HTRS 2021 Scientific Symposium PRELIMINARY VIRTUAL MEETING AGENDA

Total Page:16

File Type:pdf, Size:1020Kb

HTRS 2021 Scientific Symposium PRELIMINARY VIRTUAL MEETING AGENDA HTRS 2021 Scientific Symposium PRELIMINARY VIRTUAL MEETING AGENDA HTRS Research Colloquium: March 8-9 FWGBD Colloquium: March 9 Multidisciplinary Pre-Conference: March 10-11 Agenda: Day 1 | Day 2 Agenda Agenda: Day 1 | Day 2 HTRS Scientific Symposium: March 10-12 Agenda: Day 1 | Day 2 | Day 3 MONDAY, MARCH 8, 2021 HTRS Research Colloquium: Day 1 – separate registration required Eastern Time Event 12:30 PM – 1:00 PM ET PRE-MEETING NETWORKING “BRING YOUR OWN LUNCH” 1:00 PM ET OPENING REMARKS Wolfgang Bergmeier, PhD, and Margaret V. Ragni, MD, MPH, 2021 Colloquium Co-Chairs 1:05 PM – 1:50 PM ET PLENARY SESSION: “HOW DO I BEGIN, AND WHO IS GOING TO PAY FOR THIS?” RESEARCH FUNDING TRENDS AND OPPORTUNITIES Moderator: Margaret V. Ragni, MD, MPH Speaker: Andrei Kindzelski, MD, National Institutes of Health (NIH) 1:50 PM – 2:20 PM ET NETWORKING BREAK -OR- MENTORING SESSIONS 2:20 PM – 3:20 PM ET PANEL PRESENTATION: “GETTING A JOB – A RECRUITER’S PERSPECTIVE” Moderator: Wolfgang Bergmeier, PhD 2:20 PM BASIC SCIENCE PERSPECTIVE James Morrissey, PhD, Professor, University of Michigan 2:35 PM CLINICAL SCIENCE PERSPECTIVE Janis Abkowitz, PhD, Professor, Hematology Division Head, University of Washington 1 HTRS Research Colloquium: Day 1 – continued Eastern Time Event 2:50 PM TRANSLATIONAL SCIENCE PERSPECTIVE Jorge Di Paola, MD, Professor/Division Chief, Washington University in St. Louis 3:05 PM INDUSTRY PERSPECTIVE Robert Peters, PhD, Sanofi Genzyme 3:20 PM – 4:00 PM ET ROUNDTABLE DISCUSSIONS • Basic Science Tables • Clinical Science Tables • Translational Science Tables • Population Science Tables 4:00 PM ET DAY ONE PROGRAM ENDS Session resumes Tuesday, March 9 at 12:30 PM ET TUESDAY, MARCH 9, 2021 FWGBD Colloquium on Uterine Hemostasis – separate registration required Eastern Time Event 9:30 AM – 9:45 AM ET CONVENE AND WELCOME Andra H. James, MD, MPH 9:45 AM – 9:55 AM ET UTERINE HEMOSTASIS OVERVIEW 9:55 AM – 10:15 AM ET WOMEN & GIRLS WITH HEMOPHILIA Sarah H. O’Brien, MD, MSc 10:15 AM – 10:30 AM ET BREAK 10:30 AM – 11:00 AM ET MANAGEMENT OF DELIVERY IN WOMEN WITH HEMOPHILIA Andra H. James, MD, MPH 11:00 AM – 11:30 AM ET RISK OF CLOTTING ON HORMONAL THERAPY Naomi Tepper, MD, MPH 11:30 AM – 12:05 PM ET IS IT HELLP SYNDROME? IS IT TTP? IS IT ATYPICAL HUS? DOES IT MATTER? Gowthami Arepally, MD 12:05 – 12:30 PM ET DISCUSSION AND WRAP-UP 2 TUESDAY, MARCH 9, 2021 – continued HTRS Research Colloquium: Day 2 – separate registration required Eastern Time Event 12:30 PM – 1:00 PM ET PRE-MEETING NETWORKING “BRING YOUR OWN LUNCH” 1:00 PM – 1:05 PM ET DAY TWO - OPENING REMARKS Ming Y. Lim, MD/MBBCH, MSCr, and Joshua Muia, PhD, 2021 Colloquium Planning Committee Members 1:05 PM – 1:50 PM ET PLENARY SESSION: “CRITICAL STEPS FOR A SUCCESSFUL CAREER IN ACADEMIC MEDICINE” Moderator: Mary Cushman, MD, MSc Speaker: Mark T. Gladwin, MD, Jack D. Myers Distinguished Professor and Chair, Chairman of the Department of Medicine, UPMC and the University of Pittsburgh School of Medicine 1:50 PM – 2:10 PM ET BREAKOUT SESSION 1: “PRACTICAL TOOLS EVERYONE NEEDS TO ADVANCE THEIR CAREERS” BREAKOUT 1 SPEAK UP: GIVING EFFECTIVE PRESENTATIONS Discussion Leader: Alisa S. Wolberg, PhD BREAKOUT 2 MANAGING THE K-TO-R TRANSITION: WHAT TO DO IF YOU DON’T GET A K-AWARD Discussion Leader: Nigel Key, MB, ChB, FRCP BREAKOUT 3 FROM GOOD IDEA TO SUBMITTED GRANT Discussion Leader: Gowthami Arepally, MD BREAKOUT 4 BEGIN AGAIN: JUMP START YOUR RESEARCH CAREER AFTER A BREAK Discussion Leader: Menaka Pai, BSc, MSc, MD, FRCPC 2:10 PM – 2:30 PM ET “GET UP AND STRETCH BREAK’ -OR- MENTORING SESSIONS 2:30 PM – 2:50 PM ET BREAKOUT SESSION 2: “PRACTICAL TOOLS EVERYONE NEEDS TO ADVANCE THEIR CAREERS” BREAKOUT 1 SPEAK UP: GIVING EFFECTIVE PRESENTATIONS Discussion Leader: Alisa S. Wolberg, PhD BREAKOUT 2 MANAGING THE K-TO-R TRANSITION: WHAT TO DO IF YOU DON’T GET A K-AWARD Discussion Leader: Nigel Key, MB, ChB, FRCP BREAKOUT 3 FROM GOOD IDEA TO SUBMITTED GRANT Discussion Leader: Gowthami Arepally, MD BREAKOUT 4 BEGIN AGAIN: JUMP START YOUR RESEARCH CAREER AFTER A BREAK Discussion Leader: Menaka Pai, BSc, MSc, MD, FRCPC 3 HTRS Research Colloquium: Day 2 – continued Eastern Time Event 2:50 PM – 3:35 PM ET PANEL PRESENTATION: “OVERCOMING OBSTACLES: MOVING YOUR CAREER FORWARD” Moderator: Rodney Camire, PhD 2:50 PM BASIC/TRANSLATIONAL SCIENCE PERSPECTIVE Veronica H. Flood, MD 3:05 PM CLINICAL SCIENCE PERSPECTIVE Margaret V. Ragni, MD, MPH 3:20 PM INDUSTRY PERSPECTIVE Marcus Carr, MD 3:35 PM – 4:20 PM ET CLOSING RECEPTION “BRNG YOUR OWN SNACKS 4:20 PM ET DAY TWO PROGRAM ENDS WEDNESDAY, MARCH 10, 2021 Multidisciplinary Pre-Conference: Day 1 – separate registration required Eastern Time Event 10:00 AM – 10:05 AM ET DAY ONE - OPENING REMARKS Loren D’Angelo, RN-BC, BSN, MSN, CPNP-PC, HTRS 2021 Planning Committee 10:05 AM – 11:30 AM ET PRE-CONFERENCE SESSION 1: “NEW THERAPIES” Moderators: Loren D’Angelo, RN-BC, BSN, MSN, CPNP-PC, and Caitlin Moncrieff, NP 10:05 AM DOACS IN THE PEDIATRIC POPULATION Riten Kumar, MD, MSc 10:35 AM MANAGING INHIBITORS IN THE REALM OF NON-FACTOR THERAPIES James Munn, RN-BC, BS, BSN, MS 4 Multidisciplinary Pre-Conference: Day 1 – continued 10:55 AM “GENE THERAPY CLINICAL TRIAL EXPERIENCES IN CARE” Darcy Phelan, NP, MSN 11:20AM Live Q&A 11:30 AM DAY ONE PROGRAMMING ENDS Session resumes Thursday, March 11 at 10:00 AM ET HTRS Scientific Symposium: Day 1 Eastern Time Event 12:00 PM – 1:00 PM ET SATELLITE SYMPOSIA: (2) Concurrent Sessions Sanofi Genzyme: "siRNA Technology in Hemophilia" CSL Behring: “On-Demand Bleed Resolution in Hemophilia B With an Extended Half-Life Factor IX Therapy” 1:00 PM – 1:05 PM ET OPENING REMARKS Jordan Shavit, MD, PhD, HTRS 2021 Planning Committee Chair Ayesha N. Zia, MD, HTRS 2021 Planning Committee Vice Chair 1:05 PM – 2:30 PM ET SYMPOSIUM SESSION 1 DEBATE: “THE FUTURE OF HEMOPHILIA THERAPEUTICS: SUBSTITUTION OR GENE THERAPY (To GT or not to GT, a smackdown)” Moderators: Jordan Shavit, MD, PhD and Yasmina Abajas, MD Speakers: Denise E. Sabatino, PhD, Michael Callaghan, MD, and Shawn Jobe, MD, PhD 1:05 PM – 1:10 PM Case Presentation & Introduction to Audience Response System (“ARS”) Jordan Shavit, MD, PhD and Yasmina Abajas, MD 1:10 PM – 1:20 PM Introduction: “The science behind hemophilia therapeutics” Denise E. Sabatino, PhD 5 HTRS Scientific Symposium: Day 1 – continued SYMPOSIUM SESSION 1 DEBATE: “THE FUTURE OF HEMOPHILIA THERAPEUTICS: SUBSTITUTION OR GENE THERAPY (To GT or not to GT, a smackdown)” 1:20 PM – 1:25 PM Pre-Debate ARS Vote Jordan Shavit, MD, PhD and Yasmina Abajas, MD 1:25 PM – 1:40 PM Argument for Substitution Michael Callaghan, MD 1:40 PM – 1:55 PM Argument for Gene Therapy Shawn Jobe, MD, PhD 1:55 PM – 2:05 PM Rebuttal for Substitution Michael Callaghan, MD 2:05 PM – 2:15 PM Rebuttal for Gene Therapy Shawn Jobe, MD, PhD 2:15 PM – 2:25 PM Questions/Discussion Jordan Shavit, MD, PhD and Yasmina Abajas, MD 2:25 PM – 2:30 PM Post-Debate ARS Vote Jordan Shavit, MD, PhD and Yasmina Abajas, MD 2:30 PM – 3:30 PM ET NETWORKING & EXHIBITOR SPEED BREAK 6 HTRS Scientific Symposium: Day 1 – continued 3:30 PM – 4:30 PM ET ORAL ABSTRACT PRESENTATIONS: (2) Concurrent Sessions vWF/HEMOPHILIA A Novel Mechanisms & Trials Moderators: Christine Kempton, MD, MSc Moderators: A. Valance Washington, PhD and Joshua Muia, PhD and Lauren Amos, MD 3:30 PM “THE IMPORTANCE OF GENETIC TESTING IN DIAGNOSING VON “PLATELETS FACTOR 4 (PF4) BINDING ENHANCES IN VITRO WILLEBRAND'S DISEASE TYPE 2M” NEUTROPHIL EXTRACELLULAR TRAPS (NET) CAPTURE OF SARS- Presenter: Radia Ksayer, MD COV-2: THERAPEUTIC IMPLICATIONS” Presenter: Maki Ishizuka, MD 3:45 PM “VON WILLEBRAND FACTOR (VWF) MULTIPLEX ACTIVITY ASSAY “IN VITRO-GROWN MEGAKARYOCYTES (MKS) TAKE UP THE DIFFERENTIATION OF LOW VWF/TYPE 1 VON WILLEBRAND ECTOPIC PROTEIN UROKINASE (UPA) AND THE RESULTING DISEASE (VWD) AND VARIANT VWD: ANALYSIS FROM THE PLATELETS (PLTS) CAN RELEASE THE UPA AT SITES OF VASCULAR COMPARATIVE EFFECTIVENESS IN THE DIAGNOSIS OF VWD” INJURY” Presenter: Sergei V. Zaitsev, PhD Presenter: Jonathan C. Roberts, MD 4:00 PM Non-CME Presentation: “BROAD PATIENT ELIGIBILITY AND “BLEEDING DIATHESIS IN MICE LACKING JAK2 IN PLATELETS” LONG-TERM TOLERABILITY IN THE FIRST-IN-HUMAN GENE Presenters: Nathan Eaton, BSc THERAPY STUDY OF AAVHU37.HFVIIICO IN SEVERE HEMOPHILIA A” Presenter: Francesca Ferrante, MD 4:15 PM Non-CME Presentation: “REAL-WORLD DATA FROM A US “A RANDOMIZED, PRAGMATIC TRIAL TO ASSESS A PEDIATRIC CLAIMS DATABASE AMONG PATIENTS WITH HEMOPHILIA A REAL-TIME RISK PREDICTION MODEL FOR THROMBOTIC EVENTS” TREATED WITH RECOMBINANT FVIII FC FUSION PROTEIN” Presenters: Shannon C. Walker, MD Presenter: Amanda Wilson, MPH, PhD 4:30 PM - 5:30 PM ET OPEN NETWORKING 5:30 PM - 6:30 PM ET SATELLITE SYMPOSIA: (1) Session Takeda: “ADVATE® [Antihemophilic Factor (Recombinant)] Clinical Presentation” 6:30 PM ET DAY ONE PROGRAMMING ENDS General Session resumes Thursday, March 11 at 12:00 PM ET 7 THURSDAY, MARCH 11, 2021 Multidisciplinary Pre-Conference: Day 2 – separate registration required Eastern Time Event 10:00 AM – 10:05 AM ET DAY TWO - OPENING REMARKS Loren D’Angelo, RN-BC, BSN, MSN, CPNP-PC, HTRS 2021 Planning Committee 10:05 AM – 11:30 AM ET PRE-CONFERENCE SESSION 2: INCLUSIVE CARE Moderators: Mary Lesh, PNP, MSN and Caitlin Moncrieff, NP 10:05 AM TRAUMA INFORMED CARE FOR HEMATOLOGY PROVIDERS Amanda Stahl, LICSW 10:35 AM HEMATOLOGIC CONSIDERATIONS IN THE CARE OF TRANSGENDER PATIENTS Meredith Russel, PNP, MSN 11:15 AM Live Q&A 11:30 AM ET HTRS 2021 Multidisciplinary Pre-conference Ends HTRS Scientific Symposium: Day 2 Eastern Time Event 12:00 PM – 1:00 PM ET SATELLITE SYMPOSIA: (2) CONCURRENT SESSIONS Novo Nordisk: “A rFVIIa with over 30 years of experience with treating hemophilia and other rare bleeding disorders” Bayer: “Patient focused prophylaxis management for patients with hemophilia: a case-based discussion” 1:00 PM – 1:05 PM ET OPENING REMARKS Gowthami Arepally, MD, HTRS 2021 Planning Committee – Abstract Co-Chair Alan Mast, MD, PhD, HTRS 2021 Planning Committee – Abstract Co-Chair 8 HTRS Scientific Symposium: Day 2 – continued 1:05 PM – 2:10 PM ET SYMPOSIUM SCIENTIFIC SESSION 2: STATE-OF-THE-ART LECTURE: “COVID-19: THROMBOSIS AND CLINICAL CONSIDERATIONS” Moderator: Jordan A.
Recommended publications
  • The Potential Role of Recombinant Activated FVII in the Management of Critical Hemato-Oncological Bleeding: a Systematic Review
    Bone Marrow Transplantation (2007) 39, 729–735 & 2007 Nature Publishing Group All rights reserved 0268-3369/07 $30.00 www.nature.com/bmt REVIEW The potential role of recombinant activated FVII in the management of critical hemato-oncological bleeding: a systematic review M Franchini1, D Veneri2 and G Lippi3 1Servizio di Immunoematologia e Trasfusione – Centro Emofilia, Azienda Ospedaliera di Verona, Verona, Italy; 2Dipartimento di Medicina Clinica e Sperimentale, Sezione di Ematologia, Universita` di Verona, Verona, Italy and 3Dipartimento di Scienze Biomediche e Morfologiche, Istituto di Chimica e Microscopia Clinica, Universita` di Verona, Verona, Italy Recombinant activated factor VII (rFVIIa) is an hemo- situations unresponsive to conventional therapy to control static agent that was originally developed for the excessive bleeding and reduce exposure to allogeneic blood. treatment of hemorrhage in patients with hemophilia and These include intracerebral hemorrhage, oral anticoagu- inhibitors.However, in the last few years rFVIIa has been lant-induced hemorrhage, thrombocytopenia, bleeding employed with success in a broad spectrum of congenital associated with hepatic failure, major surgery, trauma and acquired bleeding conditions.In this systematic review and life-threatening obstetrical, and gynecologic hemor- we present the current knowledge on the use of this drug in rhagic complications.5–9 patients suffering from hemato-oncological disorders, In this systematic review we have collected the available which are quite commonly complicated by severe hemor- data from the literature on the use of rFVIIa in hemato- rhage.On the whole, data in the literature suggest a oncological patients with severe bleeding, unresponsive to potential role for rFVIIa in the management of bleeding standard therapy.
    [Show full text]
  • Multiple Technology Appraisal Avatrombopag and Lusutrombopag
    Multiple Technology Appraisal Avatrombopag and lusutrombopag for treating thrombocytopenia in people with chronic liver disease needing an elective procedure [ID1520] Committee papers © National Institute for Health and Care Excellence 2019. All rights reserved. See Notice of Rights. The content in this publication is owned by multiple parties and may not be re-used without the permission of the relevant copyright owner. NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE MULTIPLE TECHNOLOGY APPRAISAL Avatrombopag and lusutrombopag for treating thrombocytopenia in people with chronic liver disease needing an elective procedure [ID1520] Contents: 1 Pre-meeting briefing 2 Assessment Report prepared by Kleijnen Systematic Reviews 3 Consultee and commentator comments on the Assessment Report from: • Shionogi 4 Addendum to the Assessment Report from Kleijnen Systematic Reviews 5 Company submission(s) from: • Dova • Shionogi 6 Clarification questions from AG: • Questions to Shionogi • Clarification responses from Shionogi • Questions to Dova • Clarification responses from Dova 7 Professional group, patient group and NHS organisation submissions from: • British Association for the Study of the Liver (BASL) The Royal College of Physicians supported the BASL submission • British Society of Gastroenterology (BSG) 8 Expert personal statements from: • Vanessa Hebditch – patient expert, nominated by the British Liver Trust • Dr Vickie McDonald – clinical expert, nominated by British Society for Haematology • Dr Debbie Shawcross – clinical expert, nominated by Shionogi © National Institute for Health and Care Excellence 2019. All rights reserved. See Notice of Rights. The content in this publication is owned by multiple parties and may not be re-used without the permission of the relevant copyright owner. MTA: avatrombopag and lusutrombopag for treating thrombocytopenia in people with chronic liver disease needing an elective procedure Pre-meeting briefing © NICE 2019.
    [Show full text]
  • WO 2014/153004 Al 25 September 2014 (25.09.2014) P O P C T
    (12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) (19) World Intellectual Property Organization I International Bureau (10) International Publication Number (43) International Publication Date WO 2014/153004 Al 25 September 2014 (25.09.2014) P O P C T (51) International Patent Classification: HN, HR, HU, ID, IL, IN, IR, IS, JP, KE, KG, KN, KP, KR, A61L 27/58 (2006.01) A61L 27/52 (2006.01) KZ, LA, LC, LK, LR, LS, LT, LU, LY, MA, MD, ME, MG, MK, MN, MW, MX, MY, MZ, NA, NG, NI, NO, NZ, (21) International Application Number: OM, PA, PE, PG, PH, PL, PT, QA, RO, RS, RU, RW, SA, PCT/US20 14/028622 SC, SD, SE, SG, SK, SL, SM, ST, SV, SY, TH, TJ, TM, (22) International Filing Date: TN, TR, TT, TZ, UA, UG, US, UZ, VC, VN, ZA, ZM, 14 March 2014 (14.03.2014) ZW. (25) Filing Language: English (84) Designated States (unless otherwise indicated, for every kind of regional protection available): ARIPO (BW, GH, (26) Publication Language: English GM, KE, LR, LS, MW, MZ, NA, RW, SD, SL, SZ, TZ, (30) Priority Data: UG, ZM, ZW), Eurasian (AM, AZ, BY, KG, KZ, RU, TJ, 61/785,477 14 March 2013 (14.03.2013) US TM), European (AL, AT, BE, BG, CH, CY, CZ, DE, DK, EE, ES, FI, FR, GB, GR, HR, HU, IE, IS, IT, LT, LU, LV, (71) Applicant: MEDICUS BIOSCIENCES LLC [US/US]; MC, MK, MT, NL, NO, PL, PT, RO, RS, SE, SI, SK, SM, 2528 Qume Dr., Unit #1, San Jose, CA 95 13 1 (US).
    [Show full text]
  • Beverly, A., Ong, G., Wilkinson, KL, Doree, C., Welton, NJ, & Estcourt, LJ
    Beverly, A., Ong, G., Wilkinson, K. L., Doree, C., Welton, N. J., & Estcourt, L. J. (2019). Drugs to reduce bleeding and transfusion in adults undergoing cardiac surgery: A systematic review and network meta analysis. Cochrane Database of Systematic Reviews, 2019(9), [CD013427]. https://doi.org/10.1002/14651858.CD013427 Publisher's PDF, also known as Version of record Link to published version (if available): 10.1002/14651858.CD013427 Link to publication record in Explore Bristol Research PDF-document This is the final published version of the article (version of record). It first appeared online via Cochrane Collaboration at https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013427/full . Please refer to any applicable terms of use of the publisher. University of Bristol - Explore Bristol Research General rights This document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/red/research-policy/pure/user-guides/ebr-terms/ Cochrane Database of Systematic Reviews Drugs to reduce bleeding and transfusion in adults undergoing cardiac surgery: a systematic review and network meta- analysis (Protocol) Beverly A, Ong G, Wilkinson KL, Doree C, Welton NJ, Estcourt LJ Beverly A, Ong G, Wilkinson KL, Doree C, Welton NJ, Estcourt LJ. Drugs to reduce bleeding and transfusion in adults undergoing cardiac surgery: a systematic review and network meta-analysis. Cochrane Database of Systematic Reviews 2019, Issue 9. Art. No.: CD013427. DOI: 10.1002/14651858.CD013427. www.cochranelibrary.com Drugs to reduce bleeding and transfusion in adults undergoing cardiac surgery: a systematic review and network meta-analysis (Protocol) Copyright © 2019 The Cochrane Collaboration.
    [Show full text]
  • Role, Laboratory Assessment and Clinical Relevance of Fibrin, Factor XIII and Endogenous Fibrinolysis in Arterial and Venous Thrombosis
    International Journal of Molecular Sciences Review Role, Laboratory Assessment and Clinical Relevance of Fibrin, Factor XIII and Endogenous Fibrinolysis in Arterial and Venous Thrombosis Vassilios P. Memtsas 1, Deepa R. J. Arachchillage 2,3,4 and Diana A. Gorog 1,5,6,* 1 Cardiology Department, East and North Hertfordshire NHS Trust, Stevenage, Hertfordshire SG1 4AB, UK; [email protected] 2 Centre for Haematology, Department of Immunology and Inflammation, Imperial College London, London SW7 2AZ, UK; [email protected] 3 Department of Haematology, Imperial College Healthcare NHS Trust, London W2 1NY, UK 4 Department of Haematology, Royal Brompton Hospital, London SW3 6NP, UK 5 School of Life and Medical Sciences, Postgraduate Medical School, University of Hertfordshire, Hertfordshire AL10 9AB, UK 6 Faculty of Medicine, National Heart and Lung Institute, Imperial College, London SW3 6LY, UK * Correspondence: [email protected]; Tel.: +44-207-0348841 Abstract: Diseases such as myocardial infarction, ischaemic stroke, peripheral vascular disease and venous thromboembolism are major contributors to morbidity and mortality. Procoagulant, anticoagulant and fibrinolytic pathways are finely regulated in healthy individuals and dysregulated procoagulant, anticoagulant and fibrinolytic pathways lead to arterial and venous thrombosis. In this review article, we discuss the (patho)physiological role and laboratory assessment of fibrin, factor XIII and endogenous fibrinolysis, which are key players in the terminal phase of the coagulation cascade and fibrinolysis. Finally, we present the most up-to-date evidence for their involvement in Citation: Memtsas, V.P.; various disease states and assessment of cardiovascular risk. Arachchillage, D.R.J.; Gorog, D.A. Role, Laboratory Assessment and Keywords: factor XIII; fibrin; endogenous fibrinolysis; thrombosis; coagulation Clinical Relevance of Fibrin, Factor XIII and Endogenous Fibrinolysis in Arterial and Venous Thrombosis.
    [Show full text]
  • Current and Future Alternatives for Allogeneic Blood Product Transfusions
    Wu.qxp 6/3/08 12:44 Page 32 Transfusion Current and Future Alternatives for Allogeneic Blood Product Transfusions a report by Christopher A Tormey,1 Michelle L Erickson1 and YanYun Wu2 1. Fellow, Transfusion Medicine, Department of Laboratory Medicine, Yale-New Haven Hospital; 2. Assistant Professor, Department of Laboratory Medicine, Yale University School of Medicine, and Assistant Director, Blood Bank and Apheresis/Transfusion Service, Yale-New Haven Hospital, Connecticut DOI: 10.17925/EOH.2007.0.0.32 The transfusion of allogeneic blood products is a complex medical As a result of the potentially harmful effects of blood transfusion, the therapy relying on materials that are often available only in short finite supply of blood products and the routine refusal of transfusion by supply and carry a number of substantial risks for the recipient. some groups, several alternatives to allogeneic transfusion therapy have Perhaps the most feared complication of transfusion is the been created. In addition, continuous progress has been made in the transmission of infectious diseases. Patients receiving blood products development of synthetic platelets and oxygen-carrying molecules, as are potentially exposed to any number of micro-organisms, including well as recombinant coagulation factor concentrates and human-derived bacteria, parasites and viruses, despite thorough testing.1 Less well coagulation factor/complex concentrates, which provide maximal known, but equally problematic, are the adverse events associated therapeutic benefit while substantially eliminating or reducing the risk of with the infusion of blood products, which include severe lung injury, transfusion-transmitted diseases. This aim of this article is to review the red blood cell (RBC) haemolysis and anaphylactic reactions.2,3 current status of alternatives to allogeneic transfusions and to highlight Blood transfusion should be reserved for those instances where new transfusion-related therapies.
    [Show full text]
  • Package Insert
    HIGHLIGHTS OF PRESCRIBING INFORMATION After reconstitution with 3.2 mL of sterile water for injection, each These highlights do not include all the information needed to use vial contains 667-1042 IU/mL of recombinant coagulation factor TRETTEN safely and effectively. See full prescribing information for XIII A-subunit. TRETTEN. -------------------------------CONTRAINDICATIONS-------------------------- TRETTEN, Coagulation Factor XIII A-Subunit (Recombinant) Hypersensitivity to the active substance or to any of the excipients. (4) For Intravenous Use. Lyophilized Powder for Solution for Injection Initial U.S. Approval: [year] -----------------------WARNINGS AND PRECAUTIONS--------------------- Discontinue if allergic or hypersensitivity reactions occur. (5.1) ----------------------------INDICATIONS AND USAGE--------------------------- Monitor patients for thrombosis. (5.2) TRETTEN, Coagulation Factor XIII A-Subunit (Recombinant), is indicated Analyze for neutralizing antibodies if FXIII activity fails to reach for routine prophylaxis of bleeding in patients with congenital factor XIII A- expected levels or if reduced therapeutic effect is observed. (5.3) subunit deficiency. ------------------------------ADVERSE REACTIONS---------------------------- TRETTEN is not for use in patients with congenital factor XIII B-subunit The most common adverse reactions reported in the clinical trials (≥1%) deficiency. were headache, pain in the extremities, injection site pain, D dimer increase. (6) ----------------------DOSAGE AND ADMINISTRATION---------------------- For intravenous use only. To report SUSPECTED ADVERSE REACTIONS, contact Novo Nordisk Inc. at 1-877-668-6777 or FDA at 1-800-FDA-1088 or Dose: www.fda.gov/medwatch 35 international units per kilogram body weight once monthly to achieve a target trough level of FXIII activity at or above 10% using a ------------------------------DRUG INTERACTIONS---------------------------- validated assay. (2.1) Do not administer TRETTEN with recombinant factor VIIa.
    [Show full text]
  • Integrating New Treatment Options Into the Management of Adult
    Hematology & Medical Oncology Review Article ISSN: 2398-8495 Integrating new treatment options into the management of adult ITP James Granfortuna* Clinical Medicine, Cone Health affiliate of University of North Carolina Chapel Hill Medical Center, USA Abstract Treatment of steroid resistant ITP in adults can be challenging in patients who are actively bleeding. The majority of novel therapies that have been developed in the last few years including anti CD 20 monoclonal antibody therapy (Rituximab) and the thrombopoietic growth factors romiplostim and eltombopag, take time to work. Combinations of active agents may accelerate the response rate. Splenectomy and the use of immunosuppressive agents may still have an important role in the acute management. A case of resistant ITP will be discussed in the context of currently available treatment modalities. Introduction She did not use alcohol or illicit drugs. She had 6 uncomplicated pregnancies, most recent 3 years prior, and she was still breast feeding. Immune Thrombocytopenia is an autoantibody mediated blood There was no recent travel. No infectious exposures. Previous testing for disorder characterized by both increased platelet destruction and HIV, RPR, and Hepatitis B surface antigen at time of recent pregnancy decreased platelet production. The estimated incidence is 9.5 cases per was negative. There was no family history of a blood disorder. 100,000 population with an estimated 200,000 cases per year in the United States. Median age at presentation is 56 with 2 peaks: age 20-40 Exam and age over 60. There is no male/female predominance in adults. The Obese woman 103 kg. Afebrile disorder is self-limited in 70-80% of children.
    [Show full text]
  • Long-Term Management of Chronic Immune Thrombocytopenic Purpura in Adults
    International Journal of General Medicine Dovepress open access to scientific and medical research Open Access Full Text Article REVIEW Long-term management of chronic immune thrombocytopenic purpura in adults Javier Palau Abstract: Chronic immune thrombocytopenic purpura (ITP) is generally a more benign Isidro Jarque disease than previously thought. Currently it is recommended that only those patients with Miguel A Sanz severe and/or symptomatic thrombocytopenia definitely require treatment. Additional factors, such as age, lifestyle, and uremia can also influence the hemorrhagic risk and should be Department of Hematology, Hospital Universitario La Fe, Valencia, Spain carefully assessed before decision-making on the appropriate management of patients with less severe forms of ITP. The recent introduction of new classes of therapeutic agents such as rituximab and the thrombopoietic growth factors has had a major impact on the management of ITP. Updated treatment guidelines have recently been made available but they are based largely on expert opinion rather than on high-quality clinical trial evidence. This structured review is focused on the management of adults with chronic ITP, including the use of new classes of agents. Keywords: corticosteroids, splenectomy, romiplostim, eltrombopag, rituximab Introduction According to the recent international consensus report,1 primary immune thrombocytopenia (ITP) is an acquired immune-mediated disorder characterized by isolated thrombocytopenia, defined as a platelet count, 100 × 109/L, and the absence of any obvious initiating and/or underlying cause for thrombocytopenia. It can be classified by duration into newly diagnosed, persistent (3–12 month duration), and chronic ($1 year duration). The pathogenic mechanism of thrombocytopenia in ITP was classically interpreted as increased platelet destruction mediated by autoantibodies.
    [Show full text]
  • WFH Treatment Guidelines 3Ed Chapter 3 Laboratory
    39 LABORATORY DIAGNOSIS 3 AND MONITORING Steve Kitchen1 | Francisco de Paula Careta2 | Silmara A. de Lima Montalvão3 | Emna Gouider4 | Radoslaw Kaczmarek5 | Claude T. Tagny6 | Pierre Toulon7 | Glenn F. Pierce8 | Alok Srivastava9 1 Department of Coagulation, Sheffield Haemophilia and Thrombosis Centre, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK 2 Department of Pharmacy and Nutrition, Federal University of Espirito Santo Alegre, Alegre, ES, Brazil 3 INCT do Sangue Hemocentro UNICAMP, University of Campinas, Campinas, SP, Brazil 4 Medical School, University of Tunis El Manar, Hemophilia Centre, Aziza Othmana Hospital, Tunis, Tunisia 5 Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA 6 Department of Hematology, Faculty of Medicine and Biomedical Sciences, University of Yaounde I and University Teaching Hospital of Yaoundé, Yaoundé, Cameroon 7 Service d’Hématologie Biologique, Université Côte d’Azur and Hôpital Pasteur – CHU Nice, Nice, France 8 World Federation of Hemophilia, Montreal, QC, Canada 9 Department of Haematology, Christian Medical College, Vellore, India All statements identified as recommendations are • REMARK: Details of laboratory tests for the diagnosis consensus based, as denoted by CB. and monitoring of hemophilia are described in the WFH laboratory manual. CB 3.1 Introduction 3.2 Coagulation laboratory testing • Different bleeding disorders may have very similar symptoms; therefore, a correct diagnosis is essential to Principles of diagnosis ensure that a
    [Show full text]
  • Treatment of Coagulopathy Related to Hepatic Insufficiency
    Concise Definitive Review Jonathan E. Sevransky, MD, Series Editor Treatment of Coagulopathy Related to Hepatic Insufficiency Cassie A. Barton, PharmD, BCPS, BCCCP Objectives: To provide a concise review of the medical man- sary and should consider patient specific factors. (Crit Care agement of coagulopathy related to hepatic insufficiency. This Med 2016; 44:1927–1933) review will focus on prevention and management of bleeding Key Words: blood coagulation factors; coagulopathy; hepatic episodes in patients with hepatic insufficiency. The treatment insufficiency; liver failure; prothrombin complex concentrate and prevention of thromboembolic complications will also be addressed. Data Sources: Electronic search of PubMed database using rele- vant search terms, including hepatic coagulopathy, hemorrhage, anagement of hepatic coagulopathy has tradition- liver diseases, blood coagulation disorders, blood transfusion, ally been addressed dogmatically, but new methods disseminated intravascular coagulation, and liver failure. Subse- Mto evaluate the risk of bleeding and new strategies to quent searches were done on specific issues. address acute bleeding episodes are challenging the status quo. Study Selection: Articles considered include original articles, It is now recognized that hepatic insufficiency results in a myr- review articles, guidelines, consensus statements, and confer- iad of profound changes in the hemostatic system. Concomi- ence proceedings. tant reductions in both pro- and anticoagulant factors create a Data Extraction: A detailed review of scientific, peer-reviewed dynamic rebalancing of hemostasis, but the balance can be easily data was performed. Relevant publications were included and disrupted (1–3). Routine tests of hemostasis, such as activated summarized. partial thromboplastin time (aPTT) and prothrombin time/ Data Synthesis: Available evidence is used to describe and international normalized ratio (PT/INR), are unable to fully summarize currently available tests of hemostasis, utilization of characterize this rebalanced coagulopathy.
    [Show full text]
  • Novothirteen® 2500 IU Catridecacog (Rys) Recombinant Coagulation Factor XIII
    NovoThirteen® 2500 IU catridecacog (rys) Recombinant coagulation factor XIII Consumer Medicine Information What is in this leaflet missing the factor XIII (A-subunit) (thrombosis), as NovoThirteen protein. NovoThirteen® replaces may increase the severity of a What NovoThirteen® is used for the missing Factor XIII and helps to pre-existing blood clot; Before you use NovoThirteen® stabilise the initial blood clot by • are allergic to rFXIII, yeast producing a mesh around the clot. Using NovoThirteen® protein or to any of the Ask your doctor or healthcare ingredients in NovoThirteen®; While you are using professional if you have any NovoThirteen® • are using other blood clotting questions about why factors. It is not recommended Side effects NovoThirteen® has been given to to use NovoThirteen® and Storage you. recombinant factor VIIa Your doctor may have prescribed it Product Description (another blood clotting factor) for another reason. NovoThirteen® User Instructions together; • are pregnant or trying to become This leaflet answers some common pregnant; questions about NovoThirteen®. It does not contain all the available Before you use • are breast-feeding or planning to information. It does not take the NovoThirteen® breast-feed. place of talking to your doctor or Tell your doctor if you have or have had any medical conditions, healthcare professional. When NovoThirteen® should especially the following: All medicines have risks and not be used benefits. Your doctor has weighed • blood clots (thrombosis); You should not use or be treated the risks of you using • liver disease or liver damage with NovoThirteen® if you have an NovoThirteen® against the benefits Contact your doctor immediately: allergy to: they expect it will have for you.
    [Show full text]