Evidence map›Paper›PMID 34515154›Full record

ArticleNephron2022

Pregnancy in Women with Atypical Hemolytic Uremic Syndrome.

Eric Rondeau, Gianluigi Ardissino, Marie-Pierre Caby-Tosi, Imad Al-Dakkak, Fadi Fakhouri, Benjamin Miller, Marie Scully, Global aHUS Registry

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Nephron, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01522183 (An Observational, Non-Interventional, Multi-Center, Multi-National Study of Patients With Atypical Hemolytic-Uremic Syndrome), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01522183 recruitingnot on this map

An Observational, Non-Interventional, Multi-Center, Multi-National Study of Patients With Atypical Hemolytic-Uremic Syndrome (aHUS Registry)

Typeobservational_patient_registrySponsorAlexion Pharmaceuticals, Inc.Ran2013 to 2031Enrolled3,000ConditionsAtypical Hemolytic-Uremic Syndrome
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Hematologic Complications of Pregnancy.European journal of haematology · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 4 countries.

Eric RondeauIntensive Care Nephrology and Transplantation Department, Hôpital Tenon, APHP, Sorbonne Université, Paris, France.
Gianluigi ArdissinoCentro per la Cura e lo Studio della Sindrome Emolitico-Uremica, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Marie-Pierre Caby-TosiGlobal Data Science, Alexion Pharmaceuticals, Inc., Boston, Massachusetts, USA.
Imad Al-DakkakEpidemiology, Alexion Pharmaceuticals, Inc., Boston, Massachusetts, USA.
Fadi FakhouriService de Néphrologie et Immunologie Clinique, CHU de Nantes - Hôtel Dieu, Nantes, France.
Benjamin MillerEmployee at the Time of Study, of Alexion Pharmaceuticals, Inc., Boston, Massachusetts, USA.
Marie ScullyDepartment of Haematology, University College London Hospital, Cardiometabolic Programme-NIHR UCLH/UCL BRC, London, United Kingdom.
Global aHUS Registry
Alexion Pharmaceuticals (United States) · USCentre Hospitalier Universitaire de Nantes · FRFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITSorbonne Université · FRUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPregnancy outcomes in patients with atypical hemolytic uremic syndrome (aHUS) are not well-documented. Here, we present characteristics of and outcomes for patients with aHUS who became pregnant while enrolled in the Global aHUS Registry.

methodsThe observational Global aHUS Registry (NCT01522183), initiated in April 2012, collects demographics, disease history, treatment, and outcomes data for patients with aHUS, regardless of treatment approach. This descriptive analysis includes patients from the Registry with evaluable pregnancy data supplemented with pharmacovigilance information; the number of pregnancies, outcomes, and exposure to eculizumab were evaluated.

resultsAs of April 1, 2019, 44 pregnancies were recorded in 41 patients, with 24 pregnancies exposed to eculizumab. Pathogenic variants were identified in 48.8% of patients. Three patients were on dialysis and 6 patients had a kidney graft at the time of pregnancy. Excluding elective terminations, 85.3% of pregnancies resulted in live births. Elective terminations were recorded in 22.7% of pregnancies, miscarriages occurred in 9.1% of pregnancies, and late fetal death in 2.3% of pregnancies. No malformations or anomalies were reported.

conclusionsOur results show that in women with aHUS, even on dialysis or with a kidney graft, pregnancy is possible with careful monitoring for aHUS flares and prematurity. Prophylactic or therapeutic eculizumab offers disease control with low-risk of fetal abnormalities.

Indexed as

Pregnancy ComplicationsAdultAtypical Hemolytic Uremic SyndromeFemaleHumansPharmacovigilancePregnancyPregnancy OutcomeRenal DialysisAtypical hemolytic uremic syndromeEculizumabPregnancyReal-world evidenceRegistry

Identifiers

PMID34515154
PMCPMC8820436
OpenAlexW3196353093

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.