Profile of Luspatercept in the Treatment of Anemia in Adults with Non-Transfusion-Dependent f3-Thalassemia (NTDT): Design, Development and Potential Place in Therapy

被引:5
作者
Musallam, Khaled M. [1 ]
Taher, Ali T. [2 ]
Kattamis, Antonis [3 ]
Kuo, Kevin H. M. [4 ]
Sheth, Sujit [5 ]
Cappellini, Maria Domenica [6 ,7 ]
机构
[1] Burjeel Med City, Thalassemia Ctr, Abu Dhabi, U Arab Emirates
[2] Amer Univ Beirut, Med Ctr, Dept Internal Med, Beirut, Lebanon
[3] Natl & Kapodistrian Univ Athens, Dept Pediat 1, Athens, Greece
[4] Univ Toronto, Div Hematol, Toronto, ON, Canada
[5] Weill Cornell Med, Dept Pediat, Div Hematol & Oncol, New York, NY USA
[6] Univ Milan, Ca Granda Fdn IRCCS Maggiore Policlin Hosp, Dept Clin Sci & Community, Milan, Italy
[7] Univ Milan, Ca Granda Fdn IRCCS Maggiore Policlin Hosp, Dept Clin Sci & Community, I-20122 Milan, Italy
关键词
anemia; ineffective erythropoiesis; iron; management; thalassemia; transfusion; PULMONARY ARTERIAL-HYPERTENSION; BETA-THALASSEMIA PATIENTS; LIVER IRON CONCENTRATION; INDEPENDENT PATIENTS; INTERMEDIA; MORBIDITY; DISEASE; HYPERCOAGULABILITY; DIFFERENTIATION; COMPLICATIONS;
D O I
10.2147/DDDT.S368584
中图分类号
R914 [药物化学];
学科分类号
100701 ;
摘要
Over the past decade, evidence has been mounting on the detrimental clinical sequelae of untreated anemia in patients with non-transfusion-dependent f3-thalassemia (NTDT). There are no pharmacologic agents that are specifically approved for the manage-ment of anemia in NTDT, and available options such as splenectomy, transfusion therapy, and hydroxyurea each come with their own shortcomings, especially for long-term use. Luspatercept is an erythroid maturation agent that has been evaluated in a Phase 2, randomized trial and showed a significant benefit in raising hemoglobin level by at least 1 g/dL in adults with NTDT and a baseline hemoglobin level <= 10 g/dL. These data led to luspatercept's approval by the European Commission for the treatment of anemia in adults with NTDT and presents the first evidence-based approach for a novel agent that is able to ameliorate anemia in this patient population.
引用
收藏
页码:1583 / 1591
页数:9
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