Evidence map›Paper›PMID 41629833›Full record

ArticleBMC cancer2026

Comparison of the real-world efficacy and safety of romiplostim and recombinant human thrombopoietin (rhTPO) in chemotherapy-induced thrombocytopenia.

Yu Cheng, Juan Wei, Fang Zhu, Liang Xuan, Yuan Li, Lei Meng, Chuandong Zhu, Huihui Zhao

Abstract readComparative Study
In one paragraph

Article in BMC cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Yu ChengDepartment of Oncology, The Second Hospital of Nanjing, Affiliated to Nanjing University of Chinese Medicine, No. 1-1, Zhongfu Road, Jiangsu, Nanjing, China.
Juan WeiDepartment of Oncology, The Second Hospital of Nanjing, Affiliated to Nanjing University of Chinese Medicine, No. 1-1, Zhongfu Road, Jiangsu, Nanjing, China.
Fang ZhuDepartment of Oncology, The Second Hospital of Nanjing, Affiliated to Nanjing University of Chinese Medicine, No. 1-1, Zhongfu Road, Jiangsu, Nanjing, China.
Liang XuanDepartment of Radiotherapy, The Second Hospital of Nanjing, Affiliated to Nanjing University of Chinese Medicine, No. 1-1, Zhongfu Road, Jiangsu, Nanjing, China.
Yuan LiDepartment of Radiotherapy, The Second Hospital of Nanjing, Affiliated to Nanjing University of Chinese Medicine, No. 1-1, Zhongfu Road, Jiangsu, Nanjing, China.
Lei MengDepartment of Oncology, The Second Hospital of Nanjing, Affiliated to Nanjing University of Chinese Medicine, No. 1-1, Zhongfu Road, Jiangsu, Nanjing, China.
Chuandong ZhuDepartment of Oncology, The Second Hospital of Nanjing, Affiliated to Nanjing University of Chinese Medicine, No. 1-1, Zhongfu Road, Jiangsu, Nanjing, China. zhucd@njucm.edu.cn.
Huihui ZhaoDepartment of Oncology, The Second Hospital of Nanjing, Affiliated to Nanjing University of Chinese Medicine, No. 1-1, Zhongfu Road, Jiangsu, Nanjing, China. zhaohuihui0623@163.com.

Funding

Medical science and technology development project of Nanjing YKK22130Natural science fund projects of Nanjing University of Chinese Medicine XZR 2021080Talent lift Fund projects of Nanjing Second Hospital RCMS23006
6 · The paper itself

Abstract

objectiveThis study retrospectively compared the efficacy and safety of romiplostim and recombinant human thrombopoietin (rhTPO) in managing chemotherapy-induced thrombocytopenia (CIT) in patients with solid tumours, aiming to provide valuable evidence for clinical practice in CIT management.

methodsA retrospective cohort study involving patients with solid tumours who received either romiplostim or rhTPO following anticancer treatment was conducted at Nanjing Second Hospital from January 2024 to May 2025. The primary outcomes assessed were platelet recovery, treatment efficacy, and recovery time, whereas the secondary outcomes included chemotherapy adherence and the incidence of adverse events.

resultsA total of 68 patients were included in the analysis, among whom 32 received romiplostim and 36 received rhTPO. Baseline characteristics were comparable between the two groups. Romiplostim demonstrated a higher treatment efficacy (71.9%) than rhTPO (63.9%) ,although this difference was not statistically significant(P = 0.239). The median platelet recovery time was shorter in the romiplostim group (9 days) than in the rhTPO group (12 days) (P = 0.012). Platelet recovery to ≥ 100 × 10⁹/L was achieved by 62.5% of the romiplostim patients versus 44.4% of the rhTPO patients (P = 0.137). Furthermore, a higher proportion of patients in the romiplostim group (90.6% vs. 83.3% with rhTPO) were able to continue scheduled chemotherapy, although this difference did not reach statistical significance (P = 0.376). The incidence of adverse events was similar between the two groups, although it was lower in the romiplostim group.

conclusionCompared with rhTPO, romiplostim significantly shortened the time to platelet recovery and required fewer administrations. Overall safety was comparable between the two groups, with no new safety concerns identified. Future prospective studies are warranted to confirm long-term outcomes.

Indexed as

Antineoplastic AgentsNeoplasmsReceptors, FcRecombinant Fusion ProteinsThrombocytopeniaThrombopoietinAdultAgedFemaleHumansMaleMiddle AgedRecombinant ProteinsRetrospective StudiesTreatment OutcomeAntineoplastic AgentsReceptors, FcRecombinant Fusion ProteinsRecombinant ProteinsromiplostimThrombopoietinChemotherapy-induced thrombocytopeniaPlatelet recoveryRecombinant human thrombopoietinRomiplostimSolid tumours

Identifiers

PMID41629833
PMCPMC12958640

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.