Evidence map›Paper›PMID 41254453›Full record

ArticlePediatric transplantation2025

Utility and Safety of Romiplostim in Pediatric Allogeneic Stem Cell Transplantation.

Srividhya Senthil, Abdul Moothedath, Jane Elizabeth Potter, Heather Mcgrath Wilkinson, Eden Whiteside, Ramya Nataraj, Omima Mustafa, Claire Horgan, Denise Bonney, Sarah Brett and 1 more

Abstract read
In one paragraph

Article in Pediatric transplantation, 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

11 authors.

Srividhya SenthilDepartment of Bone Marrow Transplantation, Royal Manchester Children's Hospital, Manchester, UK.ORCID 0000-0002-0892-6858
Abdul MoothedathDepartment of Bone Marrow Transplantation, Royal Manchester Children's Hospital, Manchester, UK.ORCID 0000-0003-3076-8232
Jane Elizabeth PotterDepartment of Bone Marrow Transplantation, Royal Manchester Children's Hospital, Manchester, UK.ORCID 0000-0002-8109-9983
Heather Mcgrath WilkinsonDepartment of Pharmacy, Royal Manchester Children's Hospital, Manchester, UK.
Eden WhitesideDepartment of Pharmacy, Royal Manchester Children's Hospital, Manchester, UK.
Ramya NatarajDepartment of Bone Marrow Transplantation, Royal Manchester Children's Hospital, Manchester, UK.
Omima MustafaDepartment of Bone Marrow Transplantation, Royal Manchester Children's Hospital, Manchester, UK.
Claire HorganDepartment of Bone Marrow Transplantation, Royal Manchester Children's Hospital, Manchester, UK.ORCID 0000-0002-6865-8509
Denise BonneyDepartment of Bone Marrow Transplantation, Royal Manchester Children's Hospital, Manchester, UK.
Sarah BrettDepartment of Pharmacy, Royal Manchester Children's Hospital, Manchester, UK.
Rob WynnDepartment of Bone Marrow Transplantation, Royal Manchester Children's Hospital, Manchester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of romiplostim, a thrombopoietin agonist, has increased in the last decade for the treatment of immune mediated thrombocytopenia and severe aplastic anemia. Its utility has been explored in the management of delayed platelet engraftment and secondary platelet failure during stem cell transplant (SCT), but its use has remained largely anecdotal in pediatric allogeneic SCT.

methodsIn this single centre, retrospective study we report the largest pediatric SCT cohort use of romiplostim.

resultsRomiplostim was used in 17 children for several indications, principally including poor graft function (PGF) and immune-mediated cytopenia (IMC), including multi-lineage cytopenia. The overall response rate (ORR) was 76.5% and the median time to achieve OR was 42 days. No toxicity was observed with romiplostim including marrow fibrosis, clonal evolution and thrombosis with a median follow-up of 18 months. Romiplostim averted the need for second allogeneic SCT in two patients with late graft failure and the need for stem cell boost (SCB) in three patients.

conclusionWe propose that romiplostim can be safely used in the cytopenia in pediatric SCT to good effect.

Indexed as

Hematopoietic Stem Cell TransplantationReceptors, FcRecombinant Fusion ProteinsStem Cell TransplantationThrombopoietinAdolescentChildChild, PreschoolFemaleFollow-Up StudiesHumansInfantMaleRetrospective StudiesThrombocytopeniaTransplantation, HomologousReceptors, FcRecombinant Fusion ProteinsromiplostimThrombopoietin

Identifiers

PMID41254453
PMCPMC12626904

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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.