplostim versus untreated observation in patients with solid tumors with CIT. Before enrollment, patients had platelets less than 100,000/μL for at least 4 weeks, despite delay or dose reduction of chemotherapy. Patients received weekly titrated romiplostim with a target platelet count of 100,000/μL or more, or were monitored with usual care. The primary end point was correction of platelet count within 3 weeks. Twenty-three patients were treated in a randomization phase, and an additional 37 patients were treated in a single-arm, romiplostim phase. Resumption of chemotherapy without recurrent CIT was a secondary end point.

resultsThe mean platelet count at enrollment was 62,000/μL. In the randomization phase, 14 of 15 romiplostim-treated patients (93%) experienced correction of their platelet count within 3 weeks, compared with one of eight control patients (12.5%;

conclusionThis prospective trial evaluated treatment of CIT with romiplostim. Romiplostim is effective in correcting CIT, and maintenance allows for resumption of chemotherapy without recurrence of CIT in most patients.

Indexed as

AdultAgedAntineoplastic AgentsBlood PlateletsFemaleHumansMaleMiddle AgedNew York CityPlatelet CountProspective StudiesReceptors, FcRecombinant Fusion ProteinsThrombocytopeniaThrombopoietinTime FactorsAntineoplastic AgentsReceptors, FcRecombinant Fusion ProteinsromiplostimThrombopoietin

Identifiers

PMID31545663
PMCPMC6823892

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.