Evidence map›Paper›PMID 34931321›Full record

ArticleTransfusion2022

Safety and tolerability of solvent/detergent-treated plasma for pediatric patients requiring therapeutic plasma exchange: An open-label, multicenter, postmarketing study.

Cassandra D Josephson, Stuart Goldstein, David Askenazi, Claudia S Cohn, Philip C Spinella, Ara Metjian, Ross M Fasano, Lejla Music-Aplenc

Abstract readMulticenter Study
In one paragraph

Article in Transfusion, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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.

Cassandra D JosephsonDepartments of Pathology and Laboratory Medicine and Pediatrics, Center for Transfusion and Cellular Therapies and Aflac Cancer and Blood Disorders Center, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0003-2543-991X
Stuart GoldsteinCincinnati Children's, Cincinnati, Ohio, USA.
David AskenaziChildren's of Alabama, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Claudia S CohnUniversity of Minnesota, Minneapolis, Minnesota, USA.ORCID 0000-0001-9847-0470
Philip C SpinellaUniversity of Pittsburg, Pittsburg, Pennsylvania, USA.ORCID 0000-0003-1721-0541
Ara MetjianUniversity of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.
Ross M FasanoDepartments of Pathology and Laboratory Medicine and Pediatrics, Center for Transfusion and Cellular Therapies and Aflac Cancer and Blood Disorders Center, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0001-8692-4041
Lejla Music-AplencUniversity of Missouri-Kansas City School of Medicine, Kansas City, Missouri, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study investigated the real-world safety and tolerability of solvent/detergent-treated (S/D) plasma for pediatric patients requiring therapeutic plasma exchange (TPE). STUDY DESIGN AND

methodsLAS-213 was a multicenter, open-label, interventional, phase 4 study. Patients (≥2 to ≤20 years) receiving TPE therapy were eligible. A total plasma volume of 40-60 ml/kg was recommended, with an infusion rate not exceeding 0.020-0.025 citrate/kg body weight/min (<1 ml/kg body weight/min). The primary endpoint was assessment of safety, monitoring the following: serious adverse events (SAEs), adverse drug reactions (ADRs), thrombotic events (TEs), thromboembolic events (TEEs), and specific laboratory tests.

resultsIn total, 41 children (2 to <12 years [n = 15]; 12 to <17 years [n = 13]; ≥17 years [n = 13]) underwent 102 TPEs with a total of 135,137 ml of S/D plasma exchanged. Each patient group received between 1 and 6 TPEs (mean: 2.5 TPEs). Actual dose administered per TPE was 4-72 ml/kg (mean: 28.6 ml/kg), with a mean total volume of 1324.9 ml (range: 113-4000 ml). Overall safety was excellent for 96/102 (94.0%) TPEs. Six TPEs had a "moderate" safety profile for four patients experiencing eight ADRs. Of these, seven were mild in intensity and one (pyrexia) was moderate, all resolving by study end. Mild citrate toxicity (n = 2) was the most common ADR. One SAE was reported but was unrelated to the study drug. No TEs, TEEs, or changes in laboratory safety parameters were reported.

conclusionS/D plasma was well tolerated and demonstrated favorable safety, supporting the use of S/D plasma for TPE in pediatrics.

Indexed as

Drug-Related Side Effects and Adverse ReactionsPediatricsBody WeightChildCitric AcidDetergentsHumansPlasma ExchangeSolventsCitric AcidDetergentsSolventsblood component preparationshemostasispediatricsplasma derivativestransfusion practices

Identifiers

PMID34931321
PMCPMC9299645

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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.