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  1. Article ; Online: Hydroxyurea and stroke prevention in sickle cell anaemia: the challenge of application in sub-Saharan Africa.

    Diop, Saliou / de Montalembert, Mariane

    The Lancet. Haematology

    2023  Volume 10, Issue 4, Page(s) e237–e238

    MeSH term(s) Humans ; Hydroxyurea/therapeutic use ; Anemia, Sickle Cell/complications ; Anemia, Sickle Cell/drug therapy ; Antisickling Agents/therapeutic use ; Africa South of the Sahara/epidemiology ; Stroke/etiology ; Stroke/prevention & control
    Chemical Substances Hydroxyurea (X6Q56QN5QC) ; Antisickling Agents
    Language English
    Publishing date 2023-03-01
    Publishing country England
    Document type Journal Article
    ISSN 2352-3026
    ISSN (online) 2352-3026
    DOI 10.1016/S2352-3026(23)00003-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Éducation thérapeutique des patients atteints de drépanocytose.

    Corbasson, Anne / Blasco, Philippe / De Montalembert, Mariane

    La Revue du praticien

    2023  Volume 73, Issue 5, Page(s) 527–528

    Title translation Therapeutic education of patients with sickle cell disease.
    MeSH term(s) Humans ; Anemia, Sickle Cell ; Patient Education as Topic
    Language French
    Publishing date 2023-06-12
    Publishing country France
    Document type Journal Article
    ZDB-ID 205365-2
    ISSN 2101-017X ; 0035-2640
    ISSN (online) 2101-017X
    ISSN 0035-2640
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: SUCCESSES AND PITFALLS IN ORPHAN DRUG DEVELOPMENT FOR SICKLE CELL DISEASE.

    Costa, Enrico / Isgrò, Antonella / de Montalembert, Mariane / Leufkens, Hubert G M / Ware, Russell E / De Franceschi, Lucia

    Blood advances

    2024  

    Abstract: Sickle cell disease (SCD) is a hereditary red cell disorder with large global burden problem. In the United States (US) and Europe, medicines may qualify for orphan designation (OD), a regulatory status that provides incentives to boost development. We ... ...

    Abstract Sickle cell disease (SCD) is a hereditary red cell disorder with large global burden problem. In the United States (US) and Europe, medicines may qualify for orphan designation (OD), a regulatory status that provides incentives to boost development. We evaluated the development of new therapies for SCD using data for OD granted in the US and Europe over the last two decades (2000-2021). We analyzed their characteristics, pathophysiological targets, trends, and OD sponsors. We then investigated the approval outcomes, including the phase success rate and reasons for discontinuation across different variables. We identified 57 OD for SCD: 43 (75.4%) small molecules, 32 (56.1%) for oral administration, and 36 (63.1%) for chronic use to prevent SCD complications. At the end of the study (2021) development of 34/57 ODs was completed. Four OD were approved with a success rate of 11.8%. Products targeting upstream causative events of SCD pathophysiology had a 1.8 higher success rate compared to products targeting disease consequences. Large companies showed a fourfold higher success rate compared to small-medium enterprises. Failures in clinical development were mainly seen in Phase 3 for a lack of efficacy on vaso-occlusive crisis as the primary study endpoint, likely related to variable definitions and heterogeneity of pain scoring and treatment. Both advances in SCD knowledge and regulatory incentives paved the way for new therapies for SCD. Our finding of high failure rates in late-stage clinical development signals the need for better early-stage predictive models, also in the context of meaningful clinical endpoints.
    Language English
    Publishing date 2024-03-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2915908-8
    ISSN 2473-9537 ; 2473-9529
    ISSN (online) 2473-9537
    ISSN 2473-9529
    DOI 10.1182/bloodadvances.2023011730
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The Liver in Sickle Cell Disease.

    Lacaille, Florence / Allali, Slimane / de Montalembert, Mariane

    Journal of pediatric gastroenterology and nutrition

    2020  Volume 72, Issue 1, Page(s) 5–10

    Abstract: Abstract: Liver involvement is found in nearly 40% of children with sickle cell disease. The most frequent complication is cholelithiasis. The most severe complication is acute hepatic crisis, with symptoms ranging from increasing jaundice to multiple ... ...

    Abstract Abstract: Liver involvement is found in nearly 40% of children with sickle cell disease. The most frequent complication is cholelithiasis. The most severe complication is acute hepatic crisis, with symptoms ranging from increasing jaundice to multiple organ failure and death. The emergency and mostly efficient treatment is exchange transfusion. Chronic cholangiopathy is increasingly recognized, with autoimmune features in most cases, worsened by chronic ischemia. Transfusion-related iron overload is not yet a concern in children, and hepatotoxicity of iron chelators is rare. We propose recommendations to prevent, explore, and treat these complications. We emphasize the close collaboration required between hepatologists and specialists of sickle cell disease.
    MeSH term(s) Anemia, Sickle Cell/complications ; Anemia, Sickle Cell/therapy ; Blood Transfusion ; Child ; Humans ; Liver
    Language English
    Publishing date 2020-07-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603201-1
    ISSN 1536-4801 ; 0277-2116
    ISSN (online) 1536-4801
    ISSN 0277-2116
    DOI 10.1097/MPG.0000000000002886
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Sickle Cell Health Awareness, Perspectives, and Experiences (SHAPE) survey: Perspectives of adolescent and adult patients, caregivers, and healthcare professionals on the burden of sickle cell disease.

    de Montalembert, Mariane / Anderson, Alan / Costa, Fernando F / Inusa, Baba P D / Jastaniah, Wasil / Kunz, Joachim B / Tinga, Biba / Ingoli, Elvie / James, John / Hartfield, Regina / Beaubrun, Anne / Lartey, Belinda / Odame, Isaac

    European journal of haematology

    2024  

    Abstract: Objectives: Sickle cell disease (SCD) is an inherited disorder that causes lifelong complications, substantially impacting the physical and emotional well-being of patients and their caregivers. Studies investigating the effects of SCD on quality of ... ...

    Abstract Objectives: Sickle cell disease (SCD) is an inherited disorder that causes lifelong complications, substantially impacting the physical and emotional well-being of patients and their caregivers. Studies investigating the effects of SCD on quality of life (QOL) are often limited to individual countries, lack SCD-specific QOL questionnaires, and exclude the caregiver experience. The SHAPE survey aimed to broaden the understanding of the global burden of SCD on patients and their caregivers and to capture the viewpoint of healthcare providers (HCPs).
    Methods: A total of 919 patients, 207 caregivers, and 219 HCPs from 10, 9, and 8 countries, respectively, answered a series of closed-ended questions about their experiences with SCD.
    Results: The symptoms most frequently reported by patients were fatigue/tiredness (84%) and pain/vaso-occlusive crises (71%). Patients' fatigue/tiredness had one of the greatest impacts on both patients' and caregivers' QOL. On average, patients and caregivers reported missing 7.5 days and 5.0 days per month, respectively, of school or work. HCPs reported a need for effective tools to treat fatigue/tiredness and a desire for more support to educate patients on long-term SCD-related health risks.
    Conclusions: The multifaceted challenges identified using the SHAPE survey highlight the global need to improve both patient and caregiver QOL.
    Language English
    Publishing date 2024-04-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 392482-8
    ISSN 1600-0609 ; 0902-4441
    ISSN (online) 1600-0609
    ISSN 0902-4441
    DOI 10.1111/ejh.14211
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Chronic organ injuries in children with sickle cell disease.

    Allali, Slimane / Taylor, Melissa / Brice, Joséphine / de Montalembert, Mariane de

    Haematologica

    2021  Volume 106, Issue 6, Page(s) 1535–1544

    Abstract: Median life expectancy of patients with sickle cell disease has increased to up to 55 years but there are still frequent cases of premature death, mostly in patients with pre-existing organ failure such as pulmonary hypertension, kidney injury, and ... ...

    Abstract Median life expectancy of patients with sickle cell disease has increased to up to 55 years but there are still frequent cases of premature death, mostly in patients with pre-existing organ failure such as pulmonary hypertension, kidney injury, and cerebral vasculopathy. Most organ injuries remain asymptomatic for a long time and can only be detected through early systematic screening. Protocols combining assessment of velocities on transcranial Doppler and regular transfusions in patients with abnormal velocities have been demonstrated to dramatically reduce the risk of stroke. In contrast, no consensus has been reached on systematic screening or therapy for silent cerebral infarcts. The prognostic significance of increased tricuspid regurgitant jet velocity on echocardiography has not yet been identified in children, whereas increased albuminuria is a good predictor of kidney injury. Finally, screening for hip and eye disorder is recommended; however, different countries adopt different screening strategies. Hydroxyurea is probably of potential benefit in preventing chronic organ damage but this requires further study in order to be fully demonstrated. Efficacy and safety of the other new drugs available are also under investigation.
    MeSH term(s) Anemia, Sickle Cell/complications ; Anemia, Sickle Cell/diagnosis ; Anemia, Sickle Cell/epidemiology ; Antisickling Agents ; Blood Transfusion ; Child ; Humans ; Hydroxyurea ; Stroke
    Chemical Substances Antisickling Agents ; Hydroxyurea (X6Q56QN5QC)
    Language English
    Publishing date 2021-06-01
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2333-4
    ISSN 1592-8721 ; 0017-6567 ; 0390-6078
    ISSN (online) 1592-8721
    ISSN 0017-6567 ; 0390-6078
    DOI 10.3324/haematol.2020.271353
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Dramatic efficacy of cannabidiol on refractory chronic pain in an adolescent with sickle cell disease.

    Mayrand, Lara / Tarbé de Saint Hardouin, Anne-Laure / Maciel, Thiago Trovati / Rignault-Bricard, Rachel / Taylor, Melissa / Brice, Joséphine / de Montalembert, Mariane / Hermine, Olivier / Greco, Céline / Allali, Slimane

    American journal of hematology

    2023  Volume 98, Issue 11, Page(s) E295–E297

    Abstract: Here, we report a dramatic efficacy of cannabidiol in an adolescent with SCD suffering from chronic pain refractory to other analgesics, with complete regression of chronic pain and rapid plasma histamine level normalization after treatment. ...

    Abstract Here, we report a dramatic efficacy of cannabidiol in an adolescent with SCD suffering from chronic pain refractory to other analgesics, with complete regression of chronic pain and rapid plasma histamine level normalization after treatment.
    Language English
    Publishing date 2023-08-04
    Publishing country United States
    Document type Letter
    ZDB-ID 196767-8
    ISSN 1096-8652 ; 0361-8609
    ISSN (online) 1096-8652
    ISSN 0361-8609
    DOI 10.1002/ajh.27049
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Sputum IL-6 level as a potential predictor of acute chest syndrome during vaso-occlusive crisis in children with sickle cell disease: Exploratory prospective prognostic accuracy study.

    Allali, Slimane / Elie, Juliette / Mayrand, Lara / de Montalembert, Mariane / Taylor, Melissa / Brice, Joséphine / Maire, Amandine / Rignault-Bricard, Rachel / Heilbronner, Claire / Cohen, Jérémie F / Maciel, Thiago T / Hermine, Olivier

    American journal of hematology

    2023  Volume 98, Issue 7, Page(s) E175–E178

    MeSH term(s) Humans ; Child ; Acute Chest Syndrome ; Interleukin-6 ; Prognosis ; Prospective Studies ; Sputum ; Anemia, Sickle Cell ; Hemoglobinopathies
    Chemical Substances Interleukin-6
    Language English
    Publishing date 2023-04-25
    Publishing country United States
    Document type Letter
    ZDB-ID 196767-8
    ISSN 1096-8652 ; 0361-8609
    ISSN (online) 1096-8652
    ISSN 0361-8609
    DOI 10.1002/ajh.26939
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Hydroxyurea is associated with later onset of acute splenic sequestration crisis in sickle cell disease: Lessons from the European Sickle Cell Disease Cohort-Hydroxyurea (ESCORT-HU) study.

    Allali, Slimane / Galactéros, Frédéric / Oevermann, Lena / Cannas, Giovanna / Joseph, Laure / Loko, Gylna / Elenga, Narcisse / Benkerrou, Malika / Etienne-Julan, Maryse / Castex, Marie-Pierre / Brousse, Valentine / de Montalembert, Mariane

    American journal of hematology

    2024  Volume 99, Issue 4, Page(s) 555–561

    Abstract: Acute splenic sequestration crisis (ASSC) is a potentially life-threatening complication of sickle cell disease (SCD), typically occurring in young patients under 5 years of age, with a median age at first episode of less than 2 years. Because a ... ...

    Abstract Acute splenic sequestration crisis (ASSC) is a potentially life-threatening complication of sickle cell disease (SCD), typically occurring in young patients under 5 years of age, with a median age at first episode of less than 2 years. Because a beneficial effect of hydroxyurea (HU) on spleen perfusion and splenic function has been suspected, we hypothesized that HU treatment might be associated with later onset of ASSC in patients with SCD. To investigate this hypothesis, we analyzed data from the ESCORT-HU study on a large cohort of patients with SCD receiving HU, enrolled between January 2009 and June 2017 with a follow-up of 7309 patient-years of observation. The median age at ASSC of the 14 patients who experienced a first episode of ASSC during the study period was 8.0 [IQR: 5.0-24.1] years. The median age at HU initiation was significantly lower in these 14 patients (4.8 [IQR: 3.3-18.7] years) compared to the 1664 patients without ASSC (19.9 [8.8-33.4] years, p = .0008). These findings suggest that ASSC may occur at an unusually late age in patients receiving HU, possibly reflecting longer preservation of spleen perfusion and function secondary to early initiation of HU. Further studies are needed to better characterize the effects of HU on spleen perfusion/function and on the occurrence of ASSC in patients with SCD (ClinicalTrials.gov identifier: NCT02516579; European registry ENCEPP/SDPP/10565).
    MeSH term(s) Humans ; Child, Preschool ; Child ; Adolescent ; Young Adult ; Adult ; Hydroxyurea/therapeutic use ; Spleen ; Acute Disease ; Anemia, Sickle Cell/complications ; Anemia, Sickle Cell/drug therapy ; Anemia, Sickle Cell/epidemiology ; Registries ; Antisickling Agents/therapeutic use
    Chemical Substances Hydroxyurea (X6Q56QN5QC) ; Antisickling Agents
    Language English
    Publishing date 2024-01-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 196767-8
    ISSN 1096-8652 ; 0361-8609
    ISSN (online) 1096-8652
    ISSN 0361-8609
    DOI 10.1002/ajh.27214
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Innate immune cells, major protagonists of sickle cell disease pathophysiology.

    Allali, Slimane / Maciel, Thiago Trovati / Hermine, Olivier / de Montalembert, Mariane

    Haematologica

    2020  Volume 105, Issue 2, Page(s) 273–283

    Abstract: Sickle cell disease (SCD), considered the most common monogenic disease worldwide, is a severe hemoglobin disorder. Although the genetic and molecular bases have long been characterized, the pathophysiology remains incompletely elucidated and therapeutic ...

    Abstract Sickle cell disease (SCD), considered the most common monogenic disease worldwide, is a severe hemoglobin disorder. Although the genetic and molecular bases have long been characterized, the pathophysiology remains incompletely elucidated and therapeutic options are limited. It has been increasingly suggested that innate immune cells, including monocytes, neutrophils, invariant natural killer T cells, platelets and mast cells, have a role in promoting inflammation, adhesion and pain in SCD. Here we provide a thorough review of the involvement of these novel, major protagonists in SCD pathophysiology, highlighting recent evidence for innovative therapeutic perspectives.
    MeSH term(s) Anemia, Sickle Cell/therapy ; Humans ; Immunity, Innate ; Inflammation ; Neutrophils ; Pain
    Language English
    Publishing date 2020-01-31
    Publishing country Italy
    Document type Journal Article ; Review
    ZDB-ID 2333-4
    ISSN 1592-8721 ; 0017-6567 ; 0390-6078
    ISSN (online) 1592-8721
    ISSN 0017-6567 ; 0390-6078
    DOI 10.3324/haematol.2019.229989
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