Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The association between hematologic malignancies and ITP is well described, but this link is much less clear with solid cancers. In cases of ITP associated with cancers, specific cancer treatment can lead to remission or even cure of ITP. Thus, our hypothesis was that chronic expression of GPIIB by tumor cells could have initiated an autoimmune loop against GPIIB, leading to the onset and perpetuation of ITP.
Autoimmune thrombocytopenia, also known as immune thrombocytopenic purpura (ITP), is a rare autoimmune disease characterized by platelet destruction and impaired production, posing a life-threatening risk due to bleeding complications. The pathophysiology of ITP involves complex mechanisms, including both defective platelet production and auto-reactivity of B and T lymphocytes leading to the production of autoantibodies against platelets, found in 35 to 55% of cases. Additionally, in the context of neoplasia, some patients may develop varying degrees of thrombocytopenia, exacerbating morbidity and mortality. A multicenter, retrospective study will collect data from routine care, including birth date, gender, biological parameters related to ITP, dates of treatment initiation and diagnosis of ITP and cancer, types of treatments, and outcomes such as survival or death, without additional medical interventions or appointments.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with a definite diagnosis of both ITP and cancer |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ITP and cancer | Other | ITP and cancer |
|
| Measure | Description | Time Frame |
|---|---|---|
| Remission rate of ITP at 6 months after specific cancer treatment | At baseline (Day 0) |
| Measure | Description | Time Frame |
|---|---|---|
| All-cause mortality | At baseline (Day 0) | |
| Side effects related to ITP and its treatment | At baseline (Day 0) | |
| Side effects related to its treatment |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Patients with a definite diagnosis of both ITP and cancer
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Etienne RIVIERE, MD | University Hospital, Bordeaux | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| AP-HP Hôpital Jean Verdier service de médecine interne | Bondy | France | ||||
| CHU de Clermont-Ferrand - service de médecine interne |
Not provided
Not provided
Not provided
Not provided
| At baseline (Day 0) |
| Clinical description of the characteristics of ITP associated with a diagnosis of solid cancer | At baseline (Day 0) |
| Biological description of the characteristics of ITP associated with a diagnosis of solid cancer | At baseline (Day 0) |
| Demographic description of the characteristics of ITP associated with a diagnosis of solid cance | At baseline (Day 0) |
| Therapeutic description of the characteristics of ITP associated with a diagnosis of solid cance | At baseline (Day 0) |
| Clermont-Ferrand |
| France |
| AP-HP Hôpital Mondor service de médecine interne | Créteil | France |
| AP-HP Hôpital Bicêtre service de médecine interne | Le Kremlin-Bicêtre | France |
| CHU de Lille - service d'Hématologie | Lille | France |
| HCL - service d'Hématologie | Lyon | France |
| AP-HM Hôpital la Timone - service de médecine interne | Marseille | France |
| CHU de Montpellier - service d'Hématologie | Montpellier | France |
| CHRU de Nancy - service de Médecine Interne et Immunologie Clinique | Nancy | France |
| CHU de Nantes - service de médecine interne | Nantes | France |
| CHRU d'Orléans - service de Médecine interne | Orléans | France |
| CHRU d'Orléans - service de réanimation | Orléans | France |
| AP-HP Hôpital Bichat service de médecine interne | Paris | France |
| AP-HP Hôpital Saint-Antoine service de médecine interne | Paris | France |
| AP-HP Hôpital Saint-Louis service immuno-hématologie | Paris | France |
| CHU de Bordeaux Service de Médecine Interne et Maladies Infectieuses | Pessac | France |
| CHU de Poitiers - service de médecine interne | Poitiers | France |
| CHRU de Strasbourg - service de médecine interne | Strasbourg | France |
| CHU de Toulouse - service de médecine interne | Toulouse | France |
| CHU de Tours - service de médecine interne | Tours | France |
| ID | Term |
|---|---|
| D016553 | Purpura, Thrombocytopenic, Idiopathic |
| D009369 | Neoplasms |
| ID | Term |
|---|---|
| D011696 | Purpura, Thrombocytopenic |
| D011693 | Purpura |
| D001778 | Blood Coagulation Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D057049 | Thrombotic Microangiopathies |
| D013921 | Thrombocytopenia |
| D001791 | Blood Platelet Disorders |
| D000095542 | Cytopenia |
| D006474 | Hemorrhagic Disorders |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012877 | Skin Manifestations |
| D012816 | Signs and Symptoms |
Not provided
Not provided
| ID | Term |
|---|---|
| D007293 | Inosine Triphosphate |
| ID | Term |
|---|---|
| D007292 | Inosine Nucleotides |
| D011685 | Purine Nucleotides |
| D011687 | Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D009711 | Nucleotides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
| D012265 | Ribonucleotides |
Not provided
Not provided