Assessment of Macrophage activation syndrome in STill's disease: retrospective chart analysis of patient History, Symptom resolution and Treatment characteristics
This is an observational, retrospective cohort study on the treatment utilization and outcomes of Macrophage Activation Syndrome (MAS) refractory to glucocorticoids (GC) in patients with Still's disease. The study will be conducted entirely through medical chart abstraction; all data will be taken from the patient's medical record, with no additional assessments.
Study Type
OBSERVATIONAL
Enrollment
75
Retrospective Chart Review
Swedish Orphan Biovitrum Research Site
Los Angeles, California, United States
Swedish Orphan Biovitrum Research Site
Atlanta, Georgia, United States
Swedish Orphan Biovitrum Research Site
Cincinnati, Ohio, United States
Overall survival
The proportion of patients alive after 1-year of follow-up
Time frame: 1 year
Time to laboratory value normalization
Time to normalization for the key laboratory values
Time frame: From Index date up to 26 weeks
Time to Macrophage Activation Syndrome (MAS) laboratory remission
Time to normalization for all key laboratory values
Time frame: From Index date up to 26 weeks
Time to partial MAS laboratory remission
Time to normalization for at least 3 key laboratory values
Time frame: From Index date up to 26 weeks
Time to tapering of Glucocorticoids (GCs)
From index date to the last of 7 consecutive days receiving ≤1 mg/kg/day of prednisone (PDN).
Time frame: from index date to the last of 7 consecutive days
Number of recurrent MAS episodes
Occurring any time after the end of the data collection period for the index MAS episode
Time frame: through study completion
Administration of organ support care
Proportion of patients receiving hemodialysis, assisted ventilation, cardiac support, or inotropic drugs
Time frame: from the index date until either the end of hospitalization or 26 weeks, whichever occurs later
Characteristics of MAS treatment
description of treatment patterns of MAS-related treatments for both index and recurrent MAS episodes.
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Swedish Orphan Biovitrum Research Site
Philadelphia, Pennsylvania, United States
Swedish Orphan Biovitrum Research Site
Calgary, Canada
Swedish Orphan Biovitrum Research Site
Paris, France
Swedish Orphan Biovitrum Research Site
Heidelberg, Germany
Swedish Orphan Biovitrum Research Site
Milan, Italy
Swedish Orphan Biovitrum Research Site
Rome, Italy
Swedish Orphan Biovitrum Research Site
Utrecht, Netherlands
...and 1 more locations
Time frame: for MAS episodes occurring during the data collection period
Clinical signs
No of MAS symptoms (Fever, Skin rash, Hemorrhagic manifestations, Evidence of CNS involvement) present
Time frame: At index date and 8 weeks after index date or at the earliest time this data becomes available between 8 and 12 weeks
Time to hospital discharge
Defined as time from the index date to discharge from the hospital
Time frame: Up to 26 weeks
Time to intensive care unit (ICU) discharge
For patients who are admitted to the ICU during the index MAS episode, this is defined as time from index date or ICU admission (whichever comes later) to ICU discharge
Time frame: Up to 26 weeks
Duration of Clinical Response
defined as the time (in days) from the date of first documented MAS laboratory remission until the date of first documented occurrence of a new MAS episode as per investigator's assessment.
Time frame: Until week 26