Evidence map›Paper›PMID 41716293›Full record

ArticleEJHaem2026

Clinical Profile, Humanistic and Economic Burden of Paroxysmal Nocturnal Hemoglobinuria in Patients Treated With C5 Inhibitors.

Shreyans Gandhi, Markus P Radsak, Yasutaka Ueda, Maria-Magdalena Balp, Anggie Wiyani, Olivier Somenzi, Josefin Snellman, Yasmin Taylor, Alice Simons, Jens Panse

Abstract read
In one paragraph

Article in EJHaem, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Shreyans GandhiDepartment of Haematological Medicine King's College Hospital NHS Trust London UK.
Markus P RadsakDepartment of Internal Medicine VII DONAUISAR Klinikum Deggendorf Germany.
Yasutaka UedaDepartment of Hematology and Oncology Osaka University Graduate School of Medicine Suita Japan.
Maria-Magdalena BalpNovartis Pharma AG Basel Switzerland.
Anggie WiyaniNovartis Pharmaceuticals UK London UK.
Olivier SomenziNovartis Pharma AG Basel Switzerland.
Josefin SnellmanNovartis Pharma AG Basel Switzerland.
Yasmin TaylorAdelphi Real World Bollington UK.
Alice SimonsAdelphi Real World Bollington UK.
Jens PanseDepartment of Haematology, Oncology, Haemostaseology and Stem Cell Transplantation University Hospital RWTH Aachen Aachen Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To evaluate disease burden among paroxysmal nocturnal hemoglobinuria (PNH) patients prescribed C5 inhibitors (C5i). Methods: Data were drawn from the Adelphi Real World PNH Disease Specific Programme, a cross-sectional survey of physicians and PNH patients in Australia, Canada, France, Germany, Italy, Spain, the United Kingdom, and Japan from January-December 2022. Physicians reported patient demographics, laboratory parameters, and treatments. Patients completed the EQ-5D-5L, Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-Fatigue), and Work Productivity and Activity Impairment (WPAI) questionnaire. Analyses were descriptive. Results: Overall, 81 physicians reported on 288 patients receiving C5i. Median (IQR) age was 50.0 (38.3-65.0) years, 79.2% were white, and 54.5% were male. Median (IQR) C5i duration was 1.0 (0-3.0) years; 77.4% received eculizumab, 22.6% ravulizumab. At time of survey, median (IQR) hemoglobin (Hb) was 11.0 (9.9-12.0) g/dL, 73.5% of patients had Hb < 12 g/dL. Lactate dehydrogenase was >1.5× upper limit of normal for 16.7% of patients. Mean (SD) EQ-5D-5L was 0.76 (0.20), FACIT-Fatigue was 36.1 (9.7), WPAI work impairment was 27.5% (22.3) and activity impairment was 35.3% (24.6). Conclusions: Despite C5i treatment, a notable proportion of patients remained anemic and reported impaired quality of life, indicating the need for novel, efficacious therapies.

Indexed as

anemiaburden of diseasecomplement 5 inhibitor (C5i)hemoglobinparoxysmal nocturnal hemoglobinuriareal‐world data

Identifiers

PMID41716293
PMCPMC12916017

What Socratic holds

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Registered trials

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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.