| Unique ID issued by UMIN | UMIN000062446 |
|---|---|
| Receipt number | R000070680 |
| Scientific Title | A single-center retrospective study on clinical outcomes after the introduction of caplacizumab for thrombotic thrombocytopenic purpura and an exploratory analysis of risk factors for the ADAMTS13 inhibitor boosting |
| Date of disclosure of the study information | 2026/08/03 |
| Last modified on | 2026/08/03 12:34:39 |
A single-center retrospective study on clinical outcomes after the introduction of caplacizumab for thrombotic thrombocytopenic purpura and an exploratory analysis of risk factors for the ADAMTS13 inhibitor boosting
C-BOOST project
A single-center retrospective study on clinical outcomes after the introduction of caplacizumab for thrombotic thrombocytopenic purpura and an exploratory analysis of risk factors for the ADAMTS13 inhibitor boosting
C-BOOST project
| Japan |
Thrombotic thrombocytopenic purpura
| Hematology and clinical oncology |
Others
NO
The objective of this study is to comprehensively characterize the clinical characteristics, treatment strategies, and clinical outcomes of patients with thrombotic thrombocytopenic purpura (TTP) diagnosed at our institution between 2014 and 2025. Furthermore, we aim to compare patients treated before and after the introduction of caplacizumab and to exploratorily identify risk factors associated with ADAMTS13 inhibitor boosting under contemporary treatment strategies.
Efficacy
The primary endpoint is the incidence of ADAMTS13 inhibitor boosting. By establishing the incidence of this event as the primary endpoint, this study aims to determine its baseline risk and to exploratorily identify risk factors by evaluating associations with patient characteristics and treatment-related factors.
Secondary outcome measures include the number and duration of therapeutic plasma exchange (TPE) sessions, length of intensive care unit (ICU) stay, occurrence of ADAMTS13 inhibitor boosting, time to normalization of ADAMTS13 activity, and bleeding complications.
ADAMTS13 activity and inhibitor titer at diagnosis; comorbidities (including autoimmune diseases), pregnancy status, and history of malignancy.
Observational
| Not applicable |
| Not applicable |
Male and Female
Participants must meet all of the following inclusion criteria:
Patients newly diagnosed with thrombotic thrombocytopenic purpura (TTP) at our institution.
Patients for whom baseline demographic and clinical information can be confirmed from the medical records.
Patients meeting one or more of the following exclusion criteria will be excluded from the study:
Patients for whom the diagnosis of thrombotic thrombocytopenic purpura (TTP) is considered uncertain based on the available diagnostic data.
Patients who declined participation through the opt-out procedure.
12
| 1st name | Isao |
| Middle name | |
| Last name | Tawara |
Graduate School of Medicine, Mie University
Department of Hematology and Oncology
514-8507
2-174, Edobashi, Tsu city, Mie
059-231-1111
itawara@med.mie-u.ac.jp
| 1st name | Akihide |
| Middle name | |
| Last name | Nakamura |
Department of Hematology and Oncology
Department of Hematology and Oncology
514-8507
2-174, Edobashi, Tsu city, Mie
059-231-1111
akihide-n@med.mie-u.ac.jp
Department of Hematology and Oncology, Graduate School of Medicine, Mie University
Department of Hematology and Oncology, Graduate School of Medicine, Mie University
Other
Department of Hematology and Oncology, Graduate School of Medicine, Mie University
2-174, Edobashi, Tsu city, Mie
059-231-5016
akihide-n@med.mie-u.ac.jp
NO
| 2026 | Year | 08 | Month | 03 | Day |
Unpublished
12
No longer recruiting
| 2026 | Year | 04 | Month | 13 | Day |
| 2026 | Year | 05 | Month | 07 | Day |
| 2026 | Year | 08 | Month | 01 | Day |
| 2028 | Year | 03 | Month | 31 | Day |
This is a single-center retrospective observational study. Patients newly diagnosed with immune-mediated thrombotic thrombocytopenic purpura (iTTP) at our institution between January 1, 2014, and December 31, 2025, will be retrospectively identified, and their clinical characteristics, treatments, and outcomes will be evaluated using medical records.
| 2026 | Year | 08 | Month | 03 | Day |
| 2026 | Year | 08 | Month | 03 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000070680