2021
Recombinant human C1 esterase inhibitor for hereditary angioedema attacks: A European registry
VALERIEVA, A., M. T. STAEVSKA, V. GRIVCHEVA-PANOVSKA, M. JESENAK, K. V. KOHALMI et. al.Základní údaje
Originální název
Recombinant human C1 esterase inhibitor for hereditary angioedema attacks: A European registry
Autoři
VALERIEVA, A. (garant), M. T. STAEVSKA, V. GRIVCHEVA-PANOVSKA, M. JESENAK, K. V. KOHALMI, K. HRUBISKOVA, A. ZANICHELLI, L. BELLIZZI, A. RELAN, Roman HAKL (203 Česká republika, domácí) a H. FARKAS
Vydání
WORLD ALLERGY ORGANIZATION JOURNAL, AMSTERDAM, ELSEVIER, 2021, 1939-4551
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30102 Immunology
Stát vydavatele
Nizozemské království
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 5.516
Kód RIV
RIV/00216224:14110/21:00121728
Organizační jednotka
Lékařská fakulta
UT WoS
000647796400004
Klíčová slova anglicky
Angioedema; Hereditary; Complement C1 inhibitor protein; Recombinant human C1 esterase inhibitor; Registry; Ruconest
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 8. 6. 2021 10:59, Mgr. Tereza Miškechová
Anotace
V originále
Background: Hereditary angioedema (HAE) due to C1 esterase inhibitor deficiency (C1-INHHAE) is characterized by recurrent swelling attacks. A European treatment registry was established to review the adverse event profile and efficacy of recombinant human C1 esterase inhibitor (rhC1-INH) for HAE attacks. Methods: Individuals with C1-INH-HAE were enrolled following a decision to treat with rhC1-INH and provision of written informed consent. Medical history and baseline HAE information were collected at screening. Healthcare providers entered data on HAE attacks, response to treatment, and adverse events using a web-based questionnaire. Results: From July 1, 2011, through December 1, 2019, 71 patients with C1-INH-HAE (30 male/ 41 female; mean age, 47.3 years; age range, 19 & ndash;78 years) in 9 countries reported 2356 attacks and were treated with rhC1-INH. Before registry entry, patients, including 20 (28.2%) who were on maintenance therapy/prophylaxis at registry enrollment, experienced a mean of 25 HAE attacks per year (median, 16 [range, 0 & ndash;185]). Most treated HAE attacks were abdominal (46.1%), followed by peripheral (38.3%), oro-facial-pharyngeal (14.8%), urogenital (3.2%), and laryngeal (2.6%). The mean rhC1-INH dose was 3307 U (43.3 U/kg). Patients reported symptom improvement within 4 h for 97.8% of attacks (2305/2356) with rhC1-INH; most attacks (99.8%; 2351/2356) required only 1 dose. Five attacks were treated with a second dose (total rhC1-INH dose administered for attack, 4200 U). No hypersensitivity, thrombotic/thromboembolic events, or drug-related serious adverse events were reported. Conclusion: The rhC1-INH treatment registry provided real-world data on the treatment of 2356 HAE attacks that were consistent with clinical trial data of rhC1-INH in patients with C1-INH-HAE.