Table 2.
Existing literature on Eltrombopag in poor graft function with or without isolated cytopenias after hematopoietic stem cell transplantation
| References | No. of patients (n) | Patient population and characteristics | Median day of starting Eltrombopag | Median duration of treatment | Dose of Eltrombopag (mg) | Outcomes (%) | Comments/additional findings |
|---|---|---|---|---|---|---|---|
| Tang et al. [47] | 12 | PGF; ALL-4; AML-3; SAA-3 | D + 175 | 8 weeks | 25–50 | 83.3 | 66% sustained complete resolution after stopping drug |
| Milovic et al. [53] | 4 | PGF; AML-3; ALL-1 | D + 83 | NA | 12.5–50 | 75 | 50% had sustained complete resolution; 1 patient had skin toxicity; |
| Giammarco et al. [54] | 10 | PGF + Isolated cytopenia; AML-4; ALL-3; MDS-2 | D + 134 | 164 days | 50–150 | 100 | Patients also supported with G-CSF and EPO; |
| Marotta et al. [41] | 12 | PGF + PIT + SFPR; AML-5; ALL-1; MDS-2; SAA-1 | D + 79 | 107 days | 25–150 | 58.3 | 50% had sustained complete resolution; All patients MAC; 75% Haplo-identical patients |
| Fu et al. [48] | 38 | PGF + PIT + SFPR; AML-14; ALL-17; MDS-1; SAA-6 | D + 179 | 64 days | 25–50 | 63.2 | Adequate megs prior to treatment favours response |
PGF poor graft function, NA not available, ALL acute lymphoblastic leukemia, AML acute myeloid leukemia, MDS myelodysplastic syndrome, SAA severe aplastic anemia, G-CSF granulocyte colony stimulating factor, EPO erythropoietin, MAC myeloablative conditioning, PIT persistent isolated thrombocytopenia, SFPR secondary failure of platelet recovery, megs megakaryocytes, EBMT European group of blood and marrow transplantation