Evidence map›Paper›PMID 38916741›Full record

ArticleAnnals of hematology2024

The long-term efficacy of eltrombopag in children with immune thrombocytopenia.

Li- Yang, Bao-Hua Sang, Chun-Hui Yang, Zu-Gang Xiao, Chun-Lian Fang, Yu Lv, Na Li, Qing Yang, Shu-Min Chai, Xin Tian and 2 more

Abstract read
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In one paragraph

Article in Annals of hematology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
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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

12 authors.

Li- Yang *Department of Hematology, Kunming Children's Hospital, No.288 Qian Xin Road, Kunming, 650228, China.
Bao-Hua Sang *Department of Hematology, Kunming Children's Hospital, No.288 Qian Xin Road, Kunming, 650228, China.
Chun-Hui YangDepartment of Hematology, Kunming Children's Hospital, No.288 Qian Xin Road, Kunming, 650228, China.
Zu-Gang XiaoDepartment of Hematology, Kunming Children's Hospital, No.288 Qian Xin Road, Kunming, 650228, China.
Chun-Lian FangDepartment of Hematology, Kunming Children's Hospital, No.288 Qian Xin Road, Kunming, 650228, China.
Yu LvDepartment of Hematology, Kunming Children's Hospital, No.288 Qian Xin Road, Kunming, 650228, China.
Na LiDepartment of Hematology, Kunming Children's Hospital, No.288 Qian Xin Road, Kunming, 650228, China.
Qing YangDepartment of Hematology, Kunming Children's Hospital, No.288 Qian Xin Road, Kunming, 650228, China.
Shu-Min ChaiDepartment of Hematology, Kunming Children's Hospital, No.288 Qian Xin Road, Kunming, 650228, China.
Xin TianDepartment of Hematology, Kunming Children's Hospital, No.288 Qian Xin Road, Kunming, 650228, China.
Xian-Wen ZhangMedical Faculty, Kunming University of Science and Technology, No.727 Jingming South Road, Kunming, 650500, China. xianwen-zhang0717@163.com.
Ti-Long HuangDepartment of Hematology, Kunming Children's Hospital, No.288 Qian Xin Road, Kunming, 650228, China. htl99-2@163.com.

Funding

Kunming health science and technology personnel training project (2020-SW-32), The 17th batch of training plan for young and middle-aged academic and technical leaders and reserve candidates in Kunming 2020-SW-32Yunnan Province's "High-level Talent Training Support Program - Specialization for Renowned Doctors" YNWR-MY-2020-068
6 · The paper itself

Abstract

Immune thrombocytopenia (ITP) is the most common autoimmune disorder characterized by decreased platelet counts and impaired platelet production. Eltrombopag has been demonstrated to be safe and effective for children with ITP. It is reported eltrombopag can achieve a sustained response off treatment. However, data on its overall efficacy and safety profile are scarce in children. This study aimed to investigate the long-term efficacy of eltrombopag in children with ITP. Treatment overall response (OR), complete response (CR), response (R), durable response (DR), no response (NR), treatment free remission (TFR), and relapse rate, were assessed in 103 children with ITP during eltrombopag therapy. The OR rate, CR rate, R rate, DR rate, NR rate, TFR rate, and relapse rate were 67.0%, 55.3%, 11.7%, 56.3%, 33.0%, 60%, 36.2%, respectively. Importantly, we discovered that newly diagnosed ITP patients showed a higher DR rate, TFR rate and lower relapse rate compared to persistent and chronic ITP patients. Furthermore, the CR rate, DR rate, and TFR rate of 5 patients under six months were 100%. None of them suffered relapse. The most common adverse event (AEs) was hepatotoxicity (7.77%). Our study highlighted the critical role of eltrombopag as the second-line treatment in children with ITP who were intolerant to first-line therapy.

Indexed as

BenzoatesHydrazinesPurpura, Thrombocytopenic, IdiopathicPyrazolesAdolescentChildChild, PreschoolFemaleHumansInfantMaleRecurrenceRemission InductionRetrospective StudiesTreatment OutcomeBenzoateseltrombopagHydrazinesPyrazolesChildrenEltrombopagImmune thrombocytopeniaLong-term efficacyRelapseTreatment response

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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.