Evidence map›Paper›PMID 38063420›Full record

Observational studyAmerican journal of hematology2024

Avatrombopag for adults with early versus chronic immune thrombocytopenia.

Zain M Virk, Rebecca K Leaf, David J Kuter, Katayoon Goodarzi, Nathan T Connell, Jean M Connors, Hanny Al-Samkari

Registry-linked trialOpen access · bronzeAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in American journal of hematology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07133659 (Exploring the Efficacy, Safety of a Modified Starting Dosage of Avatrombopag in Immune Throbocytopenia), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
6.4field-weighted citation impact, top 3% 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.

NCT07133659 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

Exploring the Efficacy, Safety of a Modified Starting Dosage of Avatrombopag in Immune Throbocytopenia (ITP) - a Pilot Study

TypeinterventionalSponsorAl-Mustansiriyah UniversityRan2025 to 2027Enrolled25ConditionsITP - Immune ThrombocytopeniaArmsAvatrombopag 20 mg Oral Tablet
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Zain M VirkDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Rebecca K LeafDivision of Hematology Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.
David J KuterDivision of Hematology Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Katayoon GoodarziDivision of Hematology Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Nathan T ConnellHarvard Medical School, Boston, Massachusetts, USA.
Jean M ConnorsHarvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0001-6445-582X
Hanny Al-SamkariDivision of Hematology Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-6175-1383
Harvard University · USBrigham and Women's Hospital · USVanderbilt University Medical Center · US

Funding

Antiangiogenic Therapy to Reduce Bleeding and Improve Health-Related Quality of Life in Hereditary Hemorrhagic TelangiectasiaK23HL159313 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Hanny T Al-Samkari · 2022 to 2026
$999k
NHLBI NIH HHS 1K23HL159313NHLBI NIH HHS K23 HL159313
6 · The paper itself

Abstract

Avatrombopag is a newer thrombopoietin receptor agonist (TPO-RA) currently approved to treat chronic ITP (duration >12 months). No studies have yet evaluated the safety and effectiveness of avatrombopag in newly diagnosed ITP (duration <3 months) or persistent ITP (duration 3-12 months), and so its use in these populations is presently off-label worldwide. We hypothesize that avatrombopag has similar safety and effectiveness irrespective of ITP disease phase. To evaluate this, we performed a multicenter observational cohort study of adults with ITP treated with avatrombopag, comparing patient outcomes by disease phase (newly diagnosed/persistent versus chronic). Seventy-five patients were included, 23 with newly diagnosed/persistent ITP (17.7 patient-years of avatrombopag treatment) and 52 with chronic ITP (65.3 patient-years of avatrombopag treatment). On avatrombopag, 91% of newly diagnosed/persistent patients versus 96% of chronic patients (p = .58) achieved a platelet response (≥50 × 10

Indexed as

Purpura, Thrombocytopenic, IdiopathicThiophenesAdultBlood PlateletsHumansPlatelet CountRecombinant Fusion ProteinsThiazolesThrombopoietinavatrombopagRecombinant Fusion ProteinsThiazolesThiophenesThrombopoietin

Identifiers

PMID38063420
PMCPMC11101755
OpenAlexW4389490328

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.