Evidence map›Paper›PMID 42678489›Full record

ArticleAdvances in therapy2026

Early Use of Fostamatinib in Immune Thrombocytopenia.

Tomás José González-López, Nuria Bermejo-Vega, Rocío Cardesa-Cabrera, Natalia Acedo, Josefa Luis-Navarro, Sunil Lakhwani, Silvia Bernat, Guillermo Enrique Haces-Tirado, Pilar Galán, María Luisa Lozano and 14 more

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Article in Advances in therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

24 authors.

Tomás José González-LópezServicio de Hematología, Hospital Universitario de Burgos, Avenida Islas Baleares s/n, 09006, Burgos, Spain. tjgonzalez@saludcastillayleon.es.ORCID http://orcid.org/0000-0001-9575-1816
Nuria Bermejo-VegaComplejo Hospitalario Universitario de Cáceres, Cáceres, Spain.
Rocío Cardesa-CabreraHospital Público Comarcal de La Merced, Osuna, Seville, Spain.
Natalia AcedoHospital Universitario de La Princesa, Madrid, Spain.
Josefa Luis-NavarroHospital General de Riotinto, Minas de Riotinto, Huelva, Spain.
Sunil LakhwaniHospital Universitario de Canarias, Universidad de La Laguna, Tenerife, Spain.
Silvia BernatHospital Universitario de La Plana, Villarreal, Castellón, Spain.
Guillermo Enrique Haces-TiradoHospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
Pilar GalánComplejo Asistencial de Segovia, Segovia, Spain.
María Luisa LozanoHospital General Universitario José María Morales Meseguer, Centro Regional de Hemodonación, Universidad de Murcia, IMIB-Pascual Parrilla, CIBERERISCIII, CEI Campus Mare Nostrum, 30003, Murcia, Spain.
Daniel Martínez-CarballeiraHospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
Roberto Hernández-MartinComplejo Asistencial de Zamora, Zamora, Spain.
Reyes Jimenez-BárcenasHospital de la Serranía de Ronda, Ronda, Málaga, Spain.
Begoña Navas-ElorzaHospital Clínico San Carlos (HCSC), Madrid, Spain.
Shally MarcelliniComplejo Asistencial de Segovia, Segovia, Spain.
Ana Torres-TienzaComplejo Asistencial de Segovia, Segovia, Spain.
Alvaro Perona-BlázquezComplejo Hospitalario Universitario de Albacete, Albacete, Spain.
Carmen BenetHospital Arnau de Vilanova, Valencia, Spain.
Dolores Fernandez-JimenezHospital Universitario Clínico San Cecilio, Granada, Spain.
Carolina López-Santamaría CastroHUB - Hospital Universitario de Badajoz, Badajoz, Spain.
Isidro JarqueHospital Universitari i Politècnic La Fe, Valencia, Spain.
Violeta MartínezComplejo Asistencial Universitario de León, León, Spain.
Isabel González-Gascón-Y-MarínHospital Universitario Infanta Leonor, Madrid, Spain.
Gloria García-Donás GabaldónHospital Universitario Virgen Macarena, Seville, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFostamatinib, an oral spleen tyrosine kinase (SYK) inhibitor, prevents antibody-mediated platelet destruction and has proven efficacy and safety in immune thrombocytopenia (ITP). However, evidence from real-world use in earlier treatment lines is limited. Here the objective was to evaluate the effectiveness and safety of fostamatinib as second- or third-line therapy in adult patients with ITP in Spain.

methodsThis multicenter study included 72 adult patients treated with fostamatinib across 22 Spanish centers, assessed retrospectively and prospectively. Demographic, clinical, and laboratory data, treatment responses, and adverse events (AEs) were analyzed.

resultsMedian age was 67 years, and 55.6% of patients were women. The median time from ITP diagnosis to fostamatinib initiation was 17 months, and the baseline platelet count was 28 × 10

conclusionFostamatinib demonstrated high effectiveness and acceptable tolerability as second- or third-line therapy for adult ITP in real-world clinical practice.

Indexed as

FostamatinibImmune thrombocytopeniaITPPlatelet responseReal-world studySecond-line therapySpleen tyrosine kinase inhibitorThird-line therapy

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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.