Paroxysmal nocturnal hemoglobinuria: Current treatments and unmet needs

Meryem Bektas*, Catherine Copley-Merriman, Shahnaz Khan, Sujata P. Sarda, Jamile M. Shammo

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

The current standard of care for paroxysmal nocturnal hemoglobinuria (PNH) are the C5 inhibitors eculizumab and ravulizumab, both monoclonal antibodies designed to target the complement protein C5, thereby preventing its cleavage and the formation of the terminal attack complex. C5 inhibitors have yielded substantial improvements in the treatment of PNH and changed the mortality and morbidity, as well as healthrelated quality of life of patients with the disease. These treatments target underlying intravascular hemolysis; however, they do not address extravascular hemolysis, resulting in incomplete response and remaining symptoms in some patients. Therefore, despite treatment with a C5 inhibitor, some patients still experience anemia with associated fatigue, transfusion needs, and impaired health-related quality of life.

Original languageEnglish (US)
Pages (from-to)S14-S20
JournalJournal of Managed Care and Specialty Pharmacy
Volume26
DOIs
StatePublished - Dec 2020

ASJC Scopus subject areas

  • Health Policy
  • Pharmacy
  • Pharmaceutical Science

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