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Eltrombopag in patients with chronic immune thrombocytopenia in Asia-Pacific, the Middle East, and Turkey: final analysis of CITE

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机构: [1]Sir Y.K. Pao Centre for Cancer and Department of Medicine & Therapeutics, The Chinese University of Hong Kong, Hong Kong [2]Department of Hematology, Faculty of Medicine, Adnan Menderes University, Aydın, Turkey [3]National Center for Cancer Care and Research, Hamad Medical Corporation, Doha, Qatar [4]Department of Hematology, Medical Faculty, Kocaeli University, Kocaeli, Turkey [5]Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, South Korea [6]The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China [7]Faculty of Medicine, Alexandria University, Alexandria, Egypt [8]Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand [9]Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey [10]Institute of Haematology and Hospital of Blood Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China [11]Clinical Hematology Unit, Department of Internal Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt [12]Novartis Oncology, Basel, Switzerland [13]Department of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea
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CITE was a prospective, noninterventional study in adult patients with chronic immune thrombocytopenia treated with eltrombopag under routine clinical care in Asia-Pacific, the Middle East, and Turkey. Data to assess eltrombopag usage, compliance, and outcomes were collected from May 2017 to December 2020. Platelet response was defined as platelet count >= 50 x 103/mu L in the absence of rescue medications and splenectomy. Quality of life was evaluated using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) questionnaire. Noncompliance was defined as the number of missed doses and number of days where the patient did not follow food instructions. A total of 231 patients were enrolled; the median (range) duration of eltrombopag treatment was 484.5 (1-642) days. Compliance to prescribed eltrombopag dose since the previous routine visit was high at >= 96.0%. Baseline median platelet count was 19.0 x 103/mu L, which increased to >= 50 x 103/mu L at month 2 and mostly fluctuated between 70 x 103/mu L and 100 x 103/mu L thereafter. The median time to first platelet response was 1.05 (95% confidence interval: 0.92-1.28) months, and the median (interquartile range) maximum duration of platelet response was 193 (57-456) days. FACIT-F scores improved from a mean (standard deviation) 34.4 (12.1) at baseline to 38.5 (9.1) at month 18. Adverse events occurred in 50.9% of patients (n = 116), the most common being upper respiratory tract infection (8.3%) and headache (6.6%). These findings confirmed the effectiveness of eltrombopag treatment in routine practice and reassured that real-world compliance to eltrombopag-prescribed doses and dietary instructions in Asia-Pacific, the Middle East, and Turkey were in line with current recommendations.

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出版当年[2022]版:
大类 | 1 区 医学
小类 | 2 区 血液学
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大类 | 1 区 医学
小类 | 2 区 血液学
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Q1 HEMATOLOGY
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Q1 HEMATOLOGY

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第一作者机构: [1]Sir Y.K. Pao Centre for Cancer and Department of Medicine & Therapeutics, The Chinese University of Hong Kong, Hong Kong [*1]Sir Y.K. Pao Centre for Cancer and Department of Medicine & Therapeutics, The Chinese University of Hong Kong, Hong Kong
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通讯机构: [1]Sir Y.K. Pao Centre for Cancer and Department of Medicine & Therapeutics, The Chinese University of Hong Kong, Hong Kong [*1]Sir Y.K. Pao Centre for Cancer and Department of Medicine & Therapeutics, The Chinese University of Hong Kong, Hong Kong
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