Difficult-to-treat primary immune thrombocytopenia in adults: Prevalence and burden. Results from the CARMEN-France registry

被引:2
|
作者
Moulis, Guillaume [1 ,2 ,16 ]
Rueter, Manuela [2 ]
Duvivier, Aymeric [3 ]
Mahevas, Matthieu [4 ]
Viallard, Jean-Francois [5 ]
Comont, Thibault [6 ]
Cheze, Stephane [7 ]
Audia, Sylvain [8 ]
Ebbo, Mikael [9 ]
Terriou, Louis [10 ]
Lega, Jean-Christophe [11 ]
Jeandel, Pierre-Yves [12 ]
Hemim, Ines [3 ]
Bozzi, Sylvie [3 ]
Daak, Ahmed [13 ]
Okada, Hikaru [14 ]
Bonnotte, Bernard [8 ]
Michel, Marc [4 ]
Lapeyre-Mestre, Maryse [2 ,15 ]
Godeau, Bertrand [4 ]
机构
[1] Toulouse Univ Hosp, Dept Internal Med, Toulouse, France
[2] Toulouse Univ Hosp, Clin Invest Ctr, Toulouse, France
[3] Sanofi, Chilly Mazarin, France
[4] Creteil Univ Hosp, Natl Referral Ctr Autoimmune Cytopenias, Dept Internal Med, Creteil, France
[5] Bordeaux Univ Hosp, Dept Internal Med, Bordeaux, France
[6] Toulouse Canc Univ Hosp, Dept Internal Med, Toulouse, France
[7] Caen Univ Hosp, Dept Hematol, Caen, France
[8] Dijon Univ Hosp, Dept Internal Med, Dijon, France
[9] Marseille Univ Hosp, Dept Internal Med, Marseille, France
[10] Lille Univ Hosp, Dept Internal Med, Lille, France
[11] Lyon Univ Hosp, Dept Internal Med, Lyon, France
[12] Nice Univ Hosp, Dept Internal Med, Nice, France
[13] Sanofi KK, Tokyo, Japan
[14] Sanofi, Cambridge, MA USA
[15] Toulouse Univ Hosp, Dept Clin Pharmacol, Toulouse, France
[16] Ctr Hosp Univ Toulouse, Serv Med Interne, Pl Docteur Baylac, F-31059 Toulouse 9, France
关键词
difficult-to-treat; epidemiology; immune thrombocytopenia; infection; refractory; thrombosis;
D O I
10.1111/bjh.19288
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The aim of this study was to assess the prevalence and the burden of difficult-to-treat primary ITP (pITP), defined by the need for another ITP treatment after romiplostim and eltrombopag. Adult patients were selected in the prospective, real-world CARMEN-France registry up to December 2021. Out of 821 adult patients with pITP, 29 had difficult-to-treat ITP (3.5%; 95% confidence interval [CI]: 2.3%-4.8% in total; 7.6%; 95% CI: 4.9%-10.2% of patients needing >= 2nd line treatment). The 3-year cumulative incidence of bleeding, infection and thrombosis was 100%, 24.1% and 13.8% respectively. The median cumulative duration of hospital stays was 31 days (median follow-up: 30.3 months).
引用
收藏
页码:1476 / 1482
页数:7
相关论文
共 37 条
  • [1] Multirefractory Primary Immune Thrombocytopenia in Adults: Prevalence and Burden. Results from the CarmenFrance Registry
    Moulis, Guillaume
    Rueter, Manuela
    Mahevas, Matthieu
    Viallard, Jean-Francois
    Comont, Thibault
    Cheze, Stephane
    Audia, Sylvain
    Ebbo, Mikael
    Terriou, Louis
    Lega, Jean-Christophe
    Jeandel, Pierre-Yves
    Bonnotte, Bernard
    Michel, Marc
    Lapeyre-Mestre, Maryse
    Godeau, Bertrand
    [J]. BLOOD, 2022, 140 : 5557 - 5558
  • [2] Primary immune thrombocytopenia in very elderly patients: particularities in presentation and management: results from the prospective CARMEN-France Registry
    Sokal, Aurelien
    de Nadai, Thomas
    Maquet, Julien
    Comont, Thibault
    Limal, Nicolas
    Michel, Marc
    Beyne-Rauzy, Odile
    Godeau, Bertrand
    Adoue, Daniel
    Mahevas, Matthieu
    Moulis, Guillaume
    [J]. BRITISH JOURNAL OF HAEMATOLOGY, 2022, 196 (05) : 1262 - 1270
  • [3] The CARMEN-France registry of adult patients with immune thrombocytopenia and autoimmune hemolytic anemia in France
    Moulis, Guillaume
    Michel, Marc
    Bonnotte, Bernard
    Godeau, Bertrand
    [J]. REVUE DE MEDECINE INTERNE, 2024, 45 (09): : 543 - 548
  • [4] Adolescents and Young Adults with Immune Thrombocytopenia (ITP): A Project of the Carmen-France and Parc-ITP Registry
    Schifferli, Alexandra
    Moulis, Guillaume
    Godeau, Bertrand
    Leblanc, Thierry
    Michel, Marc
    Iadjidi, Nathalie A.
    Leverger, Guy
    Elalfy, Mohsen Saleh
    Grainger, John
    Chitlur, Meera B.
    Heiri, Andrea
    Holzhauer, Susanne
    Kuehne, Thomas
    [J]. BLOOD, 2021, 138
  • [5] Immune Thrombocytopenia in Very Elderly Patients: Particularities in Presentation and Management. Results from the Multicenter Prospective Carmen-France Registry
    Sokal, Aurelien
    de Nadai, Thomas
    Comont, Thibault
    Limal, Nicolas
    Michel, Marc
    Beyne-Rauzy, Odile
    Godeau, Bertrand
    Adoue, Daniel
    Mahevas, Matthieu
    Moulis, Guillaume
    [J]. BLOOD, 2019, 134
  • [6] Platelet Count Threshold Associated with Bleeding in Adult Patients with Immune Thrombocytopenia Treated with Antiplatelet Drugs. Results from the Carmen-France Registry
    Ollier, Natacha
    Piel-Julian, Marie-Lea
    Mahevas, Matthieu
    Viallard, Jean-Francois
    Comont, Thibault
    Cheze, Stephane
    Audia, Sylvain
    Ebbo, Mikael
    Terriou, Louis
    Lega, Jean-Christophe
    Jeandel, Pierre-Yves
    Bonnotte, Bernard
    Michel, Marc
    Lapeyre-Mestre, Maryse
    Godeau, Bertrand
    Moulis, Guillaume
    [J]. BLOOD, 2022, 140
  • [7] Cardiovascular risk factors in immune thrombocytopenia adults: Results from the CARMEN registry
    Moulis, Guillaume
    Germain, Johanne
    Comont, Thibault
    Arrouy, Amelie
    Lapeyre-Mestre, Maryse
    Adoue, Daniel
    [J]. AMERICAN JOURNAL OF HEMATOLOGY, 2018, 93 (07) : E181 - E184
  • [8] Prevalence and characteristics of adults with difficult-to-treat rheumatoid arthritis in a large patient registry
    Paudel, Misti L.
    Li, Ruogu
    Naik, Chinmayi
    Shadick, Nancy
    Weinblatt, Michael E.
    Solomon, Daniel H.
    [J]. RHEUMATOLOGY, 2024,
  • [9] Significance of antinuclear antibodies in primary immune thrombocytopenia: results of the CARMEN registry
    Moulis, Guillaume
    Comont, Thibault
    Germain, Johanne
    Sommet, Agnes
    Lapeyre-Mestre, Maryse
    Beyne-Rauzy, Odile
    Adoue, Daniel
    [J]. BLOOD ADVANCES, 2020, 4 (09) : 1974 - 1977
  • [10] The Results of the Russian Registry of Primary Immune Thrombocytopenia (ITP) in Adults
    Lisukov, Igor
    Maschan, Alexey
    Shamardina, Anastasia
    Chagorova, Tatyana
    Davydkin, Igor
    Sycheva, Tatyana
    Zagoskina, Tamara
    Karyagina, Elena
    Salogub, Galina
    Savinova, Marina
    Schelekhova, Tatyana
    Kovaleva, Lidiya
    Schneider, Tatyana
    Unzhekova, Anna
    Kuznetsova, Elena
    Schatochin, Yuriy
    Ivanova, Maria
    Vinogradova, Elena
    Kaplanov, Kamil
    Markova, Inna
    Kanjukova, Olimpiada
    Abdulkadyrov, Kudrat
    Sedlova, Julia
    Osynikhina, Svetlana
    Tsvetaeva, Nina
    Volodicheva, Elena
    Akhmadeev, Aryslan
    Maschan, Michael A.
    Kulagin, Alexandr
    Rumyantsev, Alexander
    Afanasyev, Boris V.
    [J]. BLOOD, 2015, 126 (23)