Eltrombopag before Procedures in Patients with Cirrhosis and Thrombocytopenia

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Titel: Eltrombopag before Procedures in Patients with Cirrhosis and Thrombocytopenia
Autoren: Afdhal NH, Giannini EG, Tayyab G, Mohsin A, Lee JW, Andriulli A, Jeffers L, McHutchison J, Chen PJ, Han KH, Campbell F, Hyde D, Brainsky A, Theodore D, ELEVATE Study Group [..., Akram J, ANDREONE, PIETRO, Bessonova E, Bilodeau M, Bloomer J, Botta Fridlund D, Bzowej N, Calmus Y, Carbonell N, Caro Patón A, Cholewinska G, Chuang WL, Colombato L, Colombo M, Craxi A, Di Leo A, Diago M, Dumortier J, Elkasahab M, Everson G, Fallon M, Fedeli G, Finazzi R, Fontanella A, Francavilla A, Gadano A, Gambarin Gelwan M, Gordon F, Graus Morales J, Grieco A, Gugenheim J, Homenda W, Iaquinto G, Kang H, Khan Z, Kuliczkowski K, Kwo P, Lee JH, Lee W, Lee YS, Mazur W, MAZZELLA, GIUSEPPE, Moreno C, Morozov V, Muñoz A, Navasa Anadón M, Nijhawan S, Pinzello G, Poordad F, Prieto Castillo M, Rafalsky V, Rapaccini G, Regenstein F, Rewak W, Riley T, Ripoll Noiseux C, Rizzetto M, Rodrigo Lopez J, Russo M, Samuel D, Sánchez Antolín G, Satyanaryana R, Savarino V, Shiffman M, Sigal S, Solá Lamoglia R, Sterling R, Tanno H, Te H, Terg R, Thuluvath P, Trepo C, Vargas H, Xiol Quingles X, Zaman A, Fontana R, Kim K, Abrams C, Gish R, Cardenas A
Quelle: New England Journal of Medicine. 367:716-724
Verlagsinformationen: Massachusetts Medical Society, 2012.
Publikationsjahr: 2012
Schlagwörter: Adult, Liver Cirrhosis, Male, 0301 basic medicine, Adolescent, Thrombopoietin -- agonists -- genetics, Hemorrhage, Platelet Transfusion, Benzoates, Hydrazines -- adverse effects -- therapeutic use, Young Adult, 03 medical and health sciences, Double-Blind Method, Elective, Surgical Procedures, Elective, Receptors, 80 and over, Humans, Aged, Aged, 80 and over, 0303 health sciences, Surgical Procedures, THROMBOCYTOPENIA, ELTROMBOPAG, CIRRHOSIS, CHRONIC LIVER DISEASE, Platelet Count, cirrhosis, Benzoic Acids, Pyrazoles -- adverse effects -- therapeutic use, Sciences bio-médicales et agricoles, Middle Aged, Hemorrhage -- epidemiology -- prevention & control, Thrombocytopenia, 3. Good health, Thrombocytopenia -- complications, Hydrazines, Elective Surgical Procedures, Platelet Transfusion -- statistics & numerical data, Chronic Disease, Pyrazoles, Female, Benzoates -- adverse effects -- therapeutic use, Liver Cirrhosis -- complications, Receptors, Thrombopoietin
Beschreibung: Eltrombopag is an oral thrombopoietin-receptor agonist. This study evaluated the efficacy of eltrombopag for increasing platelet counts and reducing the need for platelet transfusions in patients with thrombocytopenia and chronic liver disease who are undergoing an elective invasive procedure.We randomly assigned 292 patients with chronic liver disease of diverse causes and platelet counts of less than 50,000 per cubic millimeter to receive eltrombopag, at a dose of 75 mg daily, or placebo for 14 days before a planned elective invasive procedure that was performed within 5 days after the last dose. The primary end point was the avoidance of a platelet transfusion before, during, and up to 7 days after the procedure. A key secondary end point was the occurrence of bleeding (World Health Organization [WHO] grade 2 or higher) during this period.A platelet transfusion was avoided in 104 of 145 patients who received eltrombopag (72%) and in 28 of 147 who received placebo (19%) (P
Publikationsart: Article
Dateibeschreibung: application/pdf; No full-text files
Sprache: English
ISSN: 1533-4406
0028-4793
DOI: 10.1056/nejmoa1110709
Zugangs-URL: https://iris.unipa.it/bitstream/10447/73536/1/nejmoa1110709.pdf
https://pubmed.ncbi.nlm.nih.gov/22913681
https://moh-it.pure.elsevier.com/en/publications/eltrombopag-before-procedures-in-patients-with-cirrhosis-and-thro-2
https://yonsei.pure.elsevier.com/en/publications/eltrombopag-before-procedures-in-patients-with-cirrhosis-and-thro
https://mdanderson.influuent.utsystem.edu/en/publications/eltrombopag-before-procedures-in-patients-with-cirrhosis-and-thro-2
https://miami.pure.elsevier.com/en/publications/eltrombopag-before-procedures-in-patients-with-cirrhosis-and-thro-2
https://mdanderson.elsevierpure.com/en/publications/eltrombopag-before-procedures-in-patients-with-cirrhosis-and-thro-2
https://pubmed.ncbi.nlm.nih.gov/22913681/
http://hdl.handle.net/10447/73536
https://hdl.handle.net/10447/73536
https://hdl.handle.net/11567/382482
Dokumentencode: edsair.doi.dedup.....94c4867da64475128d50da54cdaee7f6
Datenbank: OpenAIRE
Beschreibung
Abstract:Eltrombopag is an oral thrombopoietin-receptor agonist. This study evaluated the efficacy of eltrombopag for increasing platelet counts and reducing the need for platelet transfusions in patients with thrombocytopenia and chronic liver disease who are undergoing an elective invasive procedure.We randomly assigned 292 patients with chronic liver disease of diverse causes and platelet counts of less than 50,000 per cubic millimeter to receive eltrombopag, at a dose of 75 mg daily, or placebo for 14 days before a planned elective invasive procedure that was performed within 5 days after the last dose. The primary end point was the avoidance of a platelet transfusion before, during, and up to 7 days after the procedure. A key secondary end point was the occurrence of bleeding (World Health Organization [WHO] grade 2 or higher) during this period.A platelet transfusion was avoided in 104 of 145 patients who received eltrombopag (72%) and in 28 of 147 who received placebo (19%) (P
ISSN:15334406
00284793
DOI:10.1056/nejmoa1110709