Document Detail


The management of pregnancy in paroxysmal nocturnal haemoglobinuria on long term eculizumab.
MedLine Citation:
PMID:  20151973     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In Paroxysmal nocturnal haemoglobinuria (PNH), pregnancy is associated with increased maternal and foetal complications to such an extent that the condition has been considered relatively contra-indicated in PNH. Eculizumab has revolutionized the treatment of PNH. We evaluate its use in pregnancy to date. We report on seven patients exposed to eculizumab at different stages of pregnancy including the first two patients to receive the drug from conception to delivery. There was no evidence of complement blockade from cord blood samples taken at delivery. Eculizumab appears safe to use in this setting and is likely to prevent many of the complications usually observed.
Authors:
Richard Kelly; Louise Arnold; Stephen Richards; Anita Hill; Charlotte Bomken; John Hanley; Andrew Loughney; Jon Beauchamp; Gus Khursigara; Russell P Rother; Elizabeth Chalmers; Andrew Fyfe; Edward Fitzsimons; Ryotaro Nakamura; Anna Gaya; Antonio M Risitano; J?rg Schubert; Derek Norfolk; Nigel Simpson; Peter Hillmen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-02-11
Journal Detail:
Title:  British journal of haematology     Volume:  149     ISSN:  1365-2141     ISO Abbreviation:  Br. J. Haematol.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-04     Completed Date:  2010-06-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372544     Medline TA:  Br J Haematol     Country:  England    
Other Details:
Languages:  eng     Pagination:  446-50     Citation Subset:  IM    
Affiliation:
Institute of Oncology, St James's University Hospital, Leeds, UK. richardkelly@nhs.net
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MeSH Terms
Descriptor/Qualifier:
Adult
Antibodies, Monoclonal / blood,  therapeutic use*
Female
Fetal Blood / metabolism
Hemoglobinuria, Paroxysmal / drug therapy*
Humans
Maternal-Fetal Exchange
Pregnancy
Pregnancy Complications, Hematologic / drug therapy*
Young Adult
Chemical
Reg. No./Substance:
0/Antibodies, Monoclonal; 0/eculizumab

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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