Evidence map›Paper›PMID 33115308›Full record

SynthesisThe Journal of international medical research2020

Efficacy and safety of rituximab for minors with immune thrombocytopenia: a systematic review and meta-analysis.

Min Qu, Jing Zhou, Song-Jun Yang, Ze-Ping Zhou

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The Journal of international medical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05718856 (A Multicenter, Randomized, Open-label StudyTo Compare The Efficacy And Safety Of TPO-RAs Combining Anti-CD 20 Monoclonal Antibody Versus TPO-RAs in Persistent or Chronic Pediatric ITP Patients Who Failed or Relapse After Glucocorticoid Therapy), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 23% 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.

NCT05718856 phase4unknown statusnot on this mapstarted 2023, after this paper: background citation

A Multicenter, Randomized, Open-label StudyTo Compare The Efficacy And Safety Of TPO-RAs Combining Anti-CD 20 Monoclonal Antibody Versus TPO-RAs in Persistent or Chronic Pediatric ITP Patients Who Failed or Relapse After Glucocorticoid Therapy

TypeinterventionalSponsorInstitute of Hematology & Blood Diseases Hospital, ChinaRan2023 to 2025Enrolled166ConditionsPrimary Immune Thrombocytopenia (ITP)ArmsTPO-RAs, TPO-RAs combining anti-CD 20 monoclonal antibody
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Rituximab resistance in ITP and beyond.Frontiers in immunology · 2023
    Review
  2. 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

4 authors at 1 institution in 1 country.

Min QuThe Second Clinical College, Kunming Medical University, Kunming, Yunnan, China.
Jing ZhouThe Second Clinical College, Kunming Medical University, Kunming, Yunnan, China.
Song-Jun YangThe Second Clinical College, Kunming Medical University, Kunming, Yunnan, China.
Ze-Ping ZhouDepartment of Hematology, the Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
Kunming Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe reviewed relevant research on rituximab (RTX) treatment for pediatric immune thrombocytopenia (ITP) to elucidate the efficacy and safety of RTX.

methodsProspective clinical trials of RTX for the treatment of pediatric ITP were collected by searching the PubMed, Cochrane Library, Web of Science, and OVID: EMBASE databases and ClinicalTrials.gov. We examined rates of overall response (OR), complete response (CR), partial response (PR), sustained response (SR), relapse (R), and adverse drug reaction (ADR). The Methodological Index for Nonrandomized Studies scale was used, and sensitivity analyses were performed.

resultsFor five studies, including 100 patients, the pooled OR, CR, PR, SR, R, and ADR rates were 52% (95% CI: 0.36-0.77,

conclusionThere is evidence, albeit low quality, that RTX may be a better second-line therapy than splenectomy for children with ITP; however, its efficacy and safety need to be validated by further high-quality clinical trials, such as randomized controlled trials.

Indexed as

Purpura, Thrombocytopenic, IdiopathicThrombocytopeniaChildHumansMinorsProspective StudiesRituximabRituximabimmune thrombocytopeniameta-analysisMethodological Index for Nonrandomized StudiesminorRituximabsplenectomy

Identifiers

PMID33115308
PMCPMC7645434
OpenAlexW3095163659

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.