Page last updated: 2024-11-07

prednisone and Neonatal Alloimmune Thrombocytopenia

prednisone has been researched along with Neonatal Alloimmune Thrombocytopenia in 7 studies

Prednisone: A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver.
prednisone : A synthetic glucocorticoid drug that is particularly effective as an immunosuppressant, and affects virtually all of the immune system. Prednisone is a prodrug that is converted by the liver into prednisolone (a beta-hydroxy group instead of the oxo group at position 11), which is the active drug and also a steroid.

Research Excerpts

ExcerptRelevanceReference
"Fetal and neonatal alloimmune thrombocytopenia is an alloimmune disorder resulting from platelet opsonization by maternal antibodies that destroy fetal platelets."5.46Low-dose prednisone and immunoglobulin G treatment for woman at risk for neonatal alloimmune thrombocytopenia and T helper 1 immunity. ( Gilman-Sachs, A; Kwak-Kim, J; Salazar Garcia, MD; Skariah, A; Sung, N; Tikoo, A; Wu, L, 2017)
"In this prospective, multicenter, randomized controlled study, 99 women with fetal-neonatal alloimmune thrombocytopenia whose prior affected child did not have an intracranial hemorrhage were randomized to receive an intensive intravenous gammaglobulin-based regimen: 2 g/kg per week or intravenous gammaglobulin 1 g/kg per week plus prednisone 0."5.22Omission of fetal sampling in treatment of subsequent pregnancies in fetal-neonatal alloimmune thrombocytopenia. ( Berkowitz, RL; Bussel, JB; Ferd, P; Gabor, J; Jin, JC; Lakkaraja, M; Manotas, KC; McFarland, JG; Vinograd, CA; Wissert, M, 2016)
" Current management of fetal and neonatal alloimmune thrombocytopenia in a subsequent affected pregnancy involves antenatal administration of intravenous immune globulin and prednisone to the pregnant woman to prevent the development of severe fetal thrombocytopenia and secondary intracranial hemorrhage in utero."5.12New developments in fetal and neonatal alloimmune thrombocytopenia. ( Berkowitz, RL; Bussel, JB; Vander Haar, EL, 2021)
"A survey was mailed to 62 women treated by one provider from 2005 to 2013 asking if they experienced side effects from IVIG and prednisone, if their lives were negatively affected, if they would plan another affected pregnancy and if they needed help managing side effects."3.83Effects of antepartum therapy for fetal alloimmune thrombocytopenia on maternal lifestyle. ( Lehman, KJ; O'Shaughnessy, RW; Rossi, KQ, 2016)
"Fetal and neonatal alloimmune thrombocytopenia is an alloimmune disorder resulting from platelet opsonization by maternal antibodies that destroy fetal platelets."1.46Low-dose prednisone and immunoglobulin G treatment for woman at risk for neonatal alloimmune thrombocytopenia and T helper 1 immunity. ( Gilman-Sachs, A; Kwak-Kim, J; Salazar Garcia, MD; Skariah, A; Sung, N; Tikoo, A; Wu, L, 2017)
"Severe neonatal thrombocytopenia below 50 × 10(9) /l is reported in 8-13% of the neonates from mothers with ITP and intracranial haemorrhage (ICH) in 0-2·9%."1.39Outcome and management in neonatal thrombocytopenia due to maternal idiopathic thrombocytopenic purpura. ( Brand, A; Lopriore, E; van der Lugt, NM; van Kampen, A; Walther, FJ, 2013)

Research

Studies (7)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's6 (85.71)24.3611
2020's1 (14.29)2.80

Authors

AuthorsStudies
Bussel, JB4
Vander Haar, EL1
Berkowitz, RL3
van der Lugt, NM1
van Kampen, A1
Walther, FJ1
Brand, A1
Lopriore, E1
Rossi, KQ1
Lehman, KJ1
O'Shaughnessy, RW1
Lakkaraja, M2
Vinograd, CA2
Manotas, KC2
Jin, JC2
Ferd, P2
Gabor, J2
Wissert, M2
McFarland, JG2
Skariah, A1
Sung, N1
Salazar Garcia, MD1
Wu, L1
Tikoo, A1
Gilman-Sachs, A1
Kwak-Kim, J1
Rayment, R1
Brunskill, SJ1
Soothill, PW1
Roberts, DJ1
Murphy, MF1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Randomized Multicenter Trial of Antenatal Treatment of Alloimmune Thrombocytopenia[NCT00194987]Phase 2/Phase 3102 participants (Actual)Interventional2001-04-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Intracranial Hemorrhage: Number Occurring in Fetuses and Newborns of Mothers in Study

number of ICH assessed by fetal and neonatal ultrasound with MRI back up most commonly in utero so range from 20-40 weeks fo gestation (NCT00194987)
Timeframe: time of ICH (range 20-40 wks)

Interventionnumber of newborns with ICH (Number)
IVIG 1g/kg Twice Per Week0
IVIG 1g/k/Week and Prednisone 0.5 mg/kg/Day0

Number of Fetal Platelet Counts > 50,000/uL

Number of Fetal Platelet Counts > 50,000/uL Among Those Who Underwent Fetal Blood Sampling and Had a Fetal Platelet Count Determined (NCT00194987)
Timeframe: 32 +/- 2 weeks

Interventionnumber newborns with >50,000 pats (Number)
IVIG 1g/kg Twice Per Week44
IVIG 1g/k/Week and Prednisone 0.5 mg/kg/Day43

Number of Newborns With a Birth Platelet Count > 50,000/uL

this uses the birth platelet count of the fetuses from the study when they are born (NCT00194987)
Timeframe: 32-40 weeks (the endpoint is the birth which is not at the same number of weeks for all of the babies. This is why the weeks are not listed specifically eg week 40

Interventionnumber of newborns with >50,000 pets (Number)
IVIG 1g/kg Twice Per Week48
IVIG 1g/k/Week and Prednisone 0.5 mg/kg/Day47

Reviews

2 reviews available for prednisone and Neonatal Alloimmune Thrombocytopenia

ArticleYear
New developments in fetal and neonatal alloimmune thrombocytopenia.
    American journal of obstetrics and gynecology, 2021, Volume: 225, Issue:2

    Topics: Antigens, Human Platelet; Cell-Free Nucleic Acids; Drug Development; Female; Genotype; Glucocorticoi

2021
Antenatal interventions for fetomaternal alloimmune thrombocytopenia.
    The Cochrane database of systematic reviews, 2011, May-11, Issue:5

    Topics: Antigens, Human Platelet; Dexamethasone; Female; Fetal Diseases; Glucocorticoids; Humans; Immunoglob

2011

Trials

2 trials available for prednisone and Neonatal Alloimmune Thrombocytopenia

ArticleYear
Omission of fetal sampling in treatment of subsequent pregnancies in fetal-neonatal alloimmune thrombocytopenia.
    American journal of obstetrics and gynecology, 2016, Volume: 215, Issue:4

    Topics: Cordocentesis; Female; Fetal Blood; Gestational Age; Humans; Immunoglobulins, Intravenous; Immunolog

2016
Blood group A mothers are more likely to develop anemia during antenatal intravenous immunoglobulin treatment of fetal and neonatal alloimmune thrombocytopenia.
    Transfusion, 2016, Volume: 56, Issue:10

    Topics: Anemia; Blood Group Antigens; Female; Hemoglobins; Humans; Immunoglobulins, Intravenous; Mothers; Pr

2016

Other Studies

3 other studies available for prednisone and Neonatal Alloimmune Thrombocytopenia

ArticleYear
Outcome and management in neonatal thrombocytopenia due to maternal idiopathic thrombocytopenic purpura.
    Vox sanguinis, 2013, Volume: 105, Issue:3

    Topics: Adult; Blood Platelets; Female; Humans; Immunoglobulins, Intravenous; Infant, Newborn; Platelet Coun

2013
Effects of antepartum therapy for fetal alloimmune thrombocytopenia on maternal lifestyle.
    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2016, Volume: 29, Issue:11

    Topics: Adult; Female; Glucocorticoids; Humans; Immunoglobulins, Intravenous; Life Style; Prednisone; Pregna

2016
Low-dose prednisone and immunoglobulin G treatment for woman at risk for neonatal alloimmune thrombocytopenia and T helper 1 immunity.
    American journal of reproductive immunology (New York, N.Y. : 1989), 2017, Volume: 77, Issue:6

    Topics: Adult; Antigens, Human Platelet; Female; Humans; Immunoglobulin G; Prednisone; Pregnancy; Risk; Th1

2017