Pooled analysis of Day 100 survival for defibrotide-treated patients with hepatic veno-occlusive disease/sinusoidal obstruction syndrome and ventilator or dialysis dependence following haematopoietic cell transplantation Journal Article


Authors: Richardson, P. G.; Smith, A. R.; Kernan, N. A.; Lehmann, L.; Soiffer, R. J.; Ryan, R. J.; Tappe, W.; Grupp, S.
Article Title: Pooled analysis of Day 100 survival for defibrotide-treated patients with hepatic veno-occlusive disease/sinusoidal obstruction syndrome and ventilator or dialysis dependence following haematopoietic cell transplantation
Abstract: For patients with untreated hepatic veno-occlusive disease (VOD)/sinusoidal obstruction syndrome (SOS) with multi-organ dysfunction (MOD), mortality is >80%. We conducted a pooled analysis of three studies that assessed Day 100 survival in relationship to MOD severity, with dialysis and/or ventilator dependence representing the most severe organ dysfunction. All patients in the analysis were diagnosed using Baltimore criteria/biopsy. This analysis of patients with VOD/SOS and MOD after haematopoietic cell transplantation (HCT; n = 651) demonstrated higher Day 100 survival rates amongst defibrotide-treated patients with VOD/SOS with less versus more severe forms of MOD. Even patients with severe forms of MOD post-HCT benefitted from defibrotide. © 2020 The Authors. British Journal of Haematology published by British Society for Haematology and John Wiley & Sons Ltd
Keywords: defibrotide; dialysis; ventilator; multi-organ dysfunction; veno-occlusive disease/sinusoidal obstruction syndrome
Journal Title: British Journal of Haematology
Volume: 190
Issue: 4
ISSN: 0007-1048
Publisher: John Wiley & Sons  
Date Published: 2020-08-01
Start Page: 583
End Page: 587
Language: English
DOI: 10.1111/bjh.16552
PUBMED: 32157682
PROVIDER: scopus
PMCID: PMC7497046
DOI/URL:
Notes: Article -- Source: Scopus
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  1. Nancy Kernan
    512 Kernan