Evidence map›Paper›PMID 37476982›Full record

SynthesisInternational journal of technology assessment in health care2023

Effectiveness and safety of caplacizumab in acquired thrombotic thrombocytopenic purpura: health technology assessment and classification according to the methodology established in Colombia.

Jahir A Soto-Mora, Lina M Gómez-Espitia, Pieralessandro Lasalvia, Camilo A Castellanos Moreno, Carol A Casallas Vanegas, Sergio A Londoño Gutiérrez

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in International journal of technology assessment in health care, 2023. 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
0.3field-weighted citation impact, top 35% 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.

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, 2 citations in OpenAlex.

  1. Article
  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

6 authors at 2 institutions in 1 country.

Jahir A Soto-MoraDepartment of Evidence-Based Medicine, NeuroEconomix, Bogotá, Colombia.ORCID https://orcid.org/0009-0004-1205-0168
Lina M Gómez-EspitiaDepartment of Evidence-Based Medicine, NeuroEconomix, Bogotá, Colombia.ORCID https://orcid.org/0000-0003-2518-7513
Pieralessandro LasalviaDepartment of Health Economics, NeuroEconomix, Bogotá, Colombia.ORCID https://orcid.org/0000-0002-8998-6608
Camilo A Castellanos MorenoSanofi, Bogotá, Colombia.ORCID https://orcid.org/0000-0002-7330-3358
Carol A Casallas VanegasSanofi, Bogotá, Colombia.ORCID https://orcid.org/0009-0001-3637-6582
Sergio A Londoño GutiérrezSanofi, Bogotá, Colombia.ORCID https://orcid.org/0009-0004-2603-1451
Asociación Colombiana de Facultades de Ingeniería · COInstituto Neurológico de Colombia · CO

Funding

Sanofi
6 · The paper itself

Abstract

objectivesAcquired thrombotic thrombocytopenic purpura (aTTP) is a rare hematological disease whose clinical management includes caplacizumab along with plasma exchange and immunosuppression, according to international guidelines. Caplacizumab has been available in Colombia since 2022. This study seeks to determine the therapeutic classification of caplacizumab according to the methodology of the Instituto de Evaluación Tecnológica en Salud.

methodsThe classification was carried out through a deliberative process following the modified Delphi technique, with a panel of experts, made up of four hemato-oncologists, a pharmaceutical chemist, and a patient. The results of effectiveness and safety obtained through a systematic review, therapeutic thresholds (clinical significance), and degree of acceptability (willingness to use the technology) were used for the classification.

resultsFourteen effectiveness and safety outcomes were submitted for the classification process. Caplacizumab showed clinical significance for some effectiveness outcomes, was not considered inferior in terms of safety, and displayed acceptability of use. Through consensus, the panel determined that caplacizumab plus the standard regimen is superior to the standard regimen in terms of treatment response and composite outcome, and no different for the other effectiveness and safety outcomes. Likewise, in overall terms, the panel determined that caplacizumab together with the standard regimen is superior to the standard regimen.

conclusionTreatment with caplacizumab together with the standard regimen was considered superior to the standard regimen for the treatment of patients with aTTP, as it showed clinically significant benefits in critical outcomes for decision making, and a safety profile no different to its comparator.

Indexed as

Purpura, Thrombotic ThrombocytopenicColombiaHumansSingle-Domain AntibodiesTechnology Assessment, BiomedicalcaplacizumabSingle-Domain Antibodiescaplacizumabhealth technology assessmentthrombotic thrombocytopenic purpura

Identifiers

PMID37476982
PMCPMC11570038
OpenAlexW4384926337

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.