Evidence map›Paper›PMID 33439486›Full record

Trial reportBritish journal of haematology2020

Fostamatinib is an effective second-line therapy in patients with immune thrombocytopenia.

Ralph Boccia, Nichola Cooper, Waleed Ghanima, Michael A Boxer, Quentin A Hill, Michelle Sholzberg, Michael D Tarantino, Leslie K Todd, Sandra Tong, James B Bussel and 1 more

Open access · hybridAbstract readClinical Trial, Phase IIIComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in British journal of haematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
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  13. New insights into SYK targeting in solid tumors.Trends in pharmacological sciences · 2024
    Review
  14. [Chinese expert consensus on the diagnosis and treatment of Evans syndrome (2024)].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 9 institutions in 4 countries.

Ralph BocciaCentre for Cancer and Blood Disorders, Bethesda, MD, USA.
Nichola CooperImperial College Healthcare NHS Trust, Hammersmith Hospital, London, UK.
Waleed GhanimaDepartment of Research, Østfold Hospital Trust, Sarpsborg, Norway.
Michael A BoxerArizona Oncology Associates, Tucson, AZ, USA.
Quentin A HillDepartment of Haematology, St. James University Hospital, Leeds, UK.ORCID 0000-0002-0627-4358
Michelle SholzbergSt. Michael's Hospital, Toronto, ON, Canada.ORCID 0000-0003-1220-0301
Michael D TarantinoThe Bleeding and Clotting Disorders Institute, University of Illinois College of Medicine-Peoria, Peoria, IL, USA.
Leslie K ToddRigel Pharmaceuticals, Inc, South San Francisco, CA, USA.ORCID 0000-0003-3801-9930
Sandra TongRigel Pharmaceuticals, Inc, South San Francisco, CA, USA.
James B BusselDepartment of Pediatrics, Weill Cornell Medicine, New York, NY, USA.ORCID 0000-0002-2884-9247
FIT Clinical Trial Investigators
Rigel (United States) · USArizona Oncology · USCenter for Cancers and Blood Disorders · USCornell University · USIllinois College · USImperial College Healthcare NHS Trust · GBSt James's University Hospital · GBSt. Michael's Hospital · CAUniversity of Oslo · NO

Funding

Rigel Pharmaceuticals
6 · The paper itself

Abstract

Fostamatinib demonstrated efficacy in phase 3 trials of adults with immune thrombocytopenia (ITP). Post hoc analysis compared patients who received fostamatinib as second-line therapy (after steroids ± immunoglobulins) versus third-or-later-line therapy (after ≥2 prior lines of therapy including a second-line agent). Platelet responses ≥50 000/µl were observed in 25/32 (78%) second-line and 54/113 (48%) third-or-later-line patients. Bleeding events were less frequent in second-line (28%) versus third-or-later-line (45%) patients. Responses once achieved tended to be durable in both groups. The safety profile was similar in both groups. In this post hoc analysis, fostamatinib was more effective as second-line than third-or-later-line therapy for ITP.

Indexed as

AdultAgedAged, 80 and overAminopyridinesFemaleHumansMaleMiddle AgedMorpholinesOxazinesPlatelet CountPurpura, Thrombocytopenic, IdiopathicPyridinesPyrimidinesAminopyridinesfostamatinibMorpholinesOxazinesPyridinesPyrimidinesautoimmuneidiopathic thrombocytopenic purpuraplateletspleen tyrosine kinaseSYK

Identifiers

PMID33439486
PMCPMC7540289
OpenAlexW3044441835

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.