Cochrane · systematic review · CD010340

Eculizumab for treating patients with paroxysmal nocturnal hemoglobinuria

Martí‐Carvajal, AJ, Anand, V, Cardona, AF, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

HaematologyAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 2 · 28.6%Very low 0 · 0%Low 2 · 28.6%Moderate 3 · 42.9%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Eculizumab compared with placebo for paroxysmal nocturnal hemoglobinuria

Population: patients with paroxysmal nocturnal hemoglobinuria
7 questions
OutcomeEffectEvidenceStatus / GRADE
Overall survival ‐ not measured
Eculizumab vs placebo
no estimate extracted1 study · 87 participantsUngraded
All‐cause mortality
Eculizumab vs placebo
no estimate extracted1 study · 87 participantsUngraded
Health‐related quality of life European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ‐C30). Scale from: 0 to 100 (a higher score means a better outcome)
Eculizumab vs placebo
no estimate extracted1 study · 87 participantsLow
Downgraded: risk of bias, imprecision
Fatigue Functional Assessment of Chronic Illness Therapy‐Fatigue (FACIT‐Fatigue). Scale from: 0 to 52 (a higher score means a better outcome)
Eculizumab vs placebo
no estimate extracted1 study · 87 participantsModerate
Downgraded: risk of bias
Adverse events (serious and nonserious) Medical Dictionary for Regulatory Activities (MedDRA)
Eculizumab vs placebo
RR 0.45 [0.15, 1.37]1 study · 87 participantsLow
Downgraded: imprecision
Transfusion independence
Eculizumab vs placebo
RR 46.02 [2.88, 735.53]1 study · 87 participantsModerate
Downgraded: imprecision
Withdrawal for any reason
Eculizumab vs placebo
RR 0.2 [0.05, 0.88]1 study · 87 participantsModerate
Downgraded: imprecision