When to Stop Eculizumab in Complement-Mediated Thrombotic Microangiopathies.

Abstract:

:The terminal complement-inhibitor eculizumab has dramatically changed the management of patients with atypical hemolytic uremic syndrome (aHUS), and has also shown promise for treating certain forms of secondary HUS (sHUS), including that caused by drugs and solid-organ/hematopoietic stem cell transplant. While effective, eculizumab is costly and inconvenient. In this review, we evaluate the literature on eculizumab cessation in these diseases to better inform clinicians who consider stopping therapy. Reported relapse rates in aHUS after stopping eculizumab are as high as 30%, suggesting indefinite therapy is reasonable and that patients who choose to stop should be closely monitored. In sHUS, relapse is rare, justifying short courses of eculizumab.

journal_name

Am J Nephrol

authors

Olson SR,Lu E,Sulpizio E,Shatzel JJ,Rueda JF,DeLoughery TG

doi

10.1159/000492033

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

96-107

issue

2

eissn

0250-8095

issn

1421-9670

pii

000492033

journal_volume

48

pub_type

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