Table 5.

ASFA categories for the use of TPE to treat TMA–drug associated

DrugPathophysiologyReported response to TPEASFA category
Ticlopidine ADAMTS13 autoantibodies 87% 
Clopidogrel Endothelial damage 50% III 
Calcineurin inhibitors (cyclosporine, tacrolimus, and sirolimus) Endothelial damage NA III 
Gemcitabine Endothelial damage 18% IV 
Mitomycin C Endothelial damage 30% NC 
Quinine Drug-dependent antibodies NA IV 
VEGF inhibitors (bevacizumab, sunitinib, and VEGF Trap) Renal podocyte injury NA NC 
DrugPathophysiologyReported response to TPEASFA category
Ticlopidine ADAMTS13 autoantibodies 87% 
Clopidogrel Endothelial damage 50% III 
Calcineurin inhibitors (cyclosporine, tacrolimus, and sirolimus) Endothelial damage NA III 
Gemcitabine Endothelial damage 18% IV 
Mitomycin C Endothelial damage 30% NC 
Quinine Drug-dependent antibodies NA IV 
VEGF inhibitors (bevacizumab, sunitinib, and VEGF Trap) Renal podocyte injury NA NC 

NA, not available; VEGF, vascular endothelial growth factor. Other abbreviation is explained in Table 3.

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