Eltrombopag Added to Immunosuppression in Severe Aplastic Anemia

A randomized trial comparing immunosuppression (horse ATG and cyclosporine) with the same therapy plus eltrombopag showed more rapid and complete responses with the addition of eltrombopag. Severe adverse effects were similar in the two groups. Somatic mutations increased in both groups but did not...

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Veröffentlicht in:The New England journal of medicine 2022-01, Vol.386 (1), p.11-23
Hauptverfasser: Peffault de Latour, Régis, Kulasekararaj, Austin, Iacobelli, Simona, Terwel, Sofie R, Cook, Riley, Griffin, Morag, Halkes, Constantijn J.M, Recher, Christian, Barraco, Fiorenza, Forcade, Edouard, Vallejo, Juan-Carlos, Drexler, Beatrice, Mear, Jean-Baptiste, Smith, Alexander E, Angelucci, Emanuele, Raymakers, Reinier A.P, de Groot, Marco R, Daguindau, Etienne, Nur, Erfan, Barcellini, Wilma, Russell, Nigel H, Terriou, Louis, Iori, Anna-Paola, La Rocca, Ursula, Sureda, Anna, Sánchez-Ortega, Isabel, Xicoy, Blanca, Jarque, Isidro, Cavenagh, James, Sicre de Fontbrune, Flore, Marotta, Serena, Munir, Talha, Tjon, Jennifer M.L, Tavitian, Suzanne, Praire, Aline, Clement, Laurence, Rabian, Florence, Marano, Luana, Hill, Anita, Palmisani, Elena, Muus, Petra, Cacace, Fabiana, Frieri, Camilla, van Lint, Maria-Teresa, Passweg, Jakob R, Marsh, Judith C.W, Socié, Gérard, Mufti, Ghulam J, Dufour, Carlo, Risitano, Antonio M
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Sprache:eng
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Zusammenfassung:A randomized trial comparing immunosuppression (horse ATG and cyclosporine) with the same therapy plus eltrombopag showed more rapid and complete responses with the addition of eltrombopag. Severe adverse effects were similar in the two groups. Somatic mutations increased in both groups but did not lead to an increase in leukemia.
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMoa2109965