Page last updated: 2024-10-23

azathioprine and Hematologic Diseases

azathioprine has been researched along with Hematologic Diseases in 22 studies

Azathioprine: An immunosuppressive agent used in combination with cyclophosphamide and hydroxychloroquine in the treatment of rheumatoid arthritis. According to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985), this substance has been listed as a known carcinogen. (Merck Index, 11th ed)
azathioprine : A thiopurine that is 6-mercaptopurine in which the mercapto hydrogen is replaced by a 1-methyl-4-nitroimidazol-5-yl group. It is a prodrug for mercaptopurine and is used as an immunosuppressant, prescribed for the treatment of inflammatory conditions and after organ transplantation and also for treatment of Crohn's didease and MS.

Hematologic Diseases: Disorders of the blood and blood forming tissues.

Research Excerpts

ExcerptRelevanceReference
"Azathioprine, a cytostatic and immunosuppressive drug in use for some 30 years, can give rise to life-threatening neutropenia and thrombocytopenia."3.70[Bone marrow depression after azathioprine. New discoveries on an old drug]. ( Lindstedt, G; Löwhagen, GB, 2000)
"Azathioprine toxicity was examined in 64 consecutively treated patients with various neuromuscular diseases."3.67Azathioprine toxicity in neuromuscular disease. ( Griggs, RC; Kissel, JT; Levy, RJ; Mendell, JR, 1986)
"Azathioprine (AZA) is a thiopurine prodrug commonly used in patients with kidney transplantation."2.75Association between inosine triphosphate pyrophosphohydrolase deficiency and azathioprine-related adverse drug reactions in the Chinese kidney transplant recipients. ( Li, Q; Wu, XC; Xin, HW; Xiong, H; Xiong, L; Yu, AR, 2010)
"Prednisone use was associated with higher mortality [HR = 3."1.46Five-year Safety Data From ENCORE, a European Observational Safety Registry for Adults With Crohn's Disease Treated With Infliximab [Remicade®] or Conventional Therapy. ( Boice, J; Colombel, JF; Cornillie, F; D'Haens, G; Ghosh, S; Hommes, DW; Huang, Z; Huyck, S; Lindgren, S; Panes, J; Prantera, C; Reinisch, W, 2017)
"Overall, 113/164 (69%) patients with Crohn's disease and 83/136 (61%) patients with ulcerative/unclassified colitis had a clinical response by the end of follow-up (median 19 months), while 85 (52%) patients with Crohn's disease and 74 (54%) patients with ulcerative/unclassified colitis were in clinical remission."1.43Long-term Safety and Efficacy of Low-dose Azathioprine and Allopurinol Cotherapy in Inflammatory Bowel Disease: A Large Observational Study. ( Abdulrehman, A; Ansari, A; Bull, C; Duley, J; Kerr, P; Pavlidis, P; Stamoulos, P, 2016)
" Patients with variations of the TPMT gene may be at risk for myelosuppression after they receive a standard dosage of the drug."1.35Impact of the heterozygous TPMT*1/*3C genotype on azathioprine-induced myelosuppression in kidney transplant recipients in Thailand. ( Angsuthum, S; Avihingsanon, Y; Makarawate, P; Pongskul, C; Praditpornsilpa, K; Sirivongs, D; Tassaneeyakul, W; Vannaprasaht, S, 2009)

Research

Studies (22)

TimeframeStudies, this research(%)All Research%
pre-19909 (40.91)18.7374
1990's2 (9.09)18.2507
2000's4 (18.18)29.6817
2010's7 (31.82)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Siramolpiwat, S1
Sakonlaya, D1
Pavlidis, P1
Stamoulos, P1
Abdulrehman, A1
Kerr, P1
Bull, C1
Duley, J1
Ansari, A1
Mock, JR1
Kolb, TM1
Illei, PB1
Yang, SC1
Lederman, HM1
Merlo, CA1
Di Salvo, A1
Fabiano, C1
Mannara, V1
Dimarco, M1
Orlando, A1
Affronti, M1
Macaluso, FS1
Cottone, M1
D'Haens, G1
Reinisch, W1
Colombel, JF1
Panes, J1
Ghosh, S1
Prantera, C1
Lindgren, S1
Hommes, DW1
Huang, Z1
Boice, J1
Huyck, S1
Cornillie, F1
Xin, HW2
Xiong, H2
Wu, XC2
Li, Q2
Xiong, L2
Yu, AR2
Vannaprasaht, S1
Angsuthum, S1
Avihingsanon, Y1
Sirivongs, D1
Pongskul, C1
Makarawate, P1
Praditpornsilpa, K1
Tassaneeyakul, W2
Taylor-Gjevre, RM1
Gjevre, JA1
Nair, BV1
Matern, D1
Hakemi, M1
Shahebrahimi, K1
Ganji, MR1
Najafi, I1
Broumand, B1
Black, AJ1
McLeod, HL1
Capell, HA1
Powrie, RH1
Matowe, LK1
Pritchard, SC1
Collie-Duguid, ES1
Reid, DM1
Löwhagen, GB1
Lindstedt, G1
Schmidt, P1
Kopsa, H1
Balcke, P1
Zazgornik, J1
Pils, P1
Barbanel, C1
Kreis, H1
Crosnier, J1
Boyd, IW1
Lovisetto, P1
Manachino, D1
Biarese, V1
Marchi, L1
Andrione, P1
Kissel, JT1
Levy, RJ1
Mendell, JR1
Griggs, RC1
Sánchez-Fayos, J1
Wolff, SM1
Fauci, AS1
Horn, RG1
Dale, DC1
Rosman, M1
Bertino, JR1
Scheitlin, W1
Brunner, F1
Gerhartz, H1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Crohn's Disease European Registry. A Prospective, Observational, Postmarketing Safety Surveillance Registry of Patients Treated With Remicade® or Standard Therapy[NCT00705614]2,662 participants (Actual)Observational2003-07-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participant Fatalities

The number of participant fatalities was evaluated throughout the study. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade30
Standard Therapy14
Switched to Remicade4

Number of Participants With Demyelinating Neurological Disorders

The number of participants with demyelinating neurological disorders was evaluated. Demyelinating neurological disorders were defined as multiple sclerosis, optic neuritis, peripheral syndromes such as peripheral neuropathy, mononeuropathy multipex, cranial neuropathies, Guillain-Barré syndrome, chronic inflammatory demyelinating polyradiculoneuropathy, and transverse myelitis. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade4
Standard Therapy1
Switched to Remicade0

Number of Participants With Hematologic Conditions

The number of participants wtih hematologic conditions was evaluated. A hematologic condition was defined as thrombocytopenia, neutropenia, pancytopenia, granulocytopenia, leukopenia, or aplastic anemia. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade50
Standard Therapy11
Switched to Remicade7

Number of Participants With Infusion-Related Reactions/Hypersensitivity

The number of participants with infusion-related reactions and/or hypersensitivity was evaluated. An infuson-related reaction/hypersensitivity was defined as as an acute reaction, including anaphylactic shock that occurs after the onset of the infusion or within the 1- to 2-hour observation period following the end of the infusion. Delayed hypersensitivity reactions (myalgia and/or arthralgia with fever and rash within 14 days of the infusion) were included. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade173
Standard Therapy1
Switched to Remicade28

Number of Participants With Lymphoproliferative Disorders/Malignancies

The number of participants wtih lymphoproliferative disorders and/or malignancies was evaluated. A lymphoproliferative disorder and /or malignancy included, but was not limited to, lymphoma, gastrointestinal cancer, skin cancer (including basocellular and squamous carcinoma, melanoma) and in situ cervical carcinoma. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade49
Standard Therapy21
Switched to Remicade8

Number of Participants With New or Worsening Congestive Heart Failure

The number of participants with new or worsening congestive heart failure was evaluated throughout the study. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade1
Standard Therapy1
Switched to Remicade0

Number of Participants With Serious Infections

The number of participants experiencing serious infections was evaluated. Serious infections included, but were not limited to, tuberculosis, opportunistic infections (such as Pneumocystis carinii [PCP] pneumonia, listeriosis, atypical mycobacteria, and histoplasmosis), salmonellosis,and serious viral infections. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade132
Standard Therapy47
Switched to Remicade18

Duration of Participant Hospital Stays for Crohn's Disease in the Prior 6 Months

The duration of hospital stays for Crohn's Disease in the prior 6 months was evaluated at each study visit. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionDays (Mean)
Visit 1 (Baseline; n=657,418 ,0)Visit 2 (n=304,126, 33)Visit 3 (n=216, 58, 35)Visit 4 (n=151, 60, 24)Visit 5 (n=105, 35, 34)Visit 6 (n=107, 49, 19)Visit 7 (n=109, 45, 25)Visit 8 (n=98, 29, 23)Visit 9 (n=80, 38, 17)Visit 10 (n=85, 29, 27)Visit 11 (n=63, 19, 18)
Remicade12.214.414.212.611.710.810.69.512.410.111.4
Standard Therapy10.812.09.48.59.813.710.216.36.98.08.7
Switched to RemicadeNA13.013.59.17.118.310.014.710.79.018.1

Number of Participant Hospital Stays for Crohn's Disease in the Prior 6 Months

The number of participant hospital stays for Crohn's Disease in the prior 6 months was evaluated at each study visit. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionHospital Stays (Mean)
Visit 1 (Baseline; n=1539, 1121, 0)Visit 2 (n=1418, 920, 100)Visit 3 (n=1334, 827, 152)Visit 4 (n=1285, 779, 168)Visit 5 (n=1221, 714, 188)Visit 6 (n=1170, 665, 208)Visit 7 (n=1111, 615, 219)Visit 8 (n=1099, 589, 233)Visit 9 (n=1046, 562, 229)Visit 10 (n=1031, 535, 235)Visit 11 (n=1006, 541, 248)
Remicade0.70.30.30.20.10.10.10.10.10.10.1
Standard Therapy0.50.20.10.20.10.10.10.10.10.10.1
Switched to RemicadeNA0.50.40.20.30.10.20.10.10.10.1

Number of Participant Surgical Procedures for Crohn's Disease in the Prior 6 Months

The number of participants undergoing surgical procedures for Crohn's Disease in the prior 6 months was evaluated at each study visit. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionSurgical Procedures (Number)
Visit 1 (Basline; n=660, 419, 0)Visit 2 (n=304, 126, 33)Visit 3 (n=217, 57, 36)Visit 4 (n=153, 60, 24)Visit 5 (n=106, 36, 34)Visit 6 (n=108, 49, 19)Visit 7 (n=109, 45, 25)Visit 8 (n=98, 29, 23)Visit 9 (n=82, 38, 17)Visit 10 (n=85, 29, 27)Visit 11 (n=63, 19, 18)
Remicade1711351216850494843383834
Standard Therapy815123161421201213136
Switched to RemicadeNA7128141167888

Number of Participants With a Draining Fistula By Study Visit

The number of participants with a draining fistula was evaluated at each study visit. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionParticipants (Number)
Visit 1 (Baseline; n=1541, 1120, 0)Visit 2 (n=1420, 920, 100)Visit 3 (n=1334, 827, 152)Visit 4 (n=1285, 779, 168)Visit 5 (n=1221, 714, 188)Visit 6 (n=1169, 666, 208)Visit 7 (n=1110, 615, 219)Visit 8 (n=1097, 588, 233)Visit 9 (n=1046, 562, 229)Visit 10 (n=1030, 535, 235)Visit 11 (n=1006, 541, 248)
Remicade34921117014612511497105988587
Standard Therapy9651413129263123321516
Switched to RemicadeNA16191215151516152020

Participant Assessment of Overall Health Status By Study Visit

The participant assessment of overall health status was evaluated at baseline and each study visit. The overall health status questionnaire asked participants to rate their current health status over the prior 24 hours as 1=best possible, 2=much better than average, 3=better than average, 4=average, 5=worse than average, 6=much worse than average, or 7=worst possible. Scores ranged from 1 to 7 with lower scores indicating better health status. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionScore on a Scale (Mean)
Visit 1 (Baseline; n=1526, 1116, 0)Visit 2 (n=1344, 903, 95)Visit 3 (n=1280, 809, 146)Visit 4 (n=1217, 755, 162)Visit 5 (n=1160, 704, 184)Visit 6 (n=1110, 649, 202)Visit 7 (n=1046, 606, 212)Visit 8 (n=1044, 573, 221)Visit 9 (n=999, 544, 223)Visit 10 (n=963, 520, 227)Visit 11 (n=956, 527, 235)
Remicade4.33.33.23.23.13.13.13.13.13.03.0
Standard Therapy3.93.33.13.03.13.03.03.02.92.82.8
Switched to RemicadeNA3.93.63.53.23.43.33.23.23.13.1

The Harvey-Bradshaw Index of Crohn's Disease Activity By Study Visit

The Harvey-Bradshaw Index of Crohn's Disease Acitivity was evaluated at each study visit. The Harvey-Bradshaw Index evaluates participants' general health in the day prior in the domains of well being, abdominal pain, number of liquid stools per day, and abdominal mass and complications and was evaluated on the day of the study visit. The score is derived from a 0-4 score for general well being, 0-3 for abdmonial pain, raw score for number of liquid stools per day, 0-3 for abdominal mass, and raw score for complications. The total score is from 0 to infinity, with lower scores indicating better outcomes. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionScore on a Scale (Mean)
Visit 1 (Baseline; n=1505, 1106, 0)Visit 2 (n=1320, 876, 91)Visit 3 (n=1250, 785, 143)Visit 4 (n=1196, 742, 159)Visit 5 (n=1127, 692, 181)Visit 6 (n=1070, 647, 199)Visit 7 (n=1023, 592, 209)Visit 8 (n=1015, 562, 224)Visit 9 (n=953, 546, 219)Visit 10 (n=936, 526, 225)Visit 11 (n=918, 525, 238)
Remicade8.24.13.73.83.73.63.63.63.63.43.4
Standard Therapy6.23.83.53.23.43.13.03.22.92.72.7
Switched to RemicadeNA6.04.44.84.94.54.14.14.44.34.2

Work/Daily Activity Status Score By Study Visit

The participant work/daily activity status score was evaluated at each study visit. The work/daily activity questionnaire asked participants to rate their level of daily functioning on a scale of 1 to 10 with a lower score indicating less of an impact of Crohn's disease on work or daily life functioning. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionScore on a Scale (Mean)
Visit 1 (Baseline; n=1496, 1108, 0)Visit 2 (n=1316, 895, 94)Visit 3 (n=1235, 797, 143)Visit 4 (n=1192, 738, 159)Visit 5 (n=1128, 694, 179)Visit 6 (n=1077, 638, 201)Visit 7 (n=1030, 601, 207)Visit 8 (n=1025, 571, 221)Visit 9 (n=982, 542, 222)Visit 10 (n=934, 514, 225)Visit 11 (n=925, 521, 235)
Remicade5.94.23.83.63.43.33.23.33.33.13.2
Standard Therapy4.93.73.22.93.02.72.82.72.62.42.4
Switched to RemicadeNA5.54.84.34.03.93.63.53.53.63.6

Reviews

1 review available for azathioprine and Hematologic Diseases

ArticleYear
[Blood hypereosinophilias. IV. Symptomatic hypereosinophilias: connective tissue diseases, neoplasms, blood diseases, various causes].
    Minerva medica, 1985, Jun-16, Volume: 76, Issue:25

    Topics: Aged; Asthma; Azathioprine; Connective Tissue Diseases; Cortisone; Eosinophilia; Female; Hematologic

1985

Trials

2 trials available for azathioprine and Hematologic Diseases

ArticleYear
Association between inosine triphosphate pyrophosphohydrolase deficiency and azathioprine-related adverse drug reactions in the Chinese kidney transplant recipients.
    Fundamental & clinical pharmacology, 2010, Volume: 24, Issue:3

    Topics: Aged; Asian People; Azathioprine; Drug-Related Side Effects and Adverse Reactions; Female; Gastroint

2010
Side effects of mycophenolate mofetil versus azathioprine in iranian renal transplant recipients (single-center experience).
    Transplantation proceedings, 2002, Volume: 34, Issue:6

    Topics: Adult; Azathioprine; Gastrointestinal Diseases; Graft Rejection; Hematologic Diseases; Humans; Immun

2002

Other Studies

19 other studies available for azathioprine and Hematologic Diseases

ArticleYear
Clinical and histologic features of Azathioprine-induced hepatotoxicity.
    Scandinavian journal of gastroenterology, 2017, Volume: 52, Issue:8

    Topics: Adult; Alanine Transaminase; Alkaline Phosphatase; Azathioprine; Bilirubin; Chemical and Drug Induce

2017
Long-term Safety and Efficacy of Low-dose Azathioprine and Allopurinol Cotherapy in Inflammatory Bowel Disease: A Large Observational Study.
    Inflammatory bowel diseases, 2016, Volume: 22, Issue:7

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Allopurinol; Antimetabolites; Azathioprine; Blood Sedime

2016
Bronchus-associated Lymphoid Tissue in Kabuki Syndrome with Associated Hyper-IgM Syndrome/Common Variable Immunodeficiency.
    American journal of respiratory and critical care medicine, 2016, Aug-15, Volume: 194, Issue:4

    Topics: Abnormalities, Multiple; Adult; Antineoplastic Agents, Immunological; Azathioprine; Biopsy; Bronchi;

2016
Frequency of thiopurine methyltransferase mutation in patients of Mediterranean area with inflammatory bowel disease and autoimmune disorders.
    Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver, 2016, Volume: 48, Issue:12

    Topics: Adult; Autoimmune Diseases; Azathioprine; Female; Hematologic Diseases; Heterozygote; Homozygote; Hu

2016
Five-year Safety Data From ENCORE, a European Observational Safety Registry for Adults With Crohn's Disease Treated With Infliximab [Remicade®] or Conventional Therapy.
    Journal of Crohn's & colitis, 2017, Jun-01, Volume: 11, Issue:6

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anti-Bacterial Agents; Anti-Inflammatory Agents; Azathio

2017
Relationships between thiopurine S-methyltransferase polymorphism and azathioprine-related adverse drug reactions in Chinese renal transplant recipients.
    European journal of clinical pharmacology, 2009, Volume: 65, Issue:3

    Topics: Adult; Aged; Asian People; Azathioprine; Chemical and Drug Induced Liver Injury; Dose-Response Relat

2009
Impact of the heterozygous TPMT*1/*3C genotype on azathioprine-induced myelosuppression in kidney transplant recipients in Thailand.
    Clinical therapeutics, 2009, Volume: 31, Issue:7

    Topics: Adolescent; Adult; Aged; Alleles; Asian People; Azathioprine; Female; Gene Frequency; Genotype; Hema

2009
Thiopurine methyltransferase screening before azathioprine prescription: a physician survey.
    Journal of population therapeutics and clinical pharmacology = Journal de la therapeutique des populations et de la pharmacologie clinique, 2013, Volume: 20, Issue:1

    Topics: Antirheumatic Agents; Attitude of Health Personnel; Azathioprine; Dose-Response Relationship, Drug;

2013
Thiopurine methyltransferase genotype predicts therapy-limiting severe toxicity from azathioprine.
    Annals of internal medicine, 1998, Nov-01, Volume: 129, Issue:9

    Topics: Adult; Antirheumatic Agents; Azathioprine; Female; Hematologic Diseases; Heterozygote; Humans; Male;

1998
[Bone marrow depression after azathioprine. New discoveries on an old drug].
    Lakartidningen, 2000, Feb-02, Volume: 97, Issue:5

    Topics: Aged; Antimetabolites, Antineoplastic; Azathioprine; Bone Marrow Cells; Female; Genotype; Hematologi

2000
Cadaveric renal graft acceptance without azathioprine.
    Proceedings of the European Dialysis and Transplant Association. European Dialysis and Transplant Association, 1979, Volume: 16

    Topics: Azathioprine; Cadaver; Creatinine; Female; Graft Rejection; Graft Survival; Hematologic Diseases; He

1979
[Long-term use of immunosuppressants in patients with kidney transplants].
    Annales de medecine interne, 1975, Volume: 126, Issue:2

    Topics: Adrenal Cortex Hormones; Adult; Azathioprine; Chemical and Drug Induced Liver Injury; Female; Gastro

1975
Allopurinol-azathioprine interaction.
    Journal of internal medicine, 1991, Volume: 229, Issue:4

    Topics: Aged; Allopurinol; Azathioprine; Drug Interactions; Hematologic Diseases; Humans; Male; Middle Aged

1991
Azathioprine toxicity in neuromuscular disease.
    Neurology, 1986, Volume: 36, Issue:1

    Topics: Allopurinol; Azathioprine; Drug Therapy, Combination; Female; Hematologic Diseases; Humans; Leukopen

1986
[Immunosuppressive agents in hematology].
    Munchener medizinische Wochenschrift (1950), 1970, Mar-20, Volume: 112, Issue:12

    Topics: Adolescent; Adrenocorticotropic Hormone; Adult; Aged; Agranulocytosis; Anemia, Hemolytic, Autoimmune

1970
Wegener's granulomatosis.
    Annals of internal medicine, 1974, Volume: 81, Issue:4

    Topics: Adolescent; Adult; Aged; Azathioprine; Child; Child, Preschool; Cyclophosphamide; Diagnosis, Differe

1974
Azathioprine.
    Annals of internal medicine, 1973, Volume: 79, Issue:5

    Topics: Arthritis, Rheumatoid; Asthma; Autoimmune Diseases; Azathioprine; Colitis, Ulcerative; Glomeruloneph

1973
[Follow-up studies of Zurich clinical cases].
    Zeitschrift fur die gesamte experimentelle Medizin einschliesslich experimentelle Chirurgie, 1967, Volume: 143, Issue:3

    Topics: Adult; Azathioprine; Cadaver; Chronic Disease; Follow-Up Studies; Glomerulonephritis; Hematologic Di

1967
[Immunosuppressive effect of cytostatics in the clinic].
    Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis, 1970, Jul-21, Volume: 59, Issue:29

    Topics: Azathioprine; Colitis, Ulcerative; Collagen Diseases; Granulomatosis with Polyangiitis; Hematologic

1970