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It appears to be a modulator, not just a blunt-force suppressor

A.et al (2010)

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In an open-label, phase 2 study evaluating the efficacy and safety of roxadustat in anemic patients receiving chemotherapy for non-myeloid malignancies, the results showed that roxadustat increased Hb without adverse events of tumor progression in patients with chemotherapy-induced anemia regardless of tumor type and chemotherapy regimen (Glaspy et al., 2023)