Evidence map›Paper›PMID 35329991›Full record

ArticleJournal of clinical medicine2022

Response Assessment to Erythropoietin-Zeta (Epo-Alpha Biosimilar) Therapy in Low-Risk Myelodysplastic Syndromes.

Calogero Vetro, Valeria Di Giacomo, Donato Mannina, Silvana Magrin, Antonio Mulè, Maria Enza Mitra, Sergio Siragusa, Andrea Duminuco, Bruno Garibaldi, Maria Cristina Emanuela Vadalà and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
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

12 authors at 5 institutions in 1 country.

Calogero VetroDivision of Hematology, A.O.U. Policlinico "G. Rodolico-San Marco", 95123 Catania, Italy.ORCID 0000-0003-1922-5157
Valeria Di GiacomoDepartment of Hematology, Azienda Ospedaliera Papardo, 98158 Messina, Italy.
Donato ManninaDepartment of Hematology, Azienda Ospedaliera Papardo, 98158 Messina, Italy.ORCID 0000-0001-8665-1258
Silvana MagrinBMT Unit, Division of Hematology, V. Cervello Hospital, 90146 Palermo, Italy.
Antonio MulèBMT Unit, Division of Hematology, V. Cervello Hospital, 90146 Palermo, Italy.
Maria Enza MitraBMT Unit, Division of Hematology, V. Cervello Hospital, 90146 Palermo, Italy.
Sergio SiragusaHematology Unit, Thrombosis and Hemostasis Reference Regional Center, University of Palermo, 90127 Palermo, Italy.
Andrea DuminucoPostgraduate School of Hematology, University of Catania, 95123 Catania, Italy.ORCID 0000-0002-9510-4755
Bruno GaribaldiPostgraduate School of Hematology, University of Catania, 95123 Catania, Italy.
Maria Cristina Emanuela VadalàDivision of Hematology, A.O.U. Policlinico "G. Rodolico-San Marco", 95123 Catania, Italy.
Francesco Di RaimondoDivision of Hematology, A.O.U. Policlinico "G. Rodolico-San Marco", 95123 Catania, Italy.
Giuseppe A PalumboPostgraduate School of Hematology, University of Catania, 95123 Catania, Italy.ORCID 0000-0003-1859-6319
Ospedale Vincenzo Cervello · ITPoliclinico Universitario di Catania · ITUniversity of Catania · ITAzienda Ospedaliera Ospedali Riuniti Papardo Piemonte · ITUniversity of Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis prospective observational study aimed to verify the efficacy of erythropoietin zeta in the treatment of patients with low-risk myelodysplastic syndrome.

methodsPatients with low/int-1 IPSS risk and serum erythropoietin level below 500 U/L were enrolled. Treatment consisted of erythropoietin zeta 40,000 U subcutaneously once a week. The primary endpoint was the erythroid response. According to Simon's two-stage statistical design, 36 patients were recruited. The median age was 75 years (range 56-83 years), male/female ratio was 1.1/1, median baseline serum erythropoietin was 57.9 U/L (range 9.4-475 U/L). 53% of patients had low-risk disease, while the remaining had Int-1 risk.

resultsAfter 8 weeks, a significant response (rise in Hb levels of at least 1.5 g/dL) was achieved in 18 patients (50%) out of 36. However, 17 patients did not improve; 8/17 patients pursued the 40,000 U weekly schedule of erythropoietin zeta, and 4/8 (50%) of them reached the erythroid response after 16 weeks. Nine patients underwent dosage doubling (40,000 U twice per week), and 5/9 (55%) of them achieved the erythroid response.

conclusionCompared with data from the literature, this prospective study revealed that EPO-zeta is a safe and effective therapeutic option in low-risk MDS patients.

Indexed as

anemiabiosimilar pharmaceuticalserythropoietinmyelodysplastic syndromes

Identifiers

PMID35329991
PMCPMC8951463
OpenAlexW4221075184

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.