Evidence map›Paper›PMID 36571427›Full record

ArticleBalkan medical journal2023

Eltrombopag for the Treatment of Poor Graft Function Following Haematopoietic Cell Transplantation: Real-Life Data

Ekin Kırcalı, Güldane Cengiz Seval, Cemaleddin Öztürk, Hülya Yılmaz, Derya Koyun, Sinem Civriz Bozdağ, Selami Koçak Toprak, Pervin Topçuoğlu, Önder Arslan, Muhit Özcan and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Balkan medical journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

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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

15 authors at 1 institution in 1 country.

Ekin KırcalıDepartment of Hematology, Ankara University Faculty of Medicine, Ankara, TurkeyORCID 0000-0003-3836-0434
Güldane Cengiz SevalDepartment of Hematology, Ankara University Faculty of Medicine, Ankara, TurkeyORCID 0000-0001-9433-2054
Cemaleddin ÖztürkDepartment of Hematology, Ankara University Faculty of Medicine, Ankara, TurkeyORCID 0000-0003-1591-6575
Hülya YılmazDepartment of Hematology, Ankara University Faculty of Medicine, Ankara, TurkeyORCID 0000-0001-5664-5893
Derya KoyunDepartment of Hematology, Ankara University Faculty of Medicine, Ankara, Turkey
Sinem Civriz BozdağDepartment of Hematology, Ankara University Faculty of Medicine, Ankara, TurkeyORCID 0000-0001-8359-7794
Selami Koçak ToprakDepartment of Hematology, Ankara University Faculty of Medicine, Ankara, TurkeyORCID 0000-0001-7717-5827
Pervin TopçuoğluDepartment of Hematology, Ankara University Faculty of Medicine, Ankara, TurkeyORCID 0000-0002-3956-5960
Önder ArslanDepartment of Hematology, Ankara University Faculty of Medicine, Ankara, TurkeyORCID 0000-0002-1883-1414
Muhit ÖzcanDepartment of Hematology, Ankara University Faculty of Medicine, Ankara, TurkeyORCID 0000-0002-1326-1918
Taner DemirerDepartment of Hematology, Ankara University Faculty of Medicine, Ankara, TurkeyORCID 0000-0002-2214-5927
Osman İlhanDepartment of Hematology, Ankara University Faculty of Medicine, Ankara, TurkeyORCID 0000-0003-1665-372X
Günhan GürmanDepartment of Hematology, Ankara University Faculty of Medicine, Ankara, TurkeyORCID 0000-0002-1263-8947
Meral BeksaçDepartment of Hematology, Ankara University Faculty of Medicine, Ankara, TurkeyORCID 0000-0003-1797-8657
Meltem Kurt YükselDepartment of Hematology, Ankara University Faculty of Medicine, Ankara, TurkeyORCID 0000-0003-0369-299X
Ankara University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Eltrombopag has an off-label indication for haematopoietic cell transplantation in patients experiencing delayed thrombocyte recovery and/or thrombocytopaenia. Aims: To present our centre’s experience of using this agent not only for post- haematopoietic cell transplantation thrombocytopaenia but also for poor graft functioning in the post-haematopoietic cell transplantation setting. Study Design: Retrospective cross-sectional study. Methods: Thirty-nine patients who had persistent cytopaenia following haematopoietic cell transplantation and treated with eltrombopag at our centre between October 2011 and December 2021 were retrospectively identified. During this period, 9 (23.1%) and 30 (76.9%) patients who underwent allogeneic transplantations, respectively, received eltrombopag. Results: The female-to-male ratio was 12:27, and the median transplant age was 49 (18-70) years. Eight (20.5%) patients had isolated thrombocytopaenia, 19 (49.4%) had bi-lineage cytopaenia and 12 (30.1%) had pancytopaenia. Patients received a median of 50 mg/day (25-150 mg/day) of eltrombopagfor a median duration of 82 (24-386) days. Nine (23.1%) patients had autologous haematopoietic cell transplantation, and 30 (76.9%) had allogeneic haematopoietic cell transplantation (14 unrelated, 9 sibling and 7 haploidentical). The median donor age was 32 (20-67) years. The median follow-up was 16.4 (1.8-84.3) months. The median pre-treatment platelet count was 11x10 Conclusion: The results confirmed that eltrombopag could provide a rapid, sustained response in patients with poor graft functioning after haematopoietic cell transplantation. This finding is essential given the high rate of non-relapse mortality caused by poor graft functioning after haematopoietic cell transplantation.

Indexed as

Hematopoietic Stem Cell TransplantationThrombocytopeniaAdultAgedBenzoatesBlood PlateletsCross-Sectional StudiesFemaleHumansHydrazinesMaleMiddle AgedPyrazolesRetrospective StudiesBenzoateseltrombopagHydrazinesPyrazoles

Identifiers

PMID36571427
PMCPMC9874246
OpenAlexW4312166071

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.