학술논문

Eltrombopag for Treatment of Thrombocytopenia Following Hematopoietic Stem Cell Transplantation
Document Type
article
Source
Turkish Journal of Hematology, Vol 39, Iss 2, Pp 103-108 (2022)
Subject
eltrombopag
thrombocytopenia
hematopoietic stem cell transplantation
platelet recovery
Diseases of the blood and blood-forming organs
RC633-647.5
Language
English
ISSN
1308-5263
Abstract
Objective: This study aimed to evaluate the efficacy and safety of eltrombopag (ELT) in the treatment of thrombocytopenia following hematopoietic stem cell transplantation (HSCT). Materials and Methods: Forty-eight patients treated with ELT for thrombocytopenia after allogeneic or autologous transplantation at the Erciyes University Bone Marrow Transplantation Center between July 2017 and July 2021 were evaluated retrospectively. Results: Forty-eight HSCT recipients were included in this study. Thirty (62.5%) patients were evaluated as having experienced delayed platelet recovery (DPR) and 18 (37.5%) patients as having experienced secondary failure of platelet recovery (SFPR). The median platelet count before ELT treatment was 13x109/L (range: 3-20x109/L). Twentythree patients responded to treatment and the cumulative incidence of successful platelet recovery was 48%. Patients with both DPR and SFPR responded, but patients with DPR had a higher response rate (50% vs. 44%). The median platelet count of the 23 responding patients was 12x109/L (5-19x109/L) before treatment and 68x109/L (52-266x109/L) after treatment (p