Real‐world evidence of pegcetacoplan in patients with paroxysmal nocturnal haemoglobinuria: A nationwide Italian study
In this study, we collected real‐world evidence on the use of pegcetacoplan among 22 Italian patients with paroxysmal nocturnal haemoglobinuria showing suboptimal response to anti‐C5 treatments eculizumab and ravulizumab. Most patients exhibited a complete or good response as per the criteria of the...
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Published in | British journal of haematology Vol. 206; no. 4; pp. 1246 - 1249 |
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Main Authors | , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
Blackwell Publishing Ltd
01.04.2025
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Subjects | |
Online Access | Get full text |
ISSN | 0007-1048 1365-2141 1365-2141 |
DOI | 10.1111/bjh.20025 |
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Abstract | In this study, we collected real‐world evidence on the use of pegcetacoplan among 22 Italian patients with paroxysmal nocturnal haemoglobinuria showing suboptimal response to anti‐C5 treatments eculizumab and ravulizumab. Most patients exhibited a complete or good response as per the criteria of the European Bone Marrow Transplant group (Risitano et al. Front Immunol 2019) and median haemoglobin improvement from baseline was +3.6 g/dL. During the 6‐month follow‐up, 27% of patients displayed a breakthrough haemolytic event mainly managed with supportive treatment. No thromboses occurred. |
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AbstractList | In this study, we collected real-world evidence on the use of pegcetacoplan among 22 Italian patients with paroxysmal nocturnal haemoglobinuria showing suboptimal response to anti-C5 treatments eculizumab and ravulizumab. Most patients exhibited a complete or good response as per the criteria of the European Bone Marrow Transplant group (Risitano et al. Front Immunol 2019) and median haemoglobin improvement from baseline was +3.6 g/dL. During the 6-month follow-up, 27% of patients displayed a breakthrough haemolytic event mainly managed with supportive treatment. No thromboses occurred.In this study, we collected real-world evidence on the use of pegcetacoplan among 22 Italian patients with paroxysmal nocturnal haemoglobinuria showing suboptimal response to anti-C5 treatments eculizumab and ravulizumab. Most patients exhibited a complete or good response as per the criteria of the European Bone Marrow Transplant group (Risitano et al. Front Immunol 2019) and median haemoglobin improvement from baseline was +3.6 g/dL. During the 6-month follow-up, 27% of patients displayed a breakthrough haemolytic event mainly managed with supportive treatment. No thromboses occurred. In this study, we collected real-world evidence on the use of pegcetacoplan among 22 Italian patients with paroxysmal nocturnal haemoglobinuria showing suboptimal response to anti-C5 treatments eculizumab and ravulizumab. Most patients exhibited a complete or good response as per the criteria of the European Bone Marrow Transplant group (Risitano et al. Front Immunol 2019) and median haemoglobin improvement from baseline was +3.6 g/dL. During the 6-month follow-up, 27% of patients displayed a breakthrough haemolytic event mainly managed with supportive treatment. No thromboses occurred. In this study, we collected real‐world evidence on the use of pegcetacoplan among 22 Italian patients with paroxysmal nocturnal haemoglobinuria showing suboptimal response to anti‐C5 treatments eculizumab and ravulizumab. Most patients exhibited a complete or good response as per the criteria of the European Bone Marrow Transplant group (Risitano et al. Front Immunol 2019) and median haemoglobin improvement from baseline was +3.6 g/dL. During the 6‐month follow‐up, 27% of patients displayed a breakthrough haemolytic event mainly managed with supportive treatment. No thromboses occurred. |
Author | Marzilli, Maria Antonietta Miglino, Maurizio Sica, Simona Di Giacomo, Valeria Ricco, Alessandra Fattizzo, Bruno Metafuni, Elisabetta Marktel, Sarah Leoni, Claudia Battipaglia, Giorgia Condorelli, Annalisa Sau, Antonella Iori, Anna Paola Patriarca, Andrea Trolese, Annarita Oliva, Esther Natalie Carlino, Daniela Sanpaolo, Grazia Brioschi, Filippo Achille Barcellini, Wilma |
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References_xml | – volume: 7 start-page: 2468 issue: 11 year: 2023 end-page: 2478 article-title: Pegcetacoplan controls hemolysis in complement inhibitor‐naive patients with paroxysmal nocturnal hemoglobinuria publication-title: Blood Adv – volume: 25 issue: 16 year: 2024 article-title: Moving toward individual treatment goals with pegcetacoplan in patients with PNH and impaired bone marrow function publication-title: Int J Mol Sci – volume: 46 start-page: 43 issue: 1 year: 2024 end-page: 54 article-title: Complement inhibition in paroxysmal nocturnal hemoglobinuria: from biology to therapy publication-title: Int J Lab Hematol – volume: 384 start-page: 1028 issue: 11 year: 2021 end-page: 1037 article-title: Pegcetacoplan versus eculizumab in paroxysmal nocturnal hemoglobinuria publication-title: N Engl J Med – volume: 10 year: 2019 article-title: Anti‐complement treatment for paroxysmal nocturnal hemoglobinuria: time for proximal complement inhibition? A position paper from the SAAWP of the EBMT publication-title: Front Immunol – volume: 41 start-page: 2050 issue: 5 year: 2024 end-page: 2069 article-title: Safety and efficacy of Pegcetacoplan in adult patients with paroxysmal nocturnal hemoglobinuria over 48 weeks: 307 open‐label extension study publication-title: Adv Ther – volume: 25 issue: 16 year: 2024 article-title: Three years on: the role of pegcetacoplan in paroxysmal nocturnal hemoglobinuria (PNH) since its initial approval publication-title: Int J Mol Sci – volume: 8 issue: 4 year: 2024 article-title: Thrombosis and meningococcal infection rates in pegcetacoplan‐treated patients with paroxysmal nocturnal hemoglobinuria in the clinical trial and postmarketing settings publication-title: Res Pract Thromb Haemost – volume: 8 start-page: 1776 issue: 7 year: 2024 end-page: 1786 article-title: Management of acute breakthrough hemolysis with intensive pegcetacoplan dosing in patients with PNH publication-title: Blood Adv – volume: 99 start-page: 816 issue: 5 year: 2024 end-page: 823 article-title: Real‐world experience of pegcetacoplan in paroxysmal nocturnal hemoglobinuria publication-title: Am J Hematol – volume: 98 start-page: S33 issue: 4 year: 2023 end-page: S43 article-title: Paroxysmal nocturnal hemoglobinuria: where are we going publication-title: Am J Hematol – ident: e_1_2_2_5_1 doi: 10.1002/ajh.27242 – ident: e_1_2_2_6_1 doi: 10.3389/fimmu.2019.01157 – ident: e_1_2_2_11_1 doi: 10.1016/j.rpth.2024.102416 – ident: e_1_2_2_3_1 doi: 10.1111/ijlh.14281 – ident: e_1_2_2_8_1 doi: 10.1007/s12325‐024‐02827‐8 – ident: e_1_2_2_7_1 doi: 10.1182/bloodadvances.2022009129 – ident: e_1_2_2_4_1 doi: 10.1056/NEJMoa2029073 – ident: e_1_2_2_12_1 doi: 10.1182/bloodadvances.2023011691 – ident: e_1_2_2_2_1 doi: 10.1002/ajh.26882 – ident: e_1_2_2_9_1 doi: 10.3390/ijms25168698 – ident: e_1_2_2_10_1 doi: 10.3390/ijms25168591 |
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Snippet | In this study, we collected real‐world evidence on the use of pegcetacoplan among 22 Italian patients with paroxysmal nocturnal haemoglobinuria showing... In this study, we collected real-world evidence on the use of pegcetacoplan among 22 Italian patients with paroxysmal nocturnal haemoglobinuria showing... |
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SubjectTerms | Adult Aged Antibodies, Monoclonal, Humanized - administration & dosage Antibodies, Monoclonal, Humanized - adverse effects Antibodies, Monoclonal, Humanized - therapeutic use Bone marrow transplantation Female Hemoglobin Hemoglobinuria, Paroxysmal - blood Hemoglobinuria, Paroxysmal - drug therapy Hemoglobinuria, Paroxysmal - epidemiology Humans Italy - epidemiology Male Middle Aged |
Title | Real‐world evidence of pegcetacoplan in patients with paroxysmal nocturnal haemoglobinuria: A nationwide Italian study |
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