Acquired thrombotic thrombocytopenic purpura
disease diseaseOn this page
Also known as acquired ADAMTS13 deficiencyacquired TTPautoimmune thrombotic thrombocytopenic purpuraidiopathic thrombotic thrombocytopenic purpuraMoschowitz syndromepurpura, thrombotic thrombocytopenicTTP
Summary
Acquired thrombotic thrombocytopenic purpura (MONDO:0019740) is a disease and 16 clinical trials. Top therapeutic interventions include caplacizumab, apadamtase alfa, and imlifidase. A subtype of acquired thrombocytopenia — broader associated-gene and molecular evidence is on the parent page (see Disease family below).
At a glance
- Prevalence: Unknown (Worldwide) [Orphanet-validated]
- Phenotypes (HPO): 41
- Clinical trials: 16
Clinical features
Epidemiology
Prevalence records
1 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Annual incidence | 1-9 / 1 000 000 | Europe | Validated |
Signs & symptoms
Clinical features (HPO)
41 HPO clinical features (Orphanet curated; top 41 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0000979 | Purpura | Very frequent (80-99%) |
| HP:0001873 | Thrombocytopenia | Very frequent (80-99%) |
| HP:0001937 | Microangiopathic hemolytic anemia | Very frequent (80-99%) |
| HP:6000462 | Anti-ADAMTS13 antibody positivity | Very frequent (80-99%) |
| HP:0000093 | Proteinuria | Frequent (30-79%) |
| HP:0000790 | Hematuria | Frequent (30-79%) |
| HP:0001250 | Seizure | Frequent (30-79%) |
| HP:0001259 | Coma | Frequent (30-79%) |
| HP:0001289 | Confusion | Frequent (30-79%) |
| HP:0001297 | Stroke | Frequent (30-79%) |
| HP:0001324 | Muscle weakness | Frequent (30-79%) |
| HP:0001923 | Reticulocytosis | Frequent (30-79%) |
| HP:0001945 | Fever | Frequent (30-79%) |
| HP:0001981 | Schistocytosis | Frequent (30-79%) |
| HP:0002014 | Diarrhea | Frequent (30-79%) |
| HP:0002018 | Nausea | Frequent (30-79%) |
| HP:0002027 | Abdominal pain | Frequent (30-79%) |
| HP:0002094 | Dyspnea | Frequent (30-79%) |
| HP:0002315 | Headache | Frequent (30-79%) |
| HP:0002829 | Arthralgia | Frequent (30-79%) |
| HP:0002904 | Hyperbilirubinemia | Frequent (30-79%) |
| HP:0003326 | Myalgia | Frequent (30-79%) |
| HP:0003419 | Low back pain | Frequent (30-79%) |
| HP:0008282 | Unconjugated hyperbilirubinemia | Frequent (30-79%) |
| HP:0012378 | Fatigue | Frequent (30-79%) |
| HP:0020181 | Reduced haptoglobin level | Frequent (30-79%) |
| HP:0025435 | Increased circulating lactate dehydrogenase concentration | Frequent (30-79%) |
| HP:0033404 | Intestinal ischemia | Frequent (30-79%) |
| HP:0410173 | Increased circulating troponin I concentration | Frequent (30-79%) |
| HP:0000651 | Diplopia | Occasional (5-29%) |
| HP:0001635 | Congestive heart failure | Occasional (5-29%) |
| HP:0001645 | Sudden cardiac death | Occasional (5-29%) |
| HP:0001658 | Myocardial infarction | Occasional (5-29%) |
| HP:0001919 | Acute kidney injury | Occasional (5-29%) |
| HP:0002381 | Aphasia | Occasional (5-29%) |
| HP:0003115 | Abnormal EKG | Occasional (5-29%) |
| HP:0003138 | Increased blood urea nitrogen | Occasional (5-29%) |
| HP:0003259 | Elevated circulating creatinine concentration | Occasional (5-29%) |
| HP:0011675 | Arrhythmia | Occasional (5-29%) |
| HP:0030149 | Cardiogenic shock | Occasional (5-29%) |
| HP:0100749 | Chest pain | Occasional (5-29%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | acquired thrombotic thrombocytopenic purpura |
| Mondo ID | MONDO:0019740 |
| MeSH | C536901 |
| Orphanet | 93585 |
| NCIT | C131653 |
| SNOMED CT | 438476003 |
| UMLS | C2584778 |
| MedGen | 391723 |
| GARD | 0004607 |
| Is cancer (heuristic) | no |
Also known as: acquired ADAMTS13 deficiency · acquired thrombotic thrombocytopenic purpura · acquired TTP · autoimmune thrombotic thrombocytopenic purpura · idiopathic thrombotic thrombocytopenic purpura · Moschowitz syndrome · purpura, thrombotic thrombocytopenic · TTP
Disease family
This is a subtype of acquired thrombocytopenia. Genetic, therapeutic, and trial evidence is largely curated at the broader-term level — see the parent page for the associated-gene cohort and molecular evidence.
Classification path: disease › human disease › disease by body system or component › hematologic disorder › blood platelet disease › thrombocytopenia › acquired thrombocytopenia › acquired thrombotic thrombocytopenic purpura
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
No tiered GWAS variants or ClinVar records for this disease.
Genes & proteins
No associated-gene cohort resolved for this disease. Atlas builds the molecular and therapeutic sections — associated genes, protein families, druggability, pathways, interactions, and drug associations — by aggregating over a disease’s associated genes (resolved via GWAS / GenCC / ClinVar / CIViC), and none resolved here. This is expected for antibody-mediated, autoimmune, or otherwise non-gene-defined conditions; the curated evidence for this disease is its clinical features, GWAS susceptibility, and clinical trials (above).
Function
No pathway enrichment — requires an associated-gene cohort.
Therapeutics
No druggable-target or therapeutic data for this disease’s cohort.
Clinical trials & evidence
Clinical trials
Clinical trials: 16.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| PHASE2 | 6 |
| Not specified | 4 |
| PHASE3 | 3 |
| PHASE4 | 2 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT01754545 | PHASE4 | WITHDRAWN | Prophylactic Plasma Infusion Therapy for Congenital Thrombotic Thrombocytopenic Purpura |
| NCT04767828 | PHASE4 | UNKNOWN | A Single Arm Study of Brain Metastasis in Patients With HER2-positive Breast Cancer |
| NCT01433003 | PHASE3 | WITHDRAWN | The Plasma Large-Volume Exchange RCT |
| NCT02553317 | PHASE3 | COMPLETED | Phase III Trial With Caplacizumab in Patients With Acquired Thrombotic Thrombocytopenic Purpura |
| NCT02878603 | PHASE3 | COMPLETED | Follow-up Study for Patients Who Completed Study ALX0681-C301 (Post-HERCULES) |
| NCT06794008 | PHASE2 | RECRUITING | BCMA-CD19 CAR-T Therapy for Refractory Autoimmune Diseases |
| NCT00632242 | PHASE2 | COMPLETED | ARC1779 Injection in Patients With Von Willebrand Factor-Related Platelet Function Disorders |
| NCT01151423 | PHASE2 | COMPLETED | Study to Assess Efficacy and Safety of Anti-von Willebrand Factor (vWF) Nanobody in Patients With Acquired Thrombotic Thrombocytopenic Purpura (aTTP) |
| NCT02854059 | PHASE2 | TERMINATED | IdeS in Asymptomatic Antibody-Mediated Thrombotic Thrombocytopenic Purpura (TTP) Patients |
| NCT03922308 | PHASE2 | COMPLETED | Study of rADAMTS-13 (SHP655) in the Treatment of Participants With Acquired Thrombotic Thrombocytopenic Purpura (aTTP) |
| NCT04021173 | PHASE2 | UNKNOWN | A Clinical Study of Anfibatide in Acquired Thrombotic Thrombocytopenic Purpura (TTP) |
| NCT01808521 | EARLY_PHASE1 | COMPLETED | A Pilot Study of N-acetylcysteine in Thrombotic Thrombocytopenia Purpura |
| NCT04985318 | Not specified | ACTIVE_NOT_RECRUITING | Retrospective Analysis of the Efficiency of Caplacizumab in the Treatment of aTTP |
| NCT05004493 | Not specified | RECRUITING | Biorepository and Registry for Plasma Exchange Patients |
| NCT05046717 | Not specified | ACTIVE_NOT_RECRUITING | Improvement of Immunologic and Molecular Techniques for the Diagnosis and Follow-up of Patients With Thrombotic Thrombocytopenic Purpura |
| NCT05876221 | Not specified | COMPLETED | Platelet Response to Caplacizumab in the Treatment of Acquired Thrombotic Thrombocytopenic Purpura |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| CAPLACIZUMAB | 4 | 4 |
| APADAMTASE ALFA | 4 | 1 |
| IMLIFIDASE | 4 | 1 |
| ANFIBATIDE | 2 | 1 |
| EGAPTIVON PEGOL | 2 | 1 |
| CHEMBL5435500 | 0 | 1 |
Related Atlas pages
- Drugs: Caplacizumab, Apadamtase Alfa, Imlifidase