Retrospective Chart Review Screening Algorithm to Assess the Prevalence of PNH-clones

NCT ID: NCT05884060

Last Updated: 2023-06-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

568 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-04-20

Study Completion Date

2022-03-01

Brief Summary

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The present study is a non-interventional retrospective chart review study assessing the prevalence of PNH-clones in patients with PNH risk-factors aged ≥14 years and treated at our hospital. The objective of this study is to develop a PNH screening tool on the hospital Electronic Health Record (EHR) system. An algorithm defining PNH risk groups is developed.

Detailed Description

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Paroxysmal Nocturnal Hemoglobinuria (PNH) is a life-threatening hematological disorder, but with an effective therapy. Prevalence is estimated between 1-5 per million people, often manifested by cardiovascular, gastrointestinal, neurological or haematological symptoms. Referral is therefore typically to several specialists, resulting in PNH underdiagnosis.

This chart review study consists primarily of developing an algorithm to identify a high-risk cohort of potential PNH patients who need treatment from all registered patients, with maximum ability to find relevant cases. Secondly, this cohort will be manually reviewed by clinicians for final screening. The challenge hence is maximizing the ability to find all relevant PNH patients yet limiting the number to ensure manual review is possible.

Conditions

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PNH Thrombosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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group 1

patients with evidence of haemolysis without obvious cause

No intervention

Intervention Type OTHER

No interventions

group 2

patients with evidence of bone marrow dysfunction (AA, MDS, unexplained cytopenia)

No intervention

Intervention Type OTHER

No interventions

group 3

patients with thrombosis

No intervention

Intervention Type OTHER

No interventions

group 4

patient group that needs to be eliminated from final high risk cohort: patients with cirrhosis, patients wit septic embolisms \& embolisation

No intervention

Intervention Type OTHER

No interventions

Interventions

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No intervention

No interventions

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patient ≥14 years of age
* At least 1 record encoded in the General Hospital Delta (AZ Delta) patient database (HiX) between 20 April 2018 and 1 March 2022
* A history or presence of at least one PNH risk factors identified following retrospective screening of electronic patient records

Exclusion Criteria

* None
Minimum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alexion Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role collaborator

AZ Delta

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dries Deeren, MD

Role: PRINCIPAL_INVESTIGATOR

AZ Delta

Locations

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AZ Delta

Roeselare, West-Vlaanderen, Belgium

Site Status

Countries

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Belgium

Other Identifiers

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B1172022000017

Identifier Type: -

Identifier Source: org_study_id

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