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ArticleMediterranean journal of hematology and infectious diseases2020

Thalidomide for Patients with β-Thalassemia: A Multicenter Experience.

Kun Yang, Yi Wu, Yali Zhou, Binbin Long, Qian Lu, Tianhong Zhou, Li Wang, Zhili Geng, Xiaolin Yin

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Mediterranean journal of hematology and infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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.

NCT06146478 phase3completednot on this mapstarted 2022, after this paper: background citation

Deciphering Effects of Thalidomide on Red Blood Cells in Transfusion Dependents Beta Thalassemia Patients: A Pharmacodynamics and Pharmacogenetics Analysis

TypeinterventionalSponsorBlood Care ClinicRan2022 to 2023Enrolled200ConditionsTransfusion-dependent Beta-ThalassemiaArmsThalidomide
NCT06490627 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

Unraveling the Impact of Thalidomide at Diverse Doses in Transfusion Dependent Beta Thalassemia

TypeinterventionalSponsorNational Institute of Blood and Marrow Transplant (NIBMT), PakistanRan2024 to 2026Enrolled54ConditionsFetal Hemoglobin, Thalassemia Major, Genetic DiseaseArmsThalidomide
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Kun YangGraduate School of Guangxi University of Chinese Medicine, Nanning, China.
Yi WuDepartment of Hematology, The 923 Hospital of the Joint Logistics Support Force of the Peoples Liberation Army, Nanning, China.
Yali ZhouDepartment of Hematology, The 923 Hospital of the Joint Logistics Support Force of the Peoples Liberation Army, Nanning, China.
Binbin LongPeople's Hospital of Guiping, Guiping, China.
Qian LuPeople's Hospital of Hezhou, Hezhou, China.
Tianhong ZhouDepartment of Hematology, The 923 Hospital of the Joint Logistics Support Force of the Peoples Liberation Army, Nanning, China.
Li WangDepartment of Hematology, The 923 Hospital of the Joint Logistics Support Force of the Peoples Liberation Army, Nanning, China.
Zhili GengDepartment of Hematology, The 923 Hospital of the Joint Logistics Support Force of the Peoples Liberation Army, Nanning, China.
Xiaolin YinDepartment of Hematology, The 923 Hospital of the Joint Logistics Support Force of the Peoples Liberation Army, Nanning, China.
303 Hospital of People's Liberation Army · CNGuangxi University · CNGuilin Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study focused on the efficacy and safety of thalidomide for patients with β-thalassemia in a multicenter trial.

methodsPatients with non-transfusion-dependent thalassemia (NTDT) or transfusion-dependent thalassemia (TDT), who were unable to pursue conventional therapy with transfusion and chelation, were recruited over 3 years in three centers in southern China. We evaluated the efficacy and safety of thalidomide in the short-term (three months) and long-term follow-up (12 and 24 months). Response to thalidomide was defined as follows: Main Responder (MaR) showing an increase in hemoglobin (Hb) level of >2.0 g/dl or free from blood transfusion and Minor Responder (MiR) achieving elevated Hb level of 1.0-2.0 g/dl or ≥50% reduction in blood transfusion frequency.

resultsThe overall response rate (ORR) was 93.5%, with MaR and MiR rates accounting for 62.9% and 30.6% in short-term follow-up. For patients with NTDT, the Hb level increased from a baseline mean of 6.8±1.1 g/dl to 9.7±1.9 g/dl (

conclusionThalidomide had significant therapeutic effects on patients with β-thalassemia with a sustained response. Peripheral neuropathy is one of the most feared complications. While these preliminary results support the potential long-term efficacy of thalidomide as a therapeutic agent for β-thalassemia, several issues need to be addressed before its application in the clinic.

Indexed as

EfficacyFetal hemoglobinSafetyThalidomideβ-thalassemia

Identifiers

PMID32395210
PMCPMC7202343
OpenAlexW3021712231

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.