Evidence map›Paper›PMID 41659023›Full record

ArticleCase reports in hematology2026

Successful Management of Relapsed Severe Immune Thrombocytopenia Using Avatrombopag: A Case Report.

Sultan Almutairi, Ashraf Warsi, Ahmed Hejazi, Elaf Melibari, Raghad Jar, Amal Almutairi, Asmaa Abughasham, Nuha Firaque

Abstract read
In one paragraph

Article in Case reports in hematology, 2026. 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.

Sultan AlmutairiDepartment of Adult Haematology, Princess Noorah Oncology Centre, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Western Region, Jeddah, Saudi Arabia, ngha.med.sa.ORCID https://orcid.org/0009-0002-2317-7346
Ashraf WarsiDepartment of Adult Haematology, Princess Noorah Oncology Centre, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Western Region, Jeddah, Saudi Arabia, ngha.med.sa.
Ahmed HejaziDepartment of Adult Haematology, Princess Noorah Oncology Centre, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Western Region, Jeddah, Saudi Arabia, ngha.med.sa.
Elaf MelibariDepartment of Adult Haematology, Princess Noorah Oncology Centre, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Western Region, Jeddah, Saudi Arabia, ngha.med.sa.
Raghad JarDepartment of Adult Haematology, Princess Noorah Oncology Centre, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Western Region, Jeddah, Saudi Arabia, ngha.med.sa.
Amal AlmutairiDepartment of Adult Haematology, Princess Noorah Oncology Centre, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Western Region, Jeddah, Saudi Arabia, ngha.med.sa.
Asmaa AbughashamDepartment of Adult Haematology, Princess Noorah Oncology Centre, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Western Region, Jeddah, Saudi Arabia, ngha.med.sa.
Nuha FiraqueDepartment of Adult Haematology, Princess Noorah Oncology Centre, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Western Region, Jeddah, Saudi Arabia, ngha.med.sa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune thrombocytopenia (ITP) is an acquired autoimmune disorder characterized by increased platelet destruction and impaired platelet production. While thrombopoietin receptor agonists (TPO-RAs), including romiplostim and eltrombopag, have significantly improved ITP management, some patients remain relapsed to multiple lines of therapy, necessitating alternative approaches. Avatrombopag, a second-generation TPO-RA, has shown promising efficacy and a favorable safety profile, yet its role in cases unresponsive to prior TPO-RAs remains underexplored. We report the case of a 37-year-old woman with relapsed severe ITP, unresponsive to corticosteroids, IVIG, rituximab, romiplostim, eltrombopag, vincristine, cyclosporine, and splenectomy. Despite multiple treatments, her platelet count remained critically low, with persistent bleeding symptoms. Given the failure of standard therapies, avatrombopag was initiated at 20 mg daily, resulting in a rapid platelet response, increasing from 14 × 10

Indexed as

avatrombopagbleeding disordersimmune thrombocytopeniaplatelet countthrombopoietin receptor agonists

Identifiers

PMID41659023
PMCPMC12876038

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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.