Evidence map›Paper›PMID 39247063›Full record

ArticleJournal of hematology2024

Long-Term Outcome of Eltrombopag With First-Line Immunosuppressive Therapy for Newly Diagnosed Severe Aplastic Anemia.

Hirofumi Yokota, Kotaro Miyao, Masashi Sawa, Seitaro Terakura, Shingo Kurahashi, Yoshikazu Ikoma, Nobuhiko Imahashi, Takanobu Morishita, Akinao Okamoto, Tomohiro Kajiguchi and 14 more

Abstract read
In one paragraph

Article in Journal of hematology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

24 authors.

Hirofumi YokotaDepartment of Hematology and Oncology, Anjo Kosei Hospital, Anjo, Japan.
Kotaro MiyaoDepartment of Hematology and Oncology, Anjo Kosei Hospital, Anjo, Japan.
Masashi SawaDepartment of Hematology and Oncology, Anjo Kosei Hospital, Anjo, Japan.
Seitaro TerakuraDepartment of Hematology and Oncology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Shingo KurahashiDivision of Hematology and Oncology, Toyohashi Municipal Hospital, Toyohashi, Japan.
Yoshikazu IkomaDepartment of Hematology, Gifu Municipal Hospital, Gifu, Japan.
Nobuhiko ImahashiDepartment of Hematology, NHO Nagoya Medical Center, Nagoya, Japan.
Takanobu MorishitaDepartment of Hematology, Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital, Nagoya, Japan.
Akinao OkamotoDepartment of Hematology, Fujita Health University School of Medicine, Toyoake, Japan.
Tomohiro KajiguchiDepartment of Hematology and Oncology, Tosei General Hospital, Seto, Japan.
Takaaki OnoDepartment of Internal Medicine, School of Medicine, Hamamatsu University, Hamamatsu, Japan.
Tomoko NaritaDepartment of Hematology and Oncology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Nobuhiro KanemuraDepartment of Hematology and Infectious Disease, Gifu University Hospital, Gifu, Japan.
Kazutaka OzekiDepartment of Hematology and Oncology, Konan Kosei Hospital, Konan, Japan.
Yumi KojimaDepartment of Hematology, Nagoya Ekisaikai Hospital, Nagoya, Japan.
Kensuke NaitoDepartment of Hematology, Hamamatsu Medical Center, Hamamatsu, Japan.
Kaori UchinoDepartment of Internal Medicine, Division of Hematology, Aichi Medical University School of Medicine, Nagakute, Japan.
Akihiro TomitaDepartment of Hematology, Fujita Health University School of Medicine, Toyoake, Japan.
Hiroatsu IidaDepartment of Hematology, NHO Nagoya Medical Center, Nagoya, Japan.
Naoto ImotoDivision of Hematology and Oncology, Toyohashi Municipal Hospital, Toyohashi, Japan.
Senji KasaharaDepartment of Hematology, Gifu Municipal Hospital, Gifu, Japan.
Yuichiro InagakiDepartment of Hematology and Oncology, Anjo Kosei Hospital, Anjo, Japan.
Tetsuya NishidaDepartment of Hematology, Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital, Nagoya, Japan.
Makoto MurataDepartment of Hematology and Oncology, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To investigate whether the addition of eltrombopag (EPAG) to rabbit anti-thymocyte globulin (ATG)-based immunosuppressive therapy (IST) for newly diagnosed severe aplastic anemia (SAA) improves outcomes and affects the cumulative incidence of clonal evolution (CE), we conducted a multicenter retrospective analysis. Methods: Data were collected from 101 patients, aged 15 - 65 years, undergoing initial IST. Results: No significant imbalance in age, sex, or severity was observed between the EPAG (n = 20) and non-EPAG (n = 81) groups. The median duration of EPAG administration in EPAG group was 16.1 months (range: 0.6 - 41.1 months). Six months after the initiation of IST, the complete response (CR) rate significantly improved in the EPAG group (P < 0.01). The cumulative incidence of allogeneic stem cell transplantation (allo-SCT) at 2 years and the 2-year overall survival (OS) were not significantly different between the two groups (allo-SCT, P = 0.31; OS, P = 0.64). Grade 3-4 adverse events in the EPAG group and the cumulative incidence of CE (P = 0.96) showed no increase. Conclusion: In summary, IST showed significantly better initial efficacy in the EPAG group. Although the addition of EPAG did not reduce the need for allo-SCT, no increase was observed in the incidence of CE with long-term EPAG use.

Indexed as

Allogeneic stem cell transplantationAplastic anemiaEltrombopagImmunosuppression therapy

Identifiers

PMID39247063
PMCPMC11379047

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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.