Evidence map›Paper›PMID 39955467›Full record

SynthesisClinical and experimental medicine2025

Assessing the effectiveness of etoposide treatment in adult haemophagocytic lymphohistiocytosis: a systematic review and meta-analysis.

Tiankuo Gao, Dina Suolitiken, Chun Yang, Chaofan Wu, Lingbo He, Yini Wang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Clinical and experimental medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
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  6. 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

6 authors.

Tiankuo GaoDepartment of Hematology, Capital Medical University Affiliated Beijing Anzhen Hospital, Beijing, 100029, China.
Dina SuolitikenDepartment of Hematology, Capital Medical University Affiliated Beijing Anzhen Hospital, Beijing, 100029, China.
Chun YangDepartment of Hematology, Capital Medical University Affiliated Beijing Anzhen Hospital, Beijing, 100029, China.
Chaofan WuDepartment of Hematology, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, 100050, China.
Lingbo HeDepartment of General Medicine, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, 100050, China.
Yini WangDepartment of Hematology, Capital Medical University Affiliated Beijing Anzhen Hospital, Beijing, 100029, China. wangyini@ccmu.edu.cn.

Funding

Beijing Natural Science Foundation 7252035High-Level Discipline Construction Project of Beijing Anzhen Hospital Affiliated to Capital Medical University 2024AZC4001National Natural Science Foundation of China 82170122
6 · The paper itself

Abstract

Haemophagocytic lymphohistiocytosis (HLH) is a serious condition characterised by uncontrolled hyperinflammation. Etoposide has been used as a treatment option in paediatric HLH; however, its effectiveness and the necessity for adult induction therapy remain unclear. This systematic review and meta-analysis aimed to assess the effectiveness of etoposide-based induction therapy in adult HLH, focusing on overall response (OR). A systematic literature search was conducted to identify relevant studies on 11 December 2023, resulting in the inclusion of seven studies in the analysis. The pooled data demonstrated a significant improvement in OR with etoposide-based therapy in adult patients with HLH (1.95, 95% CI 1.51-2.53), compared with non-etoposide-treated patients. Furthermore, overall survival improved with etoposide treatment (1.25, 95% CI 1.03-1.52). Our analysis revealed the potential benefit of etoposide-based therapy in adult patients with HLH. Therefore, etoposide should be considered as a timely and early therapeutic option for the management of adult HLH.

Indexed as

Antineoplastic Agents, PhytogenicEtoposideLymphohistiocytosis, HemophagocyticAdultHumansTreatment OutcomeAntineoplastic Agents, PhytogenicEtoposideEtoposideHaemophagocytic lymphohistiocytosisMeta-analysisSystematic review

Identifiers

PMID39955467
PMCPMC11829903

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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.