Table 3.

Comparison of the transfusion data from the STOP clinical trial and posttrial follow-up


Variable

STOP trial*

Posttrial follow-up
No. of patients   61   78  
No. of transfusions   1521   2354  
No. of PRBC units   1830   3512  
Methods of transfusion, % of total    
    Simple   63   63  
    Exchange, full or partial   12   9  
    Combination of both   25   28  
Mean interval of transfusion, d   25 ± 8   28 ± 10  
Pretransfusion Hb S > 30%    
    Total no. of episodes (%)   143 (9)   721 (31)  
        Hb S 30-34.9 (%)   70 (4)   287 (12)  
        Hb S 35-39.9 (%)   31 (2)   165 (7)  
        Hb S at least 40 (%)   42 (3)   269 (12)  
Ferritin, mean ng/mL ± SD    
    Baseline   164 ± 155   190 ± 284  
    12 mo   1804 ± 773   1762 ± 786  
    24 mo   2509 ± 974   2797 ± 1500  
    36 mo   —   2955 ± 128  
    48 mo   —   3089 ± 771  
No. patients on iron chelation   8   43  
Immunization rate, % (no. patients with new antibody/unit of exposure)   0.5 (10/1830)   0.5 (18/3512)  
    No. patients with antibodies to C, D, E, Kell   4 (E, Kell only)   6  
    No. patients with antibodies to other antigens   3   6  
    No. patients with warm autoantibodies   3   6  
Other transfusion-adverse events   19   13  
Exposure to infectious pathogens    
    Hepatitis B   None   None  
    Hepatitis C   None   None  
    HIV and HTLV-1
 
None
 
None
 

Variable

STOP trial*

Posttrial follow-up
No. of patients   61   78  
No. of transfusions   1521   2354  
No. of PRBC units   1830   3512  
Methods of transfusion, % of total    
    Simple   63   63  
    Exchange, full or partial   12   9  
    Combination of both   25   28  
Mean interval of transfusion, d   25 ± 8   28 ± 10  
Pretransfusion Hb S > 30%    
    Total no. of episodes (%)   143 (9)   721 (31)  
        Hb S 30-34.9 (%)   70 (4)   287 (12)  
        Hb S 35-39.9 (%)   31 (2)   165 (7)  
        Hb S at least 40 (%)   42 (3)   269 (12)  
Ferritin, mean ng/mL ± SD    
    Baseline   164 ± 155   190 ± 284  
    12 mo   1804 ± 773   1762 ± 786  
    24 mo   2509 ± 974   2797 ± 1500  
    36 mo   —   2955 ± 128  
    48 mo   —   3089 ± 771  
No. patients on iron chelation   8   43  
Immunization rate, % (no. patients with new antibody/unit of exposure)   0.5 (10/1830)   0.5 (18/3512)  
    No. patients with antibodies to C, D, E, Kell   4 (E, Kell only)   6  
    No. patients with antibodies to other antigens   3   6  
    No. patients with warm autoantibodies   3   6  
Other transfusion-adverse events   19   13  
Exposure to infectious pathogens    
    Hepatitis B   None   None  
    Hepatitis C   None   None  
    HIV and HTLV-1
 
None
 
None
 

— indicates no data.

*

Data taken from Adams et al and Vichinsky et al.

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