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Incidence of erythropoietin antibody-mediated pure red cell aplasia: the Prospective Immunogenicity Surveillance Registry (PRIMS)

Identifieur interne : 001E22 ( Ncbi/Checkpoint ); précédent : 001E21; suivant : 001E23

Incidence of erythropoietin antibody-mediated pure red cell aplasia: the Prospective Immunogenicity Surveillance Registry (PRIMS)

Auteurs : Iain C. Macdougall [Royaume-Uni] ; Nicole Casadevall [France] ; Francesco Locatelli [Italie] ; Christian Combe [France] ; Gerard M. London [France] ; Salvatore Di Paolo [Italie] ; Andreas Kribben [Allemagne] ; Danilo Fliser [Allemagne] ; Hans Messner [Canada] ; John Mcneil [Australie] ; Paul Stevens [Royaume-Uni] ; Antonio Santoro [Italie] ; Angel L. M. De Francisco [Espagne] ; Paul Percheson [États-Unis] ; Anna Potamianou [États-Unis] ; Arnaud Foucher [États-Unis] ; Daniel Fife [États-Unis] ; Véronique Mérit [États-Unis] ; Els Vercammen [États-Unis]

Source :

RBID : PMC:4339685

Descripteurs français

English descriptors

Abstract

Background

Subcutaneous administration of Eprex® (epoetin alfa) in patients with chronic kidney disease (CKD) was contraindicated in the European Union between 2002 and 2006 after increased reports of anti-erythropoietin antibody-mediated pure red cell aplasia (PRCA). The Prospective Immunogenicity Surveillance Registry (PRIMS) was conducted to estimate the incidence of antibody-mediated PRCA with subcutaneous administration of a new coated-stopper syringe presentation of Eprex® and to compare this with the PRCA incidence with subcutaneous NeoRecormon® (epoetin beta) and Aranesp® (darbepoetin alfa).

Methods

PRIMS was a multicentre, multinational, non-interventional, parallel-group, immunogenicity surveillance registry. Adults with CKD receiving or about to initiate subcutaneous Eprex®, NeoRecormon® or Aranesp® for anaemia were enrolled and followed for up to 3 years. Unexplained loss or lack of effect (LOE), including suspected PRCA, was reported, with antibody testing for confirmation of PRCA.

Results

Of the 15 333 patients enrolled, 5948 received Eprex® (8377 patient-years) and 9356 received NeoRecormon®/Aranesp® (14 286 patient-years). No treatment data were available for 29 patients. Among 23 patients with LOE, five cases of PRCA were confirmed (Eprex®, n = 3; NeoRecormon®, n = 1; Aranesp®, n = 1). Based on exposed time, PRCA incidence was 35.8/100 000 patient-years (95% CI 7.4–104.7) for Eprex® versus 14.0/100 000 patient-years (95% CI 1.7–50.6) for NeoRecormon®/Aranesp®. The incidence of PRCA with Eprex® was not significantly different versus comparator ESAs (rate ratio: 2.56; 95% CI 0.43–15.31). An analysis based on observed time produced similar findings.

Conclusion

This large, prospective registry demonstrates that PRCA is rare with subcutaneous administration of either the new coated-stopper syringe presentation of Eprex®, or NeoRecormon® or Aranesp®.


Url:
DOI: 10.1093/ndt/gfu297
PubMed: 25239637
PubMed Central: 4339685


Affiliations:


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PMC:4339685

Le document en format XML

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<name sortKey="Macdougall, Iain C" sort="Macdougall, Iain C" uniqKey="Macdougall I" first="Iain C." last="Macdougall">Iain C. Macdougall</name>
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<country xml:lang="fr">Royaume-Uni</country>
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<addr-line>Paris</addr-line>
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<country>France</country>
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<name sortKey="Locatelli, Francesco" sort="Locatelli, Francesco" uniqKey="Locatelli F" first="Francesco" last="Locatelli">Francesco Locatelli</name>
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<addr-line>Lecco</addr-line>
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<country>Italy</country>
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<name sortKey="Combe, Christian" sort="Combe, Christian" uniqKey="Combe C" first="Christian" last="Combe">Christian Combe</name>
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<addr-line>Bordeaux</addr-line>
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<country xml:lang="fr">France</country>
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<name sortKey="London, Gerard M" sort="London, Gerard M" uniqKey="London G" first="Gerard M." last="London">Gerard M. London</name>
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<country>France</country>
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<country xml:lang="fr">France</country>
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<name sortKey="Di Paolo, Salvatore" sort="Di Paolo, Salvatore" uniqKey="Di Paolo S" first="Salvatore" last="Di Paolo">Salvatore Di Paolo</name>
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<addr-line>Barletta</addr-line>
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<country>Italy</country>
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<country xml:lang="fr">Italie</country>
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<name sortKey="Kribben, Andreas" sort="Kribben, Andreas" uniqKey="Kribben A" first="Andreas" last="Kribben">Andreas Kribben</name>
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<addr-line>Klinik für Nephrologie</addr-line>
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<institution>Universitätsklinik Essen</institution>
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<addr-line>Essen</addr-line>
,
<country>Germany</country>
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<country xml:lang="fr">Allemagne</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Fliser, Danilo" sort="Fliser, Danilo" uniqKey="Fliser D" first="Danilo" last="Fliser">Danilo Fliser</name>
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<nlm:aff id="gfu297_af8">
<addr-line>Department Internal Medicine IV</addr-line>
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<addr-line>Homburg/Saar</addr-line>
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<country>Germany</country>
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<country xml:lang="fr">Allemagne</country>
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<name sortKey="Messner, Hans" sort="Messner, Hans" uniqKey="Messner H" first="Hans" last="Messner">Hans Messner</name>
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<institution>University of Toronto</institution>
,
<addr-line>Toronto</addr-line>
,
<country>Canada</country>
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<country xml:lang="fr">Canada</country>
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<name sortKey="Mcneil, John" sort="Mcneil, John" uniqKey="Mcneil J" first="John" last="Mcneil">John Mcneil</name>
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<addr-line>Department of Epidemiology and Preventive Medicine</addr-line>
,
<institution>Monash University Melbourne</institution>
,
<addr-line>Melbourne</addr-line>
,
<country>Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author>
<name sortKey="Stevens, Paul" sort="Stevens, Paul" uniqKey="Stevens P" first="Paul" last="Stevens">Paul Stevens</name>
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<addr-line>Department of Renal Medicine</addr-line>
,
<institution>Kent and Canterbury Hospital</institution>
,
<addr-line>Canterbury</addr-line>
,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
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<name sortKey="Santoro, Antonio" sort="Santoro, Antonio" uniqKey="Santoro A" first="Antonio" last="Santoro">Antonio Santoro</name>
<affiliation wicri:level="1">
<nlm:aff id="gfu297_af12">
<addr-line>Dialysis and Hypertension Department</addr-line>
,
<institution>Azienda Ospedaliero-Universitaria di Bologna, Policlinico S Orsola-Malpighi</institution>
,
<addr-line>Bologna</addr-line>
,
<country>Italy</country>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="De Francisco, Angel L M" sort="De Francisco, Angel L M" uniqKey="De Francisco A" first="Angel L. M." last="De Francisco">Angel L. M. De Francisco</name>
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<nlm:aff id="gfu297_af13">
<addr-line>Nephrology Department</addr-line>
,
<institution>Hospital Universitario Valdecilla</institution>
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<addr-line>Santander</addr-line>
,
<country>Spain</country>
</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Percheson, Paul" sort="Percheson, Paul" uniqKey="Percheson P" first="Paul" last="Percheson">Paul Percheson</name>
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<institution>Janssen, Pharmaceutical Companies of Johnson & Johnson</institution>
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<addr-line>Titusville, NJ</addr-line>
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<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author>
<name sortKey="Potamianou, Anna" sort="Potamianou, Anna" uniqKey="Potamianou A" first="Anna" last="Potamianou">Anna Potamianou</name>
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<institution>Janssen, Pharmaceutical Companies of Johnson & Johnson</institution>
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<addr-line>Titusville, NJ</addr-line>
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<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Foucher, Arnaud" sort="Foucher, Arnaud" uniqKey="Foucher A" first="Arnaud" last="Foucher">Arnaud Foucher</name>
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<name sortKey="Fife, Daniel" sort="Fife, Daniel" uniqKey="Fife D" first="Daniel" last="Fife">Daniel Fife</name>
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<name sortKey="Merit, Veronique" sort="Merit, Veronique" uniqKey="Merit V" first="Véronique" last="Mérit">Véronique Mérit</name>
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<name sortKey="Vercammen, Els" sort="Vercammen, Els" uniqKey="Vercammen E" first="Els" last="Vercammen">Els Vercammen</name>
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<institution>Janssen, Pharmaceutical Companies of Johnson & Johnson</institution>
,
<addr-line>Titusville, NJ</addr-line>
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<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
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<title xml:lang="en" level="a" type="main">Incidence of erythropoietin antibody-mediated pure red cell aplasia: the Prospective Immunogenicity Surveillance Registry (PRIMS)</title>
<author>
<name sortKey="Macdougall, Iain C" sort="Macdougall, Iain C" uniqKey="Macdougall I" first="Iain C." last="Macdougall">Iain C. Macdougall</name>
<affiliation wicri:level="1">
<nlm:aff id="gfu297_af1">
<addr-line>Department of Renal Medicine</addr-line>
,
<institution>King's College Hospital</institution>
,
<addr-line>London</addr-line>
,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Casadevall, Nicole" sort="Casadevall, Nicole" uniqKey="Casadevall N" first="Nicole" last="Casadevall">Nicole Casadevall</name>
<affiliation wicri:level="1">
<nlm:aff id="gfu297_af2">
<addr-line>Service d'Immunologie et Hématologie Biologiques</addr-line>
,
<institution>Hôpital Saint Antoine</institution>
,
<addr-line>Paris</addr-line>
,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Locatelli, Francesco" sort="Locatelli, Francesco" uniqKey="Locatelli F" first="Francesco" last="Locatelli">Francesco Locatelli</name>
<affiliation wicri:level="1">
<nlm:aff id="gfu297_af3">
<addr-line>Division of Nephrology and Dialysis</addr-line>
,
<institution>Alessandro Manzoni Hospital</institution>
,
<addr-line>Lecco</addr-line>
,
<country>Italy</country>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Combe, Christian" sort="Combe, Christian" uniqKey="Combe C" first="Christian" last="Combe">Christian Combe</name>
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<addr-line>Service de Néphrologie</addr-line>
,
<institution>Centre Hospitalier Universitaire de Bordeaux and Unité INSERM 1026, Université de Bordeaux</institution>
,
<addr-line>Bordeaux</addr-line>
,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="London, Gerard M" sort="London, Gerard M" uniqKey="London G" first="Gerard M." last="London">Gerard M. London</name>
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<nlm:aff id="gfu297_af5">
<institution>Centre de Recherche des Cordelliers, Ecole de Médecine</institution>
,
<addr-line>Paris</addr-line>
,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Di Paolo, Salvatore" sort="Di Paolo, Salvatore" uniqKey="Di Paolo S" first="Salvatore" last="Di Paolo">Salvatore Di Paolo</name>
<affiliation wicri:level="1">
<nlm:aff id="gfu297_af6">
<addr-line>Division of Nephrology and Dialysis</addr-line>
,
<institution>Hospital ‘Dimiccoli’</institution>
,
<addr-line>Barletta</addr-line>
,
<country>Italy</country>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Kribben, Andreas" sort="Kribben, Andreas" uniqKey="Kribben A" first="Andreas" last="Kribben">Andreas Kribben</name>
<affiliation wicri:level="1">
<nlm:aff id="gfu297_af7">
<addr-line>Klinik für Nephrologie</addr-line>
,
<institution>Universitätsklinik Essen</institution>
,
<addr-line>Essen</addr-line>
,
<country>Germany</country>
</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Fliser, Danilo" sort="Fliser, Danilo" uniqKey="Fliser D" first="Danilo" last="Fliser">Danilo Fliser</name>
<affiliation wicri:level="1">
<nlm:aff id="gfu297_af8">
<addr-line>Department Internal Medicine IV</addr-line>
,
<institution>Universitätsklinik Homburg/Saar</institution>
,
<addr-line>Homburg/Saar</addr-line>
,
<country>Germany</country>
</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Messner, Hans" sort="Messner, Hans" uniqKey="Messner H" first="Hans" last="Messner">Hans Messner</name>
<affiliation wicri:level="1">
<nlm:aff id="gfu297_af9">
<addr-line>Department of Medical Biophysics</addr-line>
,
<institution>University of Toronto</institution>
,
<addr-line>Toronto</addr-line>
,
<country>Canada</country>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Mcneil, John" sort="Mcneil, John" uniqKey="Mcneil J" first="John" last="Mcneil">John Mcneil</name>
<affiliation wicri:level="1">
<nlm:aff id="gfu297_af10">
<addr-line>Department of Epidemiology and Preventive Medicine</addr-line>
,
<institution>Monash University Melbourne</institution>
,
<addr-line>Melbourne</addr-line>
,
<country>Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Stevens, Paul" sort="Stevens, Paul" uniqKey="Stevens P" first="Paul" last="Stevens">Paul Stevens</name>
<affiliation wicri:level="1">
<nlm:aff id="gfu297_af11">
<addr-line>Department of Renal Medicine</addr-line>
,
<institution>Kent and Canterbury Hospital</institution>
,
<addr-line>Canterbury</addr-line>
,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Santoro, Antonio" sort="Santoro, Antonio" uniqKey="Santoro A" first="Antonio" last="Santoro">Antonio Santoro</name>
<affiliation wicri:level="1">
<nlm:aff id="gfu297_af12">
<addr-line>Dialysis and Hypertension Department</addr-line>
,
<institution>Azienda Ospedaliero-Universitaria di Bologna, Policlinico S Orsola-Malpighi</institution>
,
<addr-line>Bologna</addr-line>
,
<country>Italy</country>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="De Francisco, Angel L M" sort="De Francisco, Angel L M" uniqKey="De Francisco A" first="Angel L. M." last="De Francisco">Angel L. M. De Francisco</name>
<affiliation wicri:level="1">
<nlm:aff id="gfu297_af13">
<addr-line>Nephrology Department</addr-line>
,
<institution>Hospital Universitario Valdecilla</institution>
,
<addr-line>Santander</addr-line>
,
<country>Spain</country>
</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Percheson, Paul" sort="Percheson, Paul" uniqKey="Percheson P" first="Paul" last="Percheson">Paul Percheson</name>
<affiliation wicri:level="1">
<nlm:aff id="gfu297_af14">
<institution>Janssen, Pharmaceutical Companies of Johnson & Johnson</institution>
,
<addr-line>Titusville, NJ</addr-line>
,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Potamianou, Anna" sort="Potamianou, Anna" uniqKey="Potamianou A" first="Anna" last="Potamianou">Anna Potamianou</name>
<affiliation wicri:level="1">
<nlm:aff id="gfu297_af14">
<institution>Janssen, Pharmaceutical Companies of Johnson & Johnson</institution>
,
<addr-line>Titusville, NJ</addr-line>
,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Foucher, Arnaud" sort="Foucher, Arnaud" uniqKey="Foucher A" first="Arnaud" last="Foucher">Arnaud Foucher</name>
<affiliation wicri:level="1">
<nlm:aff id="gfu297_af14">
<institution>Janssen, Pharmaceutical Companies of Johnson & Johnson</institution>
,
<addr-line>Titusville, NJ</addr-line>
,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Fife, Daniel" sort="Fife, Daniel" uniqKey="Fife D" first="Daniel" last="Fife">Daniel Fife</name>
<affiliation wicri:level="1">
<nlm:aff id="gfu297_af14">
<institution>Janssen, Pharmaceutical Companies of Johnson & Johnson</institution>
,
<addr-line>Titusville, NJ</addr-line>
,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Merit, Veronique" sort="Merit, Veronique" uniqKey="Merit V" first="Véronique" last="Mérit">Véronique Mérit</name>
<affiliation wicri:level="1">
<nlm:aff id="gfu297_af14">
<institution>Janssen, Pharmaceutical Companies of Johnson & Johnson</institution>
,
<addr-line>Titusville, NJ</addr-line>
,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Vercammen, Els" sort="Vercammen, Els" uniqKey="Vercammen E" first="Els" last="Vercammen">Els Vercammen</name>
<affiliation wicri:level="1">
<nlm:aff id="gfu297_af14">
<institution>Janssen, Pharmaceutical Companies of Johnson & Johnson</institution>
,
<addr-line>Titusville, NJ</addr-line>
,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Nephrology Dialysis Transplantation</title>
<idno type="ISSN">0931-0509</idno>
<idno type="eISSN">1460-2385</idno>
<imprint>
<date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Anemia (drug therapy)</term>
<term>Autoantibodies (blood)</term>
<term>Darbepoetin alfa (immunology)</term>
<term>Epoetin Alfa (immunology)</term>
<term>Erythropoietin (immunology)</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prognosis</term>
<term>Prospective Studies</term>
<term>Recombinant Proteins (immunology)</term>
<term>Red-Cell Aplasia, Pure (epidemiology)</term>
<term>Red-Cell Aplasia, Pure (immunology)</term>
<term>Registries</term>
<term>Risk Assessment</term>
<term>Severity of Illness Index</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Anémie (traitement médicamenteux)</term>
<term>Autoanticorps (sang)</term>
<term>Darbépoétine alfa (immunologie)</term>
<term>Enregistrements</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Indice de gravité médicale</term>
<term>Mâle</term>
<term>Pronostic</term>
<term>Protéines recombinantes (immunologie)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Époétine alfa (immunologie)</term>
<term>Érythroblastopénie chronique acquise (immunologie)</term>
<term>Érythroblastopénie chronique acquise (épidémiologie)</term>
<term>Érythropoïétine (immunologie)</term>
<term>Études prospectives</term>
<term>Évaluation des risques</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en">
<term>Autoantibodies</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Anemia</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Red-Cell Aplasia, Pure</term>
</keywords>
<keywords scheme="MESH" qualifier="immunologie" xml:lang="fr">
<term>Darbépoétine alfa</term>
<term>Protéines recombinantes</term>
<term>Époétine alfa</term>
<term>Érythroblastopénie chronique acquise</term>
<term>Érythropoïétine</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="immunology" xml:lang="en">
<term>Darbepoetin alfa</term>
<term>Epoetin Alfa</term>
<term>Erythropoietin</term>
<term>Recombinant Proteins</term>
<term>Red-Cell Aplasia, Pure</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr">
<term>Autoanticorps</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr">
<term>Anémie</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Érythroblastopénie chronique acquise</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prognosis</term>
<term>Prospective Studies</term>
<term>Registries</term>
<term>Risk Assessment</term>
<term>Severity of Illness Index</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Enregistrements</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Indice de gravité médicale</term>
<term>Mâle</term>
<term>Pronostic</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études prospectives</term>
<term>Évaluation des risques</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>Subcutaneous administration of Eprex
<sup>®</sup>
(epoetin alfa) in patients with chronic kidney disease (CKD) was contraindicated in the European Union between 2002 and 2006 after increased reports of anti-erythropoietin antibody-mediated pure red cell aplasia (PRCA). The Prospective Immunogenicity Surveillance Registry (PRIMS) was conducted to estimate the incidence of antibody-mediated PRCA with subcutaneous administration of a new coated-stopper syringe presentation of Eprex
<sup>®</sup>
and to compare this with the PRCA incidence with subcutaneous NeoRecormon
<sup>®</sup>
(epoetin beta) and Aranesp
<sup>®</sup>
(darbepoetin alfa).</p>
</sec>
<sec>
<title>Methods</title>
<p>PRIMS was a multicentre, multinational, non-interventional, parallel-group, immunogenicity surveillance registry. Adults with CKD receiving or about to initiate subcutaneous Eprex
<sup>®</sup>
, NeoRecormon
<sup>®</sup>
or Aranesp
<sup>®</sup>
for anaemia were enrolled and followed for up to 3 years. Unexplained loss or lack of effect (LOE), including suspected PRCA, was reported, with antibody testing for confirmation of PRCA.</p>
</sec>
<sec>
<title>Results</title>
<p>Of the 15 333 patients enrolled, 5948 received Eprex
<sup>®</sup>
(8377 patient-years) and 9356 received NeoRecormon
<sup>®</sup>
/Aranesp
<sup>®</sup>
(14 286 patient-years). No treatment data were available for 29 patients. Among 23 patients with LOE, five cases of PRCA were confirmed (Eprex
<sup>®</sup>
,
<italic>n</italic>
= 3; NeoRecormon
<sup>®</sup>
,
<italic>n</italic>
= 1; Aranesp
<sup>®</sup>
,
<italic>n</italic>
= 1). Based on exposed time, PRCA incidence was 35.8/100 000 patient-years (95% CI 7.4–104.7) for Eprex
<sup>®</sup>
versus 14.0/100 000 patient-years (95% CI 1.7–50.6) for NeoRecormon
<sup>®</sup>
/Aranesp
<sup>®</sup>
. The incidence of PRCA with Eprex
<sup>®</sup>
was not significantly different versus comparator ESAs (rate ratio: 2.56; 95% CI 0.43–15.31). An analysis based on observed time produced similar findings.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>This large, prospective registry demonstrates that PRCA is rare with subcutaneous administration of either the new coated-stopper syringe presentation of Eprex
<sup>®</sup>
, or NeoRecormon
<sup>®</sup>
or Aranesp
<sup>®</sup>
.</p>
</sec>
</div>
</front>
<back>
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</div1>
</back>
</TEI>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>Australie</li>
<li>Canada</li>
<li>Espagne</li>
<li>France</li>
<li>Italie</li>
<li>Royaume-Uni</li>
<li>États-Unis</li>
</country>
</list>
<tree>
<country name="Royaume-Uni">
<noRegion>
<name sortKey="Macdougall, Iain C" sort="Macdougall, Iain C" uniqKey="Macdougall I" first="Iain C." last="Macdougall">Iain C. Macdougall</name>
</noRegion>
<name sortKey="Stevens, Paul" sort="Stevens, Paul" uniqKey="Stevens P" first="Paul" last="Stevens">Paul Stevens</name>
</country>
<country name="France">
<noRegion>
<name sortKey="Casadevall, Nicole" sort="Casadevall, Nicole" uniqKey="Casadevall N" first="Nicole" last="Casadevall">Nicole Casadevall</name>
</noRegion>
<name sortKey="Combe, Christian" sort="Combe, Christian" uniqKey="Combe C" first="Christian" last="Combe">Christian Combe</name>
<name sortKey="London, Gerard M" sort="London, Gerard M" uniqKey="London G" first="Gerard M." last="London">Gerard M. London</name>
</country>
<country name="Italie">
<noRegion>
<name sortKey="Locatelli, Francesco" sort="Locatelli, Francesco" uniqKey="Locatelli F" first="Francesco" last="Locatelli">Francesco Locatelli</name>
</noRegion>
<name sortKey="Di Paolo, Salvatore" sort="Di Paolo, Salvatore" uniqKey="Di Paolo S" first="Salvatore" last="Di Paolo">Salvatore Di Paolo</name>
<name sortKey="Santoro, Antonio" sort="Santoro, Antonio" uniqKey="Santoro A" first="Antonio" last="Santoro">Antonio Santoro</name>
</country>
<country name="Allemagne">
<noRegion>
<name sortKey="Kribben, Andreas" sort="Kribben, Andreas" uniqKey="Kribben A" first="Andreas" last="Kribben">Andreas Kribben</name>
</noRegion>
<name sortKey="Fliser, Danilo" sort="Fliser, Danilo" uniqKey="Fliser D" first="Danilo" last="Fliser">Danilo Fliser</name>
</country>
<country name="Canada">
<noRegion>
<name sortKey="Messner, Hans" sort="Messner, Hans" uniqKey="Messner H" first="Hans" last="Messner">Hans Messner</name>
</noRegion>
</country>
<country name="Australie">
<noRegion>
<name sortKey="Mcneil, John" sort="Mcneil, John" uniqKey="Mcneil J" first="John" last="Mcneil">John Mcneil</name>
</noRegion>
</country>
<country name="Espagne">
<noRegion>
<name sortKey="De Francisco, Angel L M" sort="De Francisco, Angel L M" uniqKey="De Francisco A" first="Angel L. M." last="De Francisco">Angel L. M. De Francisco</name>
</noRegion>
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<name sortKey="Percheson, Paul" sort="Percheson, Paul" uniqKey="Percheson P" first="Paul" last="Percheson">Paul Percheson</name>
</noRegion>
<name sortKey="Fife, Daniel" sort="Fife, Daniel" uniqKey="Fife D" first="Daniel" last="Fife">Daniel Fife</name>
<name sortKey="Foucher, Arnaud" sort="Foucher, Arnaud" uniqKey="Foucher A" first="Arnaud" last="Foucher">Arnaud Foucher</name>
<name sortKey="Merit, Veronique" sort="Merit, Veronique" uniqKey="Merit V" first="Véronique" last="Mérit">Véronique Mérit</name>
<name sortKey="Potamianou, Anna" sort="Potamianou, Anna" uniqKey="Potamianou A" first="Anna" last="Potamianou">Anna Potamianou</name>
<name sortKey="Vercammen, Els" sort="Vercammen, Els" uniqKey="Vercammen E" first="Els" last="Vercammen">Els Vercammen</name>
</country>
</tree>
</affiliations>
</record>

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