Evidence map›Paper›PMID 35836089›Full record

SynthesisAdvances in therapy2022

Systematic Review with Meta-Analysis: Efficacy and Safety of Lusutrombopag for Severe Thrombocytopenia in Patients with Chronic Liver Disease Undergoing Invasive Procedures.

Michelle E Orme, Roy Bentley, Stephen Marcella, Markus Peck-Radosavljevic, Rodolphe Perard, Heiner Wedemeyer, Hitoshi Yoshiji, Kosh Agarwal, Geoffrey Dusheiko

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Advances in therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 32% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. 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

9 authors at 5 institutions in 5 countries.

Michelle E OrmeICERA Consulting Ltd., 17 Redbridge Close, Swindon, Wiltshire, UK. michelle.orme@iceraconsulting.com.
Roy BentleyShionogi Inc., Florham Park, NJ, USA.
Stephen MarcellaShionogi Inc., Florham Park, NJ, USA.
Markus Peck-RadosavljevicAbteilung Innere Medizin und Gastroenterologie (IMuG), mit Zentrale Aufnahme und Erstversorgung (ZAE), Klinikum Klagenfurt am Wörthersee, Klagenfurt, Austria.
Rodolphe PerardShionogi B.V., London, UK.
Heiner WedemeyerDepartment of Gastroenterology, Hepatology, and Endocrinology, Hannover Medical School, Hannover, Germany.
Hitoshi YoshijiDepartment of Gastroenterology, Nara Medical University, Kashihara, Nara Prefecture, Japan.
Kosh AgarwalInstitute of Liver Studies, King's College Hospital, London, UK.
Geoffrey DusheikoUniversity College London Medical School and King's College Hospital, London, UK.
King's College Hospital · GBShionogi (United States) · USKlinikum Klagenfurt · ATMedizinische Hochschule Hannover · DENara Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLusutrombopag is an oral thrombopoietin receptor agonist (TPO-RA). Clinical trials have shown lusutrombopag's efficacy in reducing need for preoperative platelet transfusion in patients with chronic liver disease (CLD) and severe thrombocytopenia. This analysis assessed efficacy and safety of lusutrombopag in patients with severe thrombocytopenia and CLD undergoing planned invasive procedures.

methodsAn electronic database search (through 1 December 2020) identified three randomised, placebo-controlled, double-blind clinical trials comparing lusutrombopag with placebo in patients with CLD and platelet count below 50 × 10

resultsThe meta-analysis included 343 (lusutrombopag 3 mg, n = 173; placebo, n = 170) patients. More patients met the criteria for treatment response (platelet count at least 50 × 10

conclusionThis meta-analysis showed that treatment of severe thrombocytopenia with lusutrombopag in patients with CLD prior to a planned invasive procedure was efficacious and safe in increasing platelet counts, avoiding the need for platelet transfusions, and reducing risk of bleeding, thereby enhancing the certainty of evidence supporting the efficacy and safety of lusutrombopag.

Indexed as

AnemiaLiver DiseasesThrombocytopeniaChronic DiseaseCinnamatesHemorrhageHumansRandomized Controlled Trials as TopicThiazolesCinnamateslusutrombopagThiazolesChronic liver diseaseInvasive procedureLusutrombopagMeta-analysisSevere thrombocytopeniaThrombopoietin receptor agonist

Identifiers

PMID35836089
PMCPMC9402754
OpenAlexW4285388876

What OpenQuestion holds

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LicenceCC BY-NC
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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.