Evidence map›Paper›PMID 38130645›Full record

ArticleJournal of translational internal medicine2023

Efficacy and safety of QL0911 in adult patients with chronic primary immune thrombocytopenia: A multicenter, randomized, double-blind, placebo-controlled, phase III trial.

Hu Zhou, Shouqing Han, Jie Jin, Ruibin Huang, Xinhong Guo, Xuliang Shen, Binghua Wang, Xin Wang, Hongxia Yao, Xin Du and 15 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of translational internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05621330 (Efficacy and Safety of QL0911 in Adult Patients With Chronic Primary Immune Thrombocytopenia), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% 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.

NCT05621330 phase3completednot on this map

Efficacy and Safety of QL0911 in Adult Patients With Chronic Primary Immune Thrombocytopenia: A Multicenter, Randomized, Double-blind, Placebo-controlled, Phase III Trial

TypeinterventionalSponsorQilu Pharmaceutical Co., Ltd.Ran2019 to 2021Enrolled216ConditionsPrimary Immune ThrombocytopeniaArmsQL0911, Placebo comparator
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Efficacy and Safety of Romiplostim Versus Placebo in Immune Thrombocytopenia: A Systematic Review and Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
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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

25 authors at 20 institutions in 1 country.

Hu ZhouDepartment of Hematology, Henan Cancer Hospital, Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450008, Henan Province, China.
Shouqing HanDepartment of Hematology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong Province, China.
Jie JinDepartment of Hematology, The First Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, 310003, Zhejiang Province, China.
Ruibin HuangDepartment of Hematology, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
Xinhong GuoDepartment of Hematology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China.
Xuliang ShenDepartment of Hematology, Heping Hospital Affiliated to Changzhi Medical College, Changzhi 046000, Shanxi Province, China.
Binghua WangDepartment of Hematology, Weihai Central Hospital, Weihai 264400, Shandong Province, China.
Xin WangDepartment of Hematology, Suining Central Hospital, Suining 629099, Sichuan Province, China.
Hongxia YaoDepartment of Hematology, Hainan General Hospital, Haikou 570311, Hainan Province, China.
Xin DuDepartment of Hematology, Shenzhen Second People's Hospital, Shenzhen 518035, Guangdong Province, China.
Meijuan HuangDepartment of Hematology, Fujian Medical University Union Hospital, Fuzhou 350001, Fujian Province, China.
Xuehong RanDepartment of Hematology, Weifang People's Hospital, Weifang 261044, Shandong Province, China.
Wei WangDepartment of Hematology, The Affiliated Hospital of Qingdao University, Qingdao 266000 Qingdao, Shandong Province, China.
Tonghua YangDepartment of Hematology, The First People's Hospital of Yunnan Province, Kunming 650031, Yunnan Province, China.
Feng ZhangDepartment of Hematology, The First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, Anhui Province, China.
Changcheng ZhengDepartment of Hematology, Anhui Province Hospital, Hefei 230002, Anhui Province, China.
Xuelan ZuoDepartment of Hematology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.
Rong FuDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin 300052, China.
Da GaoDepartment of Hematology, The Affiliated Hospital of Inner Mongolia Medical University, Tongliao 028000, Inner Mongolia, China.
Zheng GeDepartment of Hematology, Zhongda Hospital Southeast University, Nanjing 210009, Jiangsu Province, China.
Ying HanDepartment of Medicine, Qilu Pharmaceutical Co., Ltd, Jinan 250100, Shandong Province, China.
Yujie LiStatistics and Statistical Programming, Qilu Pharmaceutical Co., Ltd, Jinan 250100, Shandong Province, China.
Xiaoyan KangDepartment of Medicine, Qilu Pharmaceutical Co., Ltd, Jinan 250100, Shandong Province, China.
Yan ShiDepartment of Hematology, Qilu Hospital of Shandong University, Jinan 250012, Shandong Province, China.ORCID https://orcid.org/0000-0002-7156-6138
Ming HouDepartment of Hematology, Qilu Hospital of Shandong University, Jinan 250012, Shandong Province, China.ORCID https://orcid.org/0000-0002-9703-4164
Qilu Hospital of Shandong University · CNQilu University of Technology · CNAnhui Provincial Hospital · CNChangzhi Medical College · CNFirst Affiliated Hospital of Bengbu Medical College · CNFirst Affiliated Hospital Zhejiang University · CNFirst People's Hospital of Yunnan Province · CNFujian Medical University · CNHainan General Hospital · CNInner Mongolia Medical College Hospital · CNNanchang University · CNQingdao University · CNShenzhen Second People's Hospital · CNSuizhou Central Hospital · CNTianjin Medical University General Hospital · CNWeifang People's Hospital · CNWeihai Municipal Hospital · CNWuhan University · CNXinjiang Medical University · CNZhengzhou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: QL0911, a recombinant human thrombopoietin mimetic peptide-Fc fusion protein, is a romiplostim (Nplate Methods: We conducted a double-blind, placebo-controlled, phase III study in patients diagnosed with primary ITP for at least 12 months who had received at least one first-line ITP treatment with no response or recurrence after treatment, or who relapsed after splenectomy at 44 sites in China. Patients were randomly allocated (2:1 ratio) to QL0911 or placebo injection subcutaneously once weekly at an initial dose of 1 μg/kg for 24 weeks. The doses were adjusted to maintain the target platelet counts from 50 × 109/L to 200 × 109/L. Patients and investigators were blinded to the assignment. The primary endpoints were the proportion of patients who achieved a durable platelet response at week 24 (platelet count, ≥ 50 × 109/L during 6 of the last 8 weeks of treatment) and safety. The study was registered at ClinicalTrials.gov (NCT05621330). Results: Between October 2019 and December 2021, 216 patients were randomly assigned (QL0911,144; placebo,72). A durable platelet response was achieved by significantly more patients in the QL0911 group (61.8%, 95% CI: 53.3-69.8; Conclusion: QL0911 was well-tolerated and increased and maintained platelet counts in adults with ITP. QL0911, a biosimilar to romiplostim (Nplate®), may be a novel treatment option for patients with ITP who have failed or relapsed from first-line treatment in China. Ongoing studies will provide further data on long-term efficacy and safety in such patient populations.

Indexed as

biosimilarefficacyplatelet responseprimary immune thrombocytopeniasafetythrombopoietin receptor agonist

Identifiers

PMID38130645
PMCPMC10732573
OpenAlexW4389990077

What OpenQuestion holds

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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.