Evidence map›Paper›PMID 35746830›Full record

ArticleEuropean journal of haematology2022

The burden of illness of patients with paroxysmal nocturnal haemoglobinuria receiving C5 inhibitors in France, Germany and the United Kingdom: Patient-reported insights on symptoms and quality of life.

Jens Panse, Flore Sicre de Fontbrune, Pascale Burmester, Maria Piggin, Joana E Matos, Halley Costantino, Koo Wilson, Zalmai Hakimi, Jameel Nazir, Renaud Desgraz and 3 more

Open access · hybridAbstract read
In one paragraph

Article in European journal of haematology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 9 institutions in 5 countries.

Jens PanseDepartment of Oncology, Hematology, Hemostaseology and Stem Cell Transplantation, University Hospital RWTH Aachen, Aachen, Germany.
Flore Sicre de FontbruneHematology transplant Unit-French Reference Center for Aplastic Anemia, Hôpital Saint-Louis, Paris, France.
Pascale BurmesterStiftung Lichterzellen, Cologne, Germany.
Maria PigginPNH Support, London, UK.
Joana E MatosKantar Health, New York, New York, USA.
Halley CostantinoCerner Enviza (previously Kantar Health), Malvern, Pennsylvania, USA.
Koo WilsonSwedish Orphan Biovitrum AB, Stockholm, Sweden.
Zalmai HakimiApellis Pharmaceuticals, Zug, Switzerland.
Jameel NazirSwedish Orphan Biovitrum AB, Stockholm, Sweden.
Renaud DesgrazApellis Pharmaceuticals, Zug, Switzerland.
Jesse FishmanDepartment of Haematology, King's College Hospital, London, UK.
Emmelie PerssonSwedish Orphan Biovitrum AB, Stockholm, Sweden.
Austin KulasekararajDepartment of Haematology, King's College Hospital, London, UK.ORCID https://orcid.org/0000-0003-3180-3570
Swedish Orphan Biovitrum (Sweden) · SEApellis Pharmaceuticals (United States) · USKing's College Hospital · GBCerner (United States) · USGenomics England · GBHôpital Saint-Louis · FRIntegrated Oncology (United States) · USKantar Health (United States) · USStiftung Liebenau (Germany) · DE

Funding

Apellis Pharmaceuticals, Inc.Swedish Orphan Biovitrum AB
6 · The paper itself

Abstract

objectivesTo assess the clinical, humanistic and economic burden of paroxysmal nocturnal haemoglobinuria (PNH) among C5 inhibitor (C5i)-treated patients with PNH.

methodsThis was a web-based, cross-sectional survey (01FEB2021-31MAR2021) of adults with PNH treated with eculizumab (France, Germany, United Kingdom) or ravulizumab (Germany). Self-reported outcomes included: patient characteristics; patient-reported symptoms; and standardised patient-reported outcomes (e.g. Functional Assessment of Chronic Illness Therapy [FACIT]-Fatigue, European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 [EORTC QLQ-C30]).

resultsAmong 71 included patients, 98.6% were C5i-treated for ≥3 months (88.7% ≥12 months); among those with self-reported haemoglobin (Hb) levels (n = 63), most (85.7%) were anaemic (defined as ≤12.0 g/dL). Fatigue was the most common symptom at both diagnosis (73.2%) and survey time (63.4%); there were no statistically significant differences in symptom prevalence between treatment subgroups (eculizumab vs. ravulizumab). Total FACIT-Fatigue and EORTC QLQ-C30 scores were substantially lower than European general population references, but there were no statistically significant differences between treatment subgroups. Hb-level subgroups (<10.5 g/dL vs. ≥10.5 d/dL) followed similar trends for all measures, with few significant subgroup differences.

conclusionsResults suggest that there remains a considerable burden and unmet need among C5i-treated patients with PNH that requires improved therapies.

Indexed as

Hemoglobinuria, ParoxysmalAdultCost of IllnessCross-Sectional StudiesFatigueGermanyHumansPatient Reported Outcome MeasuresQuality of Lifeanaemiaeculizumabfatiguehumanised monoclonal antibodiesparoxysmal nocturnal haemoglobinuriaravulizumab

Identifiers

PMID35746830
PMCPMC9545353
OpenAlexW4283377453

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.