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November 12, 2018American Journal of HematologyOpen Access

Changes in health‐related quality of life with long‐term eltrombopag treatment in adults with persistent/chronic immune thrombocytopenia: Findings from the EXTEND study

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Key result

Long-term eltrombopag treatment in adults with persistent/chronic immune thrombocytopenia improved health-related quality of life scores from baseline for up to 5 years (P<0.05).

Why the study?

Does long-term eltrombopag improve health-related quality of life in adults with persistent/chronic immune thrombocytopenia?

Population

302 adults with persistent/chronic immune thrombocytopenia who completed a previous eltrombopag ITP trial

Design

Cohort

Follow-up

median 2.37 years

Authors

AKAbderrahim KhélifMSMansoor N. SalehASAbdulgabar Salama

Discussion

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Overview

Associated with sustained HRQoL gains in chronic ITP; leaves open need for randomized confirmation.

Study Design

Type

Cohort (n=302)

Blinding

Open-label

Structured PICO

Does long-term eltrombopag improve health-related quality of life in adults with persistent/chronic immune thrombocytopenia?

P
Population
302 adults with persistent/chronic immune thrombocytopenia who completed a previous eltrombopag trial, treated with eltrombopag for a median of 2.37 years.
I
Intervention
Eltrombopag (oral thrombopoietin-receptor-agonist) for a median duration of 2.37 years
O
Outcome
Changes in patient-reported health-related quality of life (HRQoL) over time and association between HRQoL and platelet response, measured by SF-36v2, MEI-SF, FACIT-Fatigue, and FACT-Th6patient reported

Main Result

p-value: p=<0.05

Long-term eltrombopag treatment in adults with chronic immune thrombocytopenia is associated with sustained improvements in health-related quality of life, particularly in fatigue and physical function.

Cite This Study

Khélif et al. (2018) conducted a cohort in persistent/chronic immune thrombocytopenia (cITP) (n=302). Eltrombopag was evaluated on Changes in patient-reported HRQoL over time and association between HRQoL and platelet response (p=<0.05). Long-term eltrombopag treatment in adults with persistent/chronic immune thrombocytopenia improved health-related quality of life scores from baseline for up to 5 years (P<0.05).

synapsesocial.com/papers/6a7f0cda80d715b4559c49dfhttps://doi.org/10.1002/ajh.25348
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Self‐reported health‐related quality of life in adults with chronic immune thrombocytopenic purpura2007 · 161 citations
  2. 2Guidelines for the investigation and management of idiopathic thrombocytopenic purpura in adults, children and in pregnancy2003 · 810 citations
  3. 3Phase 1 clinical study of eltrombopag, an oral, nonpeptide thrombopoietin receptor agonist2007 · 299 citations
  4. 4Health-related quality of life of immune thrombocytopenic purpura patients: results from a web-based survey2008 · 77 citations
  5. 5The American Society of Hematology 2011 evidence-based practice guideline for immune thrombocytopenia2011 · 1,869 citations