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CM Legendre (2013)
Terminal Complement Inhibitor Eculizumab in Atypical Hemolytic–Uremic SyndromeN Engl J Med., 368
G Ariceta (2021)
Eculizumab discontinuation in atypical hemolytic uremic syndrome: TMA recurrence risk and renal outcomesClin Kidney J., 14
S Ito (2025)
Effectiveness and safety of ravulizumab for Japanese patients with atypical hemolytic uremic syndrome switched from eculizumab: an analysis of a post-marketing surveillanceClin Exp Nephrol.
Clinical and Experimental Nephrology https://doi.org/10.1007/s10157-025-02737-1 LE T TER TO THE EDITOR Clinical insights on “Eec ff tiveness and safety of ravulizumab for Japanese patients with atypical hemolytic uremic syndrome (aHUS) switched from eculizumab” 1 1 2 3 4 Ali Karim · FNU Rida · Ekata Agnes Omoijuanfo · Noor un nisa Irshad · Abdul Karim Soomro · Faqeer Muhammad Received: 5 July 2025 / Accepted: 7 July 2025 © The Author(s), under exclusive licence to Japanese Society of Nephrology 2025 To the Editor, comparison with previous data and might perhaps inflate the numerical effectiveness rate. The definition of outcomes We read with great interest the study of post-marketing sur- must be the same across trials of complement inhibitors for veillance (PMS) by Ito et al., titled “Effectiveness and safety longitudinal evaluation and comparison of treatments [4]. of ravulizumab for Japanese patients with atypical hemolytic Compared with future studies that would greatly benefit uremic syndrome (aHUS) switched from eculizumab” [1]. from controlled comparative design, standardized endpoints, These results provide much-needed real-world effectiveness and more demographically diverse populations, the clinical data for ravulizumab in this rare complement-mediated dis- value of ravulizumab would be better clarified in this regard. ease. The finding of a 97% event-free rate for TMA under - lines the promise of ravulizumab, particularly as
Clinical and Experimental Nephrology – Springer Journals
Published: Jul 15, 2025
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