Evidence map›Paper›PMID 39221321›Full record

ReviewCureus2024

A Systematic Review and Meta-Analysis of Eltrombopag Efficacy Combined With Immunosuppressive Drugs in Treatment of Severe Aplastic Anemia.

Janan Illango, Kofi D Seffah, Namballa Naveen, Yubraj Paudel, Anandkumar Patel, Vamsi Krishna Pachchipulusu, Heet N Desai, Beenish Najam, Pousette Hamid

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Janan IllangoResearch, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Kofi D SeffahInternal Medicine, Phoebe Putney Memorial Hospital, Albany, USA.
Namballa NaveenInternal Medicine, Steel Authority of India Limited (SAIL) Hospital, Dhanbad, IND.
Yubraj PaudelInternal Medicine, Pushpanjali Hospital Pvt. Ltd., Bharatpur, NPL.
Anandkumar PatelNeurology, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Vamsi Krishna PachchipulusuInternal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Heet N DesaiInternal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Beenish NajamInternal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Pousette HamidNeurology, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe aplastic anemia (SAA) is a life-threatening disorder with high mortality. The only curative treatment is hematopoietic stem cell transplantation (HSCT), but it is mainly for young patients with suitable donors. The alternative is immunosuppressive therapy (IST), which can improve blood counts in about 58% of patients, but many relapse after discontinuation. Recently, eltrombopag, a thrombopoietic receptor agonist, was tested. As a single drug, it improved blood counts in 40-50% of patients. However, combining eltrombopag and IST proved more effective and safer. A review of 20 randomized controlled trials with 2,469 patients showed that the group receiving eltrombopag and IST had a significantly higher overall response rate (86% vs. 74%) after six months. After two years, 54% of the experimental group had relapsed compared to 39% in the control group. Despite this, eltrombopag tends to increase relapse rates over time. In conclusion, combining eltrombopag with IST is a superior treatment for SAA.

Indexed as

aplastic anemiaeltrombopaghematopoietic stem cell transplantationimmunosuppressive therapythrombopoietin receptor agonist

Identifiers

PMID39221321
PMCPMC11365712

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.