Evidence map›Paper›PMID 40533233›Full record

ArticleInternal medicine (Tokyo, Japan)2025

Successful Reswitching of Thrombopoietin Receptor Agonists: Two Cases of Immune Thrombocytopenia and Severe Aplastic Anemia.

Kazuhiro Itoh, Nozomi Otsuki, Yusuke Suzuki, Chiyo Kiriba, Atsushi Kuwata, Hiroshi Tsutani, Hiromichi Iwasaki, Yasuhiko Mitsuke

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Kazuhiro ItohDepartment of Internal Medicine, NHO Awara National Hospital, Japan.
Nozomi OtsukiDepartment of Internal Medicine, NHO Awara National Hospital, Japan.
Yusuke SuzukiDepartment of Internal Medicine, NHO Awara National Hospital, Japan.
Chiyo KiribaDepartment of Internal Medicine, NHO Awara National Hospital, Japan.
Atsushi KuwataDepartment of Internal Medicine, NHO Awara National Hospital, Japan.
Hiroshi TsutaniDepartment of Internal Medicine, NHO Awara National Hospital, Japan.
Hiromichi IwasakiDivision of Infection Control and Prevention, University of Fukui Hospital, Japan.
Yasuhiko MitsukeDepartment of Internal Medicine, NHO Awara National Hospital, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We used thrombopoietin receptor agonists (TPO-RAs) to treat immune thrombocytopenia (ITP) and aplastic anemia (AA). Molecular structures and methods of action differ among TPO-RAs; therefore, switching to another may be beneficial if one fails. In elderly people, planning and attending outpatient visits may complicate weekly subcutaneous romiplostim delivery. In two cases, the patient was initially unresponsive to eltrombopag, so we switched to romiplostim and then switched back due to hospital visits, which resulted in stabilizing platelet counts. We suggest better management techniques for patients, as ITP and AA require long-term management, which becomes increasingly challenging with increasing patient age.

Indexed as

Anemia, AplasticDrug SubstitutionPurpura, Thrombocytopenic, IdiopathicReceptors, FcReceptors, ThrombopoietinRecombinant Fusion ProteinsThrombopoietinAgedBenzoatesFemaleHumansHydrazinesMaleMiddle AgedPyrazolesSeverity of Illness IndexBenzoateseltrombopagHydrazinesPyrazolesReceptors, FcReceptors, ThrombopoietinRecombinant Fusion ProteinsromiplostimThrombopoietinaplastic anemiaeltrombopagimmune thrombocytopeniaromiplostimthrombopoietin receptor agonist

Identifiers

PMID40533233
PMCPMC12804452

What OpenQuestion holds

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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.