PMID- 34490101 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210908 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 11 DP - 2021 TI - A Real-World Observation of Eltrombopag and Recombinant Human Thrombopoietin (rhTPO) in Lymphoma Patients With Chemotherapy Induced Thrombocytopenia. PG - 701539 LID - 10.3389/fonc.2021.701539 [doi] LID - 701539 AB - This real-world, observational study aimed to assess and compare the clinical efficacy and safety of eltrombopag with recombinant human thrombopoietin (rhTPO) in the treatment of chemotherapy induced thrombocytopenia (CIT) in patients with lymphoma. One hundred and fifty-three patients who experienced grade 3 or 4 thrombocytopenia after chemotherapy for lymphoma were enrolled, 51 of which were treated with eltrombopag, 50 with rhTPO, and 52 patients with no drug treatment were served as the control group. The lowest platelet level and mean platelet counts at Day 5, Day 7, and Day 10 were significantly higher in both the eltrombopag group (P=.041,.003,.000,.000) and rhTPO group (P=.005,.005,.000,.000) than the control, but there was no difference between treatment with eltrombopag and rhTPO. Similarly, days required for the recovery of platelet counts to >/=50x10(9)/L and >/=75x10(9)/L were not different between the two treatment groups but significantly higher than the control group (P <.05). Rates of bleeding and platelet transfusion were all significantly reduced in patients treated with eltrombopag (P=.031,.032) or rhTPO (P=.017,.009) when compared to the control. Treatment-related adverse events (AEs) were reported in 7 (13.7%) and 6 (12.0%) patients in the eltrombopag and rhTPO groups, respectively, all being mild and transient in nature. In conclusion, both eltrombopag and rhTPO were effective and safe in the treatment of thrombocytopenia after chemotherapy for lymphoma. CI - Copyright (c) 2021 Zhu, Yang, Zeng, Li, Guan, Zhou, Wang, Liu, Gao, Qiu, Chen, Li, Zheng, Yuan, Zhang and Pan. FAU - Zhu, Qiuhua AU - Zhu Q AD - Department of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangdong, China. FAU - Yang, Shimei AU - Yang S AD - Department of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangdong, China. FAU - Zeng, Wenbin AU - Zeng W AD - Department of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangdong, China. FAU - Li, Mingjie AU - Li M AD - Department of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangdong, China. FAU - Guan, Zebing AU - Guan Z AD - Department of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangdong, China. FAU - Zhou, Lanlan AU - Zhou L AD - Department of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangdong, China. FAU - Wang, Hong AU - Wang H AD - Department of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangdong, China. FAU - Liu, Yanan AU - Liu Y AD - Department of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangdong, China. FAU - Gao, Yanmin AU - Gao Y AD - Department of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangdong, China. FAU - Qiu, Shiqiu AU - Qiu S AD - Department of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangdong, China. FAU - Chen, Chaolun AU - Chen C AD - Department of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangdong, China. FAU - Li, Huan AU - Li H AD - Department of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangdong, China. FAU - Zheng, Shanshan AU - Zheng S AD - Department of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangdong, China. FAU - Yuan, Yuemei AU - Yuan Y AD - Department of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangdong, China. FAU - Zhang, Hanling AU - Zhang H AD - Department of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangdong, China. FAU - Pan, Xueyi AU - Pan X AD - Department of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangdong, China. LA - eng PT - Journal Article DEP - 20210818 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC8418194 OTO - NOTNLM OT - chemotherapy OT - eltrombopag OT - lymphoma OT - recombinant human thrombopoietin (rhTPO) OT - thrombocytopaenia COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/09/08 06:00 MHDA- 2021/09/08 06:01 PMCR- 2021/01/01 CRDT- 2021/09/07 07:45 PHST- 2021/04/28 00:00 [received] PHST- 2021/07/31 00:00 [accepted] PHST- 2021/09/07 07:45 [entrez] PHST- 2021/09/08 06:00 [pubmed] PHST- 2021/09/08 06:01 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2021.701539 [doi] PST - epublish SO - Front Oncol. 2021 Aug 18;11:701539. doi: 10.3389/fonc.2021.701539. eCollection 2021.