Combination of FVIII and low-dose rFVIIa improves haemostasis in acquired haemophilia A patients: a collaborative controlled study

作者: Xiao-hui Zhang , Xiao-lu Zhu , Ting Niu , Jing Sun , Hui Liu

DOI: 10.1016/J.THROMRES.2015.02.029

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摘要: Abstract Introduction Acquired haemophilia A (AHA) is an autoimmune disease that potentially leads to severe bleeding and has a high rate of mortality. This collaborative study aimed assess the efficacy co-administration FVIII low-dose rFVIIa in patients with AHA. Materials Methods retrospectively compared combined FVIII/low-dose therapy (initial dose range 25–55 μg/Kg) FVIII/PCC monotherapy. Adverse drug reactions recurrent episodes were also monitored. Crude comparisons exact conditional logistic regression performed compare outcomes between three treatment groups. Results First 56 consecutive from 5 centres analyzed, 37 (66.1%) determined be severe. Specifically, control was significantly higher alone or (58.3% vs. 41.7% 95.0%, respectively). Analyzing total 236 showed clear positive association early initiation haemostatic efficacy. No therapy-related adverse events which thrombosis predominated reported. Conclusions The combination offers ideal cover may promoted as feasible safe protocol for

参考文章(40)
C R M Hay, C Negrier, C A Ludlam, The treatment of bleeding in acquired haemophilia with recombinant factor VIIa: a multicentre study. Thrombosis and Haemostasis. ,vol. 78, pp. 1463- 1467 ,(1997) , 10.1055/S-0038-1665434
Matteo N D Di Minno, Anna M Cerbone, Rosaria Mormile, Mirko Di Capua, Antonio Coppola, Antonella Tufano, Ernesto Cimino, Giovanni Di Minno, Assunta Nardo, Maria L Burzo, Management of bleeding in acquired haemophilia A with recombinant activated factor VII: does one size fit all? A report of four cases. Vox Sanguinis. ,vol. 13, pp. 328- 332 ,(2015) , 10.2450/2014.0047-14
Jørgen Ingerslev, Benny Sørensen, Parallel use of by-passing agents in haemophilia with inhibitors: a critical review. British Journal of Haematology. ,vol. 155, pp. 256- 262 ,(2011) , 10.1111/J.1365-2141.2011.08854.X
P. W. COLLINS, Management of acquired haemophilia A. Journal of Thrombosis and Haemostasis. ,vol. 9, pp. 226- 235 ,(2011) , 10.1111/J.1538-7836.2011.04309.X
M. J. SUMNER, B. D. GELDZILER, M. PEDERSEN, S. SEREMETIS, Treatment of acquired haemophilia with recombinant activated FVII: a critical appraisal Haemophilia. ,vol. 13, pp. 451- 461 ,(2007) , 10.1111/J.1365-2516.2007.01474.X
Shrimati Shetty, Manali Bhave, Kanjaksha Ghosh, Acquired hemophilia a: diagnosis, aetiology, clinical spectrum and treatment options. Autoimmunity Reviews. ,vol. 10, pp. 311- 316 ,(2011) , 10.1016/J.AUTREV.2010.11.005
T. Livnat, U. Martinowitz, S. Azar-Avivi, A. Zivelin, T. Brutman-Barazani, A. Lubetsky, G. Kenet, Combined administration of FVIII and rFVIIa improves haemostasis in haemophilia A patients with high-responding inhibitors--a thrombin generation-guided pilot study. Haemophilia. ,vol. 19, pp. 782- 789 ,(2013) , 10.1111/HAE.12181
Erdem Nail Duman, Sedat Saylan, Bahanur Cekic, Perioperative Management of a Pediatric Patient with Glanzmann's Thrombasthenia during Adenoidectomy Revista Brasileira De Anestesiologia. ,vol. 62, pp. 548- 553 ,(2012) , 10.1016/S0034-7094(12)70154-X
Bhavya S. Doshi, Bagirath Gangadharan, Christopher B. Doering, Shannon L. Meeks, Potentiation of Thrombin Generation in Hemophilia A Plasma by Coagulation Factor VIII and Characterization of Antibody-Specific Inhibition PLoS ONE. ,vol. 7, pp. e48172- ,(2012) , 10.1371/JOURNAL.PONE.0048172