Current Landscape of Paroxysmal Nocturnal Hemoglobinuria in the Era of Complement Inhibitors and Regulators
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Abstract
Paroxysmal nocturnal hemoglobinuria (PNH) is a rare blood disorder which is caused by mutations in phosphatidylinositol glycan class A leading to hemolysis of red blood cells via complement inhibition. The first treatment for PNH, eculizumab, was FDA approved in 2007. Since then, many new treatment options for PNH have arisen. This critical review will examine all medications available for PNH on the US market, highlight several major medications in development, and discuss the risks and treatment considerations associated with each option. It is not intended to address PNH clonal dynamics, disease presentation, or discussions on when to initiate treatment.
References
1.
Gurnari C, Pagliuca S, Kewan T, Bahaj W, Mori M, Patel B
. Is nature truly healing itself? Spontaneous remissions in Paroxysmal Nocturnal Hemoglobinuria. Blood Cancer J. 2021; 11(11):187.
PMC: 8627504.
DOI: 10.1038/s41408-021-00582-5.
View
2.
Brodsky R
. Eculizumab: another breakthrough. Blood. 2017; 129(8):922-923.
DOI: 10.1182/blood-2017-01-760496.
View
3.
Sheridan D, Yu Z, Zhang Y, Patel R, Sun F, Lasaro M
. Design and preclinical characterization of ALXN1210: A novel anti-C5 antibody with extended duration of action. PLoS One. 2018; 13(4):e0195909.
PMC: 5897016.
DOI: 10.1371/journal.pone.0195909.
View
4.
Richards S, Painter D, Dickinson A, Griffin M, Munir T, Arnold L
. The incidence and prevalence of patients with paroxysmal nocturnal haemoglobinuria and aplastic anaemia PNH syndrome: A retrospective analysis of the UK's population-based haematological malignancy research network 2004-2018. Eur J Haematol. 2021; 107(2):211-218.
DOI: 10.1111/ejh.13640.
View
5.
Takeda J, Miyata T, Kawagoe K, Iida Y, Endo Y, Fujita T
. Deficiency of the GPI anchor caused by a somatic mutation of the PIG-A gene in paroxysmal nocturnal hemoglobinuria. Cell. 1993; 73(4):703-11.
DOI: 10.1016/0092-8674(93)90250-t.
View