Evidence map›Paper›PMID 36846652›Full record

ArticleHeliyon2023

Sustained response off therapy after fostamatinib: A chronic refractory ITP case report.

Giuseppe Auteri, Mattia Biondo, Camilla Mazzoni, Marta Venturi, Andrea Davide Romagnoli, Simona Paglia, Michele Cavo, Nicola Vianelli, Francesca Palandri

Abstract readCase Reports
In one paragraph

Article in Heliyon, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. 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

9 authors.

Giuseppe AuteriIRCCS - Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli, Bologna, Italy.
Mattia BiondoIRCCS - Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli, Bologna, Italy.
Camilla MazzoniIRCCS - Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli, Bologna, Italy.
Marta VenturiIRCCS - Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli, Bologna, Italy.
Andrea Davide RomagnoliIRCCS - Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli, Bologna, Italy.
Simona PagliaIRCCS - Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli, Bologna, Italy.
Michele CavoIRCCS - Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli, Bologna, Italy.
Nicola VianelliIRCCS - Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli, Bologna, Italy.
Francesca PalandriIRCCS - Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fostamatinib is a SYK-inhibitor drug recently approved by the FDA and EMA for treating chronic immune thrombocytopenia. This drug induces a response in about 40% of patients and has a good toxicity profile. It is known that discontinuing thrombopoietin receptor agonists (TRAs) with the maintenance of sustained response off therapy is possible. On fostamatinib, we do not yet have such information. In this case report, we describe the story of a woman with a multirefractory immune thrombocytopenia (steroids, splenectomy, rituximab, both available TRAs). After 16 years from diagnosis, she started fostamatinib therapy within a clinical trial and achieved a complete response. Grade 1-2 headache and diarrhea occurred during the first months of therapy. These adverse events were resolved with dose reduction of fostamatinib. Despite the dose reduction, the platelet count remained steadily above 80 × 10

Indexed as

Case reportFostamatinibImmune thrombocytopeniaSustained response off therapy

Identifiers

PMID36846652
PMCPMC9946849

What OpenQuestion holds

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Registered trials

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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.