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冷凝集素病

Cold agglutinin disease

定义 英文原文(暂无中文)

Cold agglutinin disease is a type of autoimmune hemolytic anemia defined by the presence of cold autoantibodies (autoantibodies which are active at temperatures below 30°C).

别名

慢性冷凝集素病

基本事实

遗传方式
多基因/多因素
发病年龄
成年期
患病率
1-9 / 1 000 000(Europe)

临床表型 14

极常见 99–80%6

  • 关节疼痛 HP:0002829
  • 自身免疫 HP:0002960
  • 疲乏 HP:0012378
  • 溶血性贫血 HP:0001878
  • 肌无力 HP:0001324
  • 苍白圈 HP:0000980

偶见 29–5%8

  • 尿液颜色异常 HP:0012086
  • 背部疼痛 HP:0003418
  • 腹泻 HP:0002014
  • 头痛 HP:0002315
  • 肝脏肿大 HP:0002240
  • 淋巴结肿大 HP:0002716
  • 恶心和呕吐 HP:0002017
  • 脾肿大 HP:0001744

近两年的全球研究 305L2

2024/08 起在 Europe PMC 检索所得,按发表时间倒序显示最近 20 篇。标题未译成中文——自动翻译需要接入 LLM 服务,尚未引入。

  • 2026-08
    Treatment of Cold Agglutinin Syndrome Secondary to Chronic Lymphocytic Leukemia With Sutimlimab and Obinutuzumab-Venetoclax
    Case reports in hematology · DOI · Europe PMC
  • 2026-08综述病例报告
    Temperature Safeguards and Peri-Procedural Strategies for Stem Cell Collection in Cold Agglutinin Disease: A Case Report and Literature Review
    Journal of clinical apheresis · DOI · Europe PMC
  • 2026-07
    Bullous Pemphigoid Associated With Cold Agglutinin Disease: Circuit Clotting During Selective Plasma Exchange Resolved by Switching to Double Filtration Plasmapheresis
    The Journal of dermatology · DOI · Europe PMC
  • 2026-07
    Standardized diagnostic approach for cold agglutinin disease: results from a Delphi-Based Expert Consensus
    Blood transfusion = Trasfusione del sangue · DOI · Europe PMC
  • 2026-07综述
    Sutimlimab for cold agglutinin disease: an updated perspective from approval to real-world clinical treatment
    Expert review of hematology · DOI · Europe PMC
  • 2026-07病例报告
    Navigating boundaries of autoimmunity in rare anemias: anti-erythropoietin antibody-mediated pure red cell aplasia in a patient with cold agglutinin disease
    Blood transfusion = Trasfusione del sangue · DOI · Europe PMC
  • 2026-07开放获取
    Bioorthogonal tuning of nanosurface opsonisation <i>via</i> click coupling of a complement fusion protein inhibitor
    Chemical communications (Cambridge, England) · DOI · Europe PMC
  • 2026-06病例报告开放获取
    Cold agglutinin syndrome secondary to Epstein-Barr virus reactivation during corticosteroid therapy for minimal change nephrotic syndrome in a patient with human immunodeficiency virus infection
    CEN case reports · DOI · Europe PMC
  • 2026-06开放获取
    Cold Agglutinin Disease-Like Genetic Signatures in Lymphoplasmacytic Lymphoma-Like Cases Challenge the WHO Fifth Edition Classification
    EJHaem · DOI · Europe PMC
  • 2026-06病例报告开放获取
    Warm Autoimmune Hemolytic Anemia Presenting 21 Years After Liver Transplantation: A Case Report
    The American journal of case reports · DOI · Europe PMC
  • 2026-06开放获取
    EHA Guidelines on management of chronic lymphocytic leukemia and Richter transformation
    HemaSphere · 被引 3 · DOI · Europe PMC
  • 2026-06开放获取
    Scalp cooling outcomes in patients receiving trastuzumab deruxtecan for metastatic breast cancer
    ESMO open · DOI · Europe PMC
  • 2026-06病例报告
    Warm autoimmune hemolytic anemia following definitive chemoradiotherapy for cervical cancer: A case report
    Oncology letters · DOI · Europe PMC
  • 2026-06综述开放获取
    Decoding Waldenström Macroglobulinemia Through Genomics, Epigenomics and Cellular Interactions
    International journal of molecular sciences
  • 2026-06综述开放获取
    Shifting From Systemic to Precision-Targeted Complement Therapies: Opportunities and Hurdles
    European journal of immunology · DOI · Europe PMC
  • 2026-06开放获取
    Publication Only
    HemaSphere
  • 2026-06综述
    Sutimlimab vs B-cell-targeted therapy in cold agglutinin disease: which is the optimal approach?
    Blood · DOI · Europe PMC
  • 2026-06
    Their Blood Ran Cold: A Case Series On Cold Agglutinin Disease
    QJM : monthly journal of the Association of Physicians · DOI · Europe PMC
  • 2026-05开放获取
    Commentary: Rituximab combined with lenalidomide for the treatment of marginal zone lymphoma with IgM kappa positivity and cold agglutinin syndrome: a case report
    Frontiers in immunology · DOI · Europe PMC
  • 2026-05病例报告开放获取
    Three Faces of Self-Destruction: A Case Series of Warm, Cold, and Mixed Autoimmune Hemolytic Anemia
    Cureus · DOI · Europe PMC

境外已获批用于本病的药物 1L2

欧盟 1 项、美国 0 项。同一药物在两地各批一次的,会分别列出。

「境外已获批」不等于「在中国能用」。中间隔着进口注册、临床急需境外新药通道、海南博鳌乐城国际医疗旅游先行区等几条路径,各有各的条件与费用。这一节能确定地告诉你的只有一件事:这个病在世界范围内已经有获得批准的药物,它叫什么名字。拿这个名字去问主治医生,是下一步最省力的做法。

药名一律保留英文原文,不作翻译——中国的药品通用名与英文名的音译经常不一致,译错会让人去找一个不存在的药。

数据来自欧洲药品管理局(EMA)的药品与孤儿药资格公开导出表,以及美国 FDA 孤儿药资格数据库。两边口径不同:欧盟一侧取的是当前状态仍为「已授权」的药品;美国一侧记录的是「曾获批准」这一事实,FDA 的公开表不追踪药物此后是否退市(例如 Relyvrio 于 2024 年撤市,表中仍记为已获批)。请以官方记录页为准。

在中国开展的临床试验 2L2

按病名在 ClinicalTrials.gov 检索、并校验研究中心含中国大陆而来。登记状态不等于现在真的能入组——务必按 NCT 号到原站核实,并与主治医生商量。

登记为可入组 2

  • 招募中NCT07019038
    National Longitudinal Cohort of Hematological Diseases- Autoimmune Hemolytic Anemia
    观察性 · 2001/01/01Institute of Hematology & Blood Diseases Hospital, China
    中国研究中心 1 个:Tianjin
  • 尚未开始招募NCT06847607
    A Multicenter Prospective Study of Iptacopan in the Treatment of Refractory/Relapsed Autoimmune Hemolytic Anemia (AIHA)
    不适用 · 干预性 · 2025/03/01Bing Han
    中国研究中心 1 个:Beijing

中国境外的在招试验 6L2

这些试验在中国没有研究中心,通常无法直接报名——入组一般要求在当地居住并接受随访。列在这里是因为它另有用处:看清楚全世界正在试哪些药、做到了哪一期、由谁在做。把药名和 NCT 编号记下来去问主治医生,或据此进一步查该药是否已在境外获批、是否有拓展性用药(expanded access)通道。

澳大利亚1英国1意大利1

CT.gov 报告命中 6 项,此处取回并展示最近的 4 项。

  • 尚未开始招募NCT07091370
    Inaticabtagene Autoleucel Injection in the Treatment of Autoimmune Hemolytic Anemia After Three or More Lines of Therapy
    I 期 · 干预性 · 2025/12/27Juventas Cell Therapy Ltd.
  • 招募中NCT07083960
    OM336 in Autoimmune Cytopenias
    I 期 · 干预性 · 2025/08/01Lakefront Biotherapeutics West LLC
    澳大利亚
  • 招募中NCT05318534
    Safety, Tolerability, Pharmacokinetic, and Pharmacodynamic Study in Healthy Male and Female Subjects and Safety, Tolerability, Pharmacokinetics, and Pilot Efficacy Biomarkers in Subjects With Cold Agglutinin Disease
    I 期 · 干预性 · 2022/04/08Gliknik Inc.
    英国
  • 招募中NCT05931718
    Prospective Evaluation of Diagnosis and Treatment of Patients With Autoimmune Cytopenias Including Autoimmune Hemolytic Anemia, Immune Thrombocytopenia, and Chronic Idiopathic/Autoimmune Neutropenia
    观察性 · 2019/06/01Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico
    意大利

外部标识与链接

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本页数据来源

  • 疾病定义、同义词、基因、表型、流行病学:Orphanet(CC BY 4.0)
  • 中文病名:Orphanet 中文包,冻结于 2020-06-01
  • 表型中文标签:HPO 简体中文翻译(CHPO 上游成果)