Evidence map›Paper›PMID 40248371›Full record

Trial reportWorld journal of gastroenterology2025

Efficacy of recombinant human thrombopoietin in patients with acute-on-chronic liver failure and thrombocytopenia: A prospective, open-label study.

Gang Liu, Fei Tang, Tao Wang, Jun-Qing Yan, Feng-Hui Li, Fu-Shuang Ha, Xu Zhang, Li Jing, Jing Liang

Abstract readClinical Trial
In one paragraph

Trial report in World journal of gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. [Chinese guidelines for clinical diagnosis, treatment, and management of cirrhosis (2025)].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Guideline
  2. Article
  3. [Expert consensus on the clinical diagnosis and treatment of coagulation disorders related to liver disease].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Article
  4. Personalized Management of Cytopenias in Chronic Liver Disease: From Pathophysiology to Treatment Strategies.JGH open : an open access journal of gastroenterology and hepatology · 2026
    Review
  5. Article
  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

9 authors.

Gang LiuDepartment of Internal Medicine, The Third Central Clinical College of Tianjin Medical University, Tianjin 300300, China.
Fei TangDepartment of Gastroenterology and Hepatology, The Third Central Hospital of Tianjin, Tianjin 300170, China.
Tao WangDepartment of Gastroenterology and Hepatology, The Third Central Hospital of Tianjin, Tianjin 300170, China.
Jun-Qing YanDepartment of Gastroenterology and Hepatology, The Third Central Hospital of Tianjin, Tianjin 300170, China.
Feng-Hui LiDepartment of Gastroenterology and Hepatology, The Third Central Hospital of Tianjin, Tianjin 300170, China.
Fu-Shuang HaDepartment of Gastroenterology and Hepatology, The Third Central Hospital of Tianjin, Tianjin 300170, China.
Xu ZhangDepartment of Gastroenterology and Hepatology, The Third Central Hospital of Tianjin, Tianjin 300170, China.
Li JingDepartment of Medical Laboratory, The Third Central Hospital of Tianjin, Tianjin 300170, China.
Jing LiangDepartment of Gastroenterology and Hepatology, The Third Central Hospital of Tianjin, Tianjin 300170, China. haolele77@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with acute-on-chronic liver failure (ACLF) have a high mortality rate, poor prognosis, and often experience concurrent thrombocytopenia and bleeding events.

aimTo evaluate the efficacy and safety of recombinant human thrombopoietin (rhTPO) in patients with ACLF with concomitant severe thrombocytopenia.

methodsThis was a prospective, open-label study. We assigned 70 ACLF patients with severe thrombocytopenia into the rhTPO group and control group, with 35 patients in each group. Patients in the rhTPO group received subcutaneous injections of rhTPO at a dose of 15000 IU/day for 7 consecutive days, while patients in the control group did not receive rhTPO treatment. The primary endpoint was the proportion of patients with platelet count > 50 × 10

resultsThe proportion of patients with platelet count > 50 × 10

conclusionrhTPO significantly increased the platelet count in ACLF patients with thrombocytopenia and reduce the occurrence of bleeding events, with a good safety profile.

Indexed as

Acute-On-Chronic Liver FailureThrombocytopeniaThrombopoietinAdultAgedFemaleHemorrhageHumansInjections, SubcutaneousMaleMiddle AgedPlatelet CountProspective StudiesRecombinant ProteinsSeverity of Illness IndexTreatment OutcomeRecombinant ProteinsThrombopoietinAcute-on-chronic liver failureHepatocyte growth factorPrognosisRecombinant human thrombopoietinThrombocytopenia

Identifiers

PMID40248371
PMCPMC12001200

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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.