Evidence map›Paper›PMID 33644726›Full record

ArticleJHEP reports : innovation in hepatology2021

Assessing the periprocedural magnitude of platelet count change in response to lusutrombopag.

Robert S Brown, Michio Imawari, Namiki Izumi, Yukio Osaki, Roy Bentley, Toshimitsu Ochiai, Takeshi Kano, Markus Peck-Radosavljevic

Open access · goldAbstract read
In one paragraph

Article in JHEP reports : innovation in hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  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

8 authors at 5 institutions in 3 countries.

Robert S BrownDivision of Gastroenterology and Hepatology, Weill Cornell Medical College, New York, NY, USA.
Michio ImawariInstitute for Gastrointestinal and Liver Disease, Shin-Yurigaoka General Hospital, Kawasaki, Japan.
Namiki IzumiDepartment of Gastroenterology and Hepatology, Musashino Red Cross Hospital, Tokyo, Japan.
Yukio OsakiMeiwa Hospital, Nishinomiya, Japan.
Roy BentleyGlobal Market Access, Shionogi Inc., Florham Park, NJ, USA.
Toshimitsu OchiaiBiostatistics Center, Shionogi & Co., Ltd., Osaka, Japan.
Takeshi KanoGlobal Project Management Department, Shionogi & Co., Ltd., Osaka, Japan.
Markus Peck-RadosavljevicAbteilung Innere Medizin & Gastroenterologie (IMuG), mit Zentrale Aufnahme & Erstversorgung (ZAE), Klinikum Klagenfurt am Wörthersee, Klagenfurt, Austria.
Shionogi (Japan) · JPCornell University · USKlinikum Klagenfurt · ATMusashino Red Cross Hospital · JPShionogi (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsDespite limitations, platelet transfusion has been used to minimise bleeding risk in patients with thrombocytopaenia. Lusutrombopag is an oral, thrombopoietin receptor agonist approved for treatment of thrombocytopaenia associated with chronic liver disease in patients undergoing planned invasive procedures. This

methodsAdults with chronic liver disease-induced thrombocytopaenia and platelet count <50 (× 10

resultsPlatelet count ≥50, a platelet count increase ≥1.5-fold, and at least a doubling in platelet count were achieved in 88.3%, 86.9%, and 52.6% of patients in the lusutrombopag group (n = 137)

conclusionsPatients treated with lusutrombopag experienced a clinically relevant response in platelet count for a substantial duration of time. LAY SUMMARY: Patients with low platelet counts caused by chronic liver disease may not receive planned invasive procedures or surgeries because of an increased risk of bleeding. Lusutrombopag has previously demonstrated efficacy in raising platelet counts and is approved to treat chronic liver disease patients with low platelet counts in advance of a planned surgery. Physicians need to understand more clearly what to expect in terms of platelet count change when using lusutrombopag; this integrated analysis provides data to help guide its clinical application.

Indexed as

AE, adverse eventCLD, chronic liver diseaseCT, computerised tomographyGCP, Good Clinical PracticeHR, hazard ratioICF, informed consent formICH, International Conference on HarmonisationITT, intention-to-treatLUSU, lusutrombopagLusutrombopagMagnitudeMRI, magnetic resonance imagingPBO, placeboPlateletPP, per protocolProceduralPT, platelet transfusionTCP, thrombocytopaeniaTEAE, treatment-emergent adverse eventThrombocytopaeniaUS, ultrasonographyWHO, World Health Organization

Identifiers

PMID33644726
PMCPMC7887643
OpenAlexW3120588837

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.