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Safety of non‑peptide thrombopoietin receptor agonists in patients with immune thrombocytopenia: A systematic review and meta‑analysis of short‑term double‑blind randomized clinical trials

  • Authors:
    • Nan Shen
    • Jibing Qiao
    • Yazhou Jiang
    • Hanjun Yin
    • Min Li
    • Suyue Zhu
    • Jianqin Li
  • View Affiliations / Copyright

    Affiliations: Department of Pediatrics, Suqian Hospital Affiliated to Xuzhou Medical University, Suqian, Jiangsu 223800, P.R. China, Department of Hematology, The Children's Hospital of Soochow University, Suzhou, Jiangsu 215000, P.R. China
    Copyright: © Shen et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 393
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    Published online on: July 3, 2023
       https://doi.org/10.3892/etm.2023.12092
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Abstract

The aim of the present study was to analyze the safety of non‑peptide thrombopoietin receptor agonists (TPO‑RAs) for immune thrombocytopenia (ITP) treatment. All studies reporting adverse events (AEs) in relation to ITP treatment with eltrombopag, avatrombopag, and hetrombopag were retrieved from PubMed, Web of Science, and Embase databases. RevMan 5.4.1 was used for meta‑analysis, heterogeneity and bias analyses. A total of 1,078 patients from seven eligible studies were enrolled. In the enrolled clinical trials, the double‑blind period was between 6 weeks and 6 months. The results revealed that the chances of any AEs [relative risk (RR)=1.16; 95% confidence interval (CI), 0.90‑1.51; I2=78%; P=0.26], grade 3/4 AEs (RR=1.07; 95% CI, 0.63‑1.80; I2=0%; P=0.81), elevated transaminase levels (RR=1.09; 95% CI, 0.68‑1.74; I2=0%; P=0.72), thrombosis (RR=1.92; 95% CI, 0.55‑6.66; I2=0%; P=0.31) and cataracts (RR=0.83; 95% CI, 0.38‑1.83; I2=0%; P=0.65) were not significantly higher in patients with ITP that received non‑peptide TPO‑RAs compared with patients with ITP treated with a placebo. The present study indicated that non‑peptide TPO‑RAs were relatively safe for patients with ITP, at least within 6 months of administration.
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Copy and paste a formatted citation
Spandidos Publications style
Shen N, Qiao J, Jiang Y, Yin H, Li M, Zhu S and Li J: Safety of non‑peptide thrombopoietin receptor agonists in patients with immune thrombocytopenia: A systematic review and meta‑analysis of short‑term double‑blind randomized clinical trials. Exp Ther Med 26: 393, 2023.
APA
Shen, N., Qiao, J., Jiang, Y., Yin, H., Li, M., Zhu, S., & Li, J. (2023). Safety of non‑peptide thrombopoietin receptor agonists in patients with immune thrombocytopenia: A systematic review and meta‑analysis of short‑term double‑blind randomized clinical trials. Experimental and Therapeutic Medicine, 26, 393. https://doi.org/10.3892/etm.2023.12092
MLA
Shen, N., Qiao, J., Jiang, Y., Yin, H., Li, M., Zhu, S., Li, J."Safety of non‑peptide thrombopoietin receptor agonists in patients with immune thrombocytopenia: A systematic review and meta‑analysis of short‑term double‑blind randomized clinical trials". Experimental and Therapeutic Medicine 26.2 (2023): 393.
Chicago
Shen, N., Qiao, J., Jiang, Y., Yin, H., Li, M., Zhu, S., Li, J."Safety of non‑peptide thrombopoietin receptor agonists in patients with immune thrombocytopenia: A systematic review and meta‑analysis of short‑term double‑blind randomized clinical trials". Experimental and Therapeutic Medicine 26, no. 2 (2023): 393. https://doi.org/10.3892/etm.2023.12092
Copy and paste a formatted citation
x
Spandidos Publications style
Shen N, Qiao J, Jiang Y, Yin H, Li M, Zhu S and Li J: Safety of non‑peptide thrombopoietin receptor agonists in patients with immune thrombocytopenia: A systematic review and meta‑analysis of short‑term double‑blind randomized clinical trials. Exp Ther Med 26: 393, 2023.
APA
Shen, N., Qiao, J., Jiang, Y., Yin, H., Li, M., Zhu, S., & Li, J. (2023). Safety of non‑peptide thrombopoietin receptor agonists in patients with immune thrombocytopenia: A systematic review and meta‑analysis of short‑term double‑blind randomized clinical trials. Experimental and Therapeutic Medicine, 26, 393. https://doi.org/10.3892/etm.2023.12092
MLA
Shen, N., Qiao, J., Jiang, Y., Yin, H., Li, M., Zhu, S., Li, J."Safety of non‑peptide thrombopoietin receptor agonists in patients with immune thrombocytopenia: A systematic review and meta‑analysis of short‑term double‑blind randomized clinical trials". Experimental and Therapeutic Medicine 26.2 (2023): 393.
Chicago
Shen, N., Qiao, J., Jiang, Y., Yin, H., Li, M., Zhu, S., Li, J."Safety of non‑peptide thrombopoietin receptor agonists in patients with immune thrombocytopenia: A systematic review and meta‑analysis of short‑term double‑blind randomized clinical trials". Experimental and Therapeutic Medicine 26, no. 2 (2023): 393. https://doi.org/10.3892/etm.2023.12092
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