Evidence map›Paper›PMID 39873866›Full record

Trial reportInternational journal of hematology2025

Long-term safety and efficacy of fostamatinib in Japanese patients with primary immune thrombocytopenia.

Masataka Kuwana, Yoshiaki Tomiyama

Abstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in International journal of hematology, 2025. 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. Article
  3. Review
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

2 authors.

Masataka KuwanaDepartment of Allergy and Rheumatology, Nippon Medical School Graduate School of Medicine, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, Japan. kuwanam@nms.ac.jp.ORCID http://orcid.org/0000-0001-8352-6136
Yoshiaki TomiyamaDepartment of Blood Transfusion, Osaka University Hospital, Osaka, Japan.ORCID http://orcid.org/0000-0001-7645-0989

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fostamatinib had superior efficacy to a placebo and acceptable safety profiles for at least 1 year in a phase 3 study of Japanese patients with primary immune thrombocytopenia. Here, we report the 3-year safety and efficacy of fostamatinib in that study. Data from 33 patients who received at least one dose of fostamatinib were analyzed. A platelet response > 50,000/µL (at two consecutive visits at least 28 days apart while receiving fostamatinib) was achieved in 16 patients (48%). The median total duration of a platelet response > 50,000/µL was 589 (range: 106-1003) days. Gastrointestinal disorders, such as diarrhea, hypertension, and hepatic enzyme elevation, were the most common fostamatinib-related adverse events. Most events occurred within 12 weeks of treatment. No thromboembolisms, treatment-related infections, or moderate or severe treatment-related bleeding events were observed. In summary, this extension study of a clinical trial found a sustained platelet response without new safety signals during 3-year treatment with fostamatinib.

Indexed as

OxazinesPurpura, Thrombocytopenic, IdiopathicPyridinesAdultAgedAged, 80 and overAminopyridinesEast Asian PeopleFemaleHumansJapanMaleMiddle AgedMorpholinesNitrilesPlatelet CountAminopyridinesfostamatinibMorpholinesNitrilesOxazinesPyridinesPyrimidinesFostamatinibPhase 3 clinical trialPrimary immune thrombocytopeniaSpleen tyrosine kinase

Identifiers

PMID39873866
PMCPMC11861395

What OpenQuestion holds

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Registered trials

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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.