Preview

Oncohematology

Advanced search

Immune thrombocytopenia: clinical manifestation and therapy response. The interim analysis of Russian register of patients with primary immune thrombocytopenia and literature review

https://doi.org/10.17650/1818-8346-2013-8-2-61-69

Abstract

Primary immune thrombocytopenia (ITP) is a rare (orphan) blood disease. Most frequent manifestations of ITP are purpura, petechiae and bleedings with many patients have either no symptoms or minimal bleedings manifestation. The management of ITP varies widely and must be based on current international recommendations and individual assessment of clinical course. The paper presents the results of interim analysis of clinical course and therapeutic approaches in the Russian register of ITP patients with immune thrombocytopenia and literature review about ITP treatment approaches.

About the Authors

I. A. Lisukov
Raisa Gorbacheva Memorial Institute of Children Hematology and Transplantation, St.-Petersburg I.P. Pavlov State Medical University, Ministry of Health of Russia
Russian Federation


A. A. Maschan
Dmitriy Rogachev Federal Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Health of Russia
Russian Federation


A. V. Shamardina
Regional Children Clinical Hospital
Russian Federation


T. V. Chagorova
Regional Oncologic Dispensary
Russian Federation


I. L. Davydkin
Samara State Medical University, Ministry of Health of Russia
Russian Federation


T. M. Sycheva
Alexander-and-Mary Regional Clinical Hospital
Russian Federation


T. P. Zagoskina
Kirov Research Centre of Hematology and Transfusiology, Federal Medical Biological Agency
Russian Federation


E. V. Karyagina
City Clinical Hospital № 15
Russian Federation


G. N. Salogub
St.-Petersburg I.P. Pavlov State Medical University, Ministry of Health of Russia
Russian Federation


M. T. Savinova
City Clinical Hospital № 16
Russian Federation


T. V. Shelekhova
Hematology Clinic, V.I. Razumovskiy Saratov State Medical University
Russian Federation


L. G. Kovaleva
Hematological Research Centre, Ministry of Health of Russia
Russian Federation


T. V. Shneyder
Leningrad Regional Clinical Hospital
Russian Federation


A. N. Unzhekova
Perm Territorial Clinical Hospital
Russian Federation


E. E. Kuznetsova
Regional Clinical Hospital
Russian Federation


Yu. V. Shatokhin
Rostov State Medical University, Ministry of Health of Russia
Russian Federation


M. O. Ivanova
I.P. Pavlov State Medical University, Ministry of Health of Russia
Russian Federation
Clinical Diagnostic Center “Clinics”


E. Yu. Vinogradova
Territorial Clinical Hospital
Russian Federation


E. M. Volodicheva
Regional Clinical Hospital
Russian Federation


I. V. Markova
Raisa Gorbacheva Memorial Institute of Children Hematology and Transplantation, St.-Petersburg I.P. Pavlov State Medical University, Ministry of Health of Russia
Russian Federation


O. V. Kanyukova
Clinical Medical Unit № 1
Russian Federation


K. M. Abdulkadyrov
Russian Research Institute of Hematology and Transfusiology, Russian Federal Medico-biological Agency
Russian Federation


Yu. A. Sedlova
Regional Clinical Hospital
Russian Federation


S. M. Osyunikhina
City Clinical Hospital № 4
Russian Federation


K. D. Kaplanov
Regional Oncologic Clinical Dispensary № 1
Russian Federation


N. V. Tsvetaeva
Hematological Research Centre, Ministry of Health of Russia
Russian Federation


A. R. Akhmadeev
Republic Clinical Hospital
Russian Federation


O. S. Uspenskaya
Raisa Gorbacheva Memorial Institute of Children Hematology and Transplantation, St.-Petersburg I.P. Pavlov State Medical University, Ministry of Health of Russia
Russian Federation


A. D. Kulagin
Raisa Gorbacheva Memorial Institute of Children Hematology and Transplantation, St.-Petersburg I.P. Pavlov State Medical University, Ministry of Health of Russia
Russian Federation


N. V. Medvedeva
City Hospital № 31
Russian Federation


A. G. Rumyantsev
Dmitriy Rogachev Federal Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Health of Russia
Russian Federation


B. V. Afanasiev
Raisa Gorbacheva Memorial Institute of Children Hematology and Transplantation, St.-Petersburg I.P. Pavlov State Medical University, Ministry of Health of Russia
Russian Federation


References

1. Abrahamson P.E., Hall S.A., Feudjo-Tepie M. et al. The incidence of idiopathic thrombocytopenic purpura (ITP) among adults: a population-based study and literature review. Eur J Haematol 2009;83:83–9.

2. Aoki T., Harada Y., Matsubara E. et al. Thrombopoietin receptor agonists in refractory immune thrombocytopenia: differential responses to eltrombopag and romiplostim: a case report and possible explanations. J Clin Pharm Ther 2012 Dec;37(6):729–32.

3. Arnold D.M., Dentali F., Crowther M.A. et al. Systematic review: efficacy and safety of rituximab for adults with idiopathic thrombocytopenic purpura. Ann Intern Med 2007;146(1):25–33.

4. Arnold D.M., Heddle N.M., Carruthers J. et al. A pilot randomized trial of adjuvant rituximab or placebo for non-splenectomized patients with immune thrombocytopenia. Blood 2012 Feb 9;119(6):1356–62.

5. Bizzoni L., Mazzucconi M., Gentile M. et al. Idiopathic thrombocytopenic purpura (ITP) in the eldery: clinical course in 178 patients. Eur J Haematol 2006;76(3):210–6. 6. Boccia R., Kuter D.J., Rummel M.J. et al. The effects of romiplostim or standard of care (SOC) on splenectomy and treatment failure of patients who had immune thrombocytopenia (ITP) for less than or equal to one year. Blood 2010;116(21):3702.

6. Bussel J.B., Kuter D.J., Pullarkat V. et al. Safety and efficacy of long-term treatment with romiplostim in thrombocytopenic patients with chronic ITP. Blood 2009;113:2161–71.

7. Bussel J., Rodeghiero F., Lyons R.M. et al. Sustained hemostatic platelet counts in adults with immune thrombocytopenia (ITP) following cessation of treatment with the TPO receptor agonist romiplostim: report of 9 cases. Blood 2011;118(21):3281.

8. Chen J., Herceg-Harjacek L., Groopman J., Grabarek J. Regulation of platelet activation in vitro by the c-Mpl ligand, thrombopoietin. Blood1995;86:4054–62.

9. Cheng G., Saleh M.N., Marcher C. et al. Eltrombopag for management of chronic immune thrombocytopenia (RAISE): a 6-month, randomised, phase 3 study. Lancet 2011;377:393–402.

10. Cooper K.L., Fitzgerald P., Dillingham K. et al. Romiplostim and eltrombopag for immune thrombocytopenia: methods for indirect comparison. Int J Technol Assess Health Care 2012;28(3):

11. –58.

12. Cooper N., Stasi R., Cunningham- Rundles S. et al. The efficacy and safety of B-cell depletion with anti-CD20 monoclonal antibody in adults with chronic immune thrombocytopenic purpura. Br J Haematol 2004;125(2):232–9.

13. Fogarty P.F. Chronic immune thrombocytopenia in adults: epidemiology and clinical presentation. Hematol Oncol Clin N Am 2009;23:1213–21.

14. Frederiksen H., Schmidt K. The incidence of idiopathic thrombocytopenic purpura in adults increases with age. Blood 1999;94(3):909–13.

15. Godeau B., Porcher R., Fain O. et al. Rituximab efficacy and safety in adults splenectomy candidates with chronic immune thrombocytopenic purpura: results of a prospective multicenter phase 2 study. Blood 2008;112(4):999–1004.

16. Jenssens A., Tarantino M., Bird R. et al. Final results from an international, multi-center, single-arm study evaluating the safety and efficacy of romiplostim in adults with primary immune thrombocytopenia (ITP). Blood 2011;118(21):3279.

17. Kojouri K., Vesely S.K., Terrell D.R. et al. Splenectomy for adult patients with idiopathic thrombocytopenic purpura: a systematic review to assess long-term platelet count responses, prediction of response and surgical complications Blood 2004;104(9):2623–34.

18. Kuter D.J., Bussel J.B., Lyons R.M. et al. Efficacy of romiplostim in patients with chronic immune thrombocytopenic purpura: a double-blind randomized controlledtrial. Lancet 2008;371(9610):395–403.

19. Kuter D., Rummel M., Boccia R. et al. Romiplostim or standart of care in patients with immune thrombocytopenia. N Engl J Med 2010;363(20):1889–99.

20. McMillan R., Durette C. Long-term outcomes in adults with chronic ITP after splenectomy failure. Blood 2004;104(4):956–60.

21. Neylon A.J., Saunders P.W., Haward M.R. et al. Clinically significant newly presenting autoimmune

22. thrombocytopenic purpura in adults: a prospective study of population-based cohort of 245 patients. Br J Haematol 2003;122(6):966–74.

23. Patel V.L., Mahevas M., Lee S. Y. et al. Outcomes 5 years after response to rituximab therapy in children and adults with mmune thrombocytopenia.Blood 2012;119:5989–95.

24. Portielje J.E., Westendorp R.G., Kluin- Nelemans H.C., Brand A. Morbidity and mortality in adults with idiopathic thrombocytopenic purpura. Blood 2001;97(9):2549–54.

25. Rodeghiero F., Stasi R., Gernsheimer T. et al. Standartization of terminology definitions and outcome criteria in immune thrombocytopenic purpura of adults and children: report from an international woring group. Blood 2009;113(11):2386–93.

26. Vianelly N., Galli M., de Vivo A. et al. Gruppo Italiano per lo Studio delle Malattie Ematologiche dell`Adulto. Efficacy and safety of splenectomy in immune thrombocytopenic purpura: long-term results of 402 cases. Haematologica 2005; 90(1):72–7.

27. Wasser J., Boccia R., Lyons R.M. Use of rituximab in a study comparing the thrombopoietin mimetic romiplostim with standard of care (SOC) in a patients with immune thrombocytopenia (ITP). Blood 2011;118(21):3282.

28. Wong G.C., Lee L.H. A study of idiopathic thrombocytopenic purpura (ITP) patients over a ten-year period. Ann Acad Med Singapore 1998;27(6):789–93.


Review

For citations:


Lisukov I.A., Maschan A.A., Shamardina A.V., Chagorova T.V., Davydkin I.L., Sycheva T.M., Zagoskina T.P., Karyagina E.V., Salogub G.N., Savinova M.T., Shelekhova T.V., Kovaleva L.G., Shneyder T.V., Unzhekova A.N., Kuznetsova E.E., Shatokhin Yu.V., Ivanova M.O., Vinogradova E.Yu., Volodicheva E.M., Markova I.V., Kanyukova O.V., Abdulkadyrov K.M., Sedlova Yu.A., Osyunikhina S.M., Kaplanov K.D., Tsvetaeva N.V., Akhmadeev A.R., Uspenskaya O.S., Kulagin A.D., Medvedeva N.V., Rumyantsev A.G., Afanasiev B.V. Immune thrombocytopenia: clinical manifestation and therapy response. The interim analysis of Russian register of patients with primary immune thrombocytopenia and literature review. Oncohematology. 2013;8(2):61-69. (In Russ.) https://doi.org/10.17650/1818-8346-2013-8-2-61-69

Views: 10625


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1818-8346 (Print)
ISSN 2413-4023 (Online)