Sakurai Masatoshi, Okamoto Shinichiro
Division of Hematology, Department of Medicine, Keio University School of Medicine.
Rinsho Ketsueki. 2017;58(11):2261-2267. doi: 10.11406/rinketsu.58.2261.
The aim of the present study was to clarify the clinical characteristics and quality of life (QOL) of Japanese patients (N=116) enrolled in the International PNH Registry, compared to the whole registry cohort (N=3,457), censored as of March 2015. The proportion of patients treated with eculizumab was comparable between the two cohorts; the Japanese cohort showed higher levels of lactate dehydrogenase and lower hemoglobin values at baseline. Compared to the whole cohort, the Japanese cohort had a greater incidence of bone marrow failure (67.4% vs 56.8%), but fewer episodes of thrombotic events in their medical history (6.4% vs 13.3%), and lower reported rates of abdominal pain (11.9% vs 33.9%), dysphagia (1.7% vs 16.4%), and erectile dysfunction (5.6% vs 25.3%). Additionally, assessment of QOL using FACIT-Fatigue and EORTC QLQ-C30 confirmed that the Japanese cohort had better QOL scores in most of the QOL subscales at baseline. These data are the first report of QOL outcomes for the Japanese cohort in the International PNH Registry; further assessments are ongoing.
本研究的目的是阐明截至2015年3月被纳入国际阵发性睡眠性血红蛋白尿(PNH)注册研究的日本患者(N = 116)与整个注册队列(N = 3457)相比的临床特征和生活质量(QOL)。两个队列中接受依库珠单抗治疗的患者比例相当;日本队列在基线时乳酸脱氢酶水平较高,血红蛋白值较低。与整个队列相比,日本队列骨髓衰竭的发生率更高(67.4%对56.8%),但病史中血栓事件的发作次数较少(6.4%对13.3%),腹痛(11.9%对33.9%)、吞咽困难(1.7%对16.4%)和勃起功能障碍(5.6%对25.3%)的报告发生率较低。此外,使用FACIT-疲劳量表和欧洲癌症研究与治疗组织生活质量核心问卷(EORTC QLQ-C30)对生活质量进行评估证实,日本队列在基线时大多数生活质量子量表中的生活质量得分更高。这些数据是国际PNH注册研究中日本队列生活质量结果的首次报告;进一步的评估正在进行中。