Article
Caplacizumab resistance in immune thrombotic thrombocytopenic purpura is associated with a von Willebrand factor A1 domain missense variant.
Journal of thrombosis and haemostasis : JTH - 1 May 2026
Thomas Mari, Buckle Imogen, Constantinescu-Bercu Adela, De Groot Rens, McCann Sabina, Scully Marie
Abstract excerpt
Caplacizumab has been shown to reduce time to platelet normalization, reduce thrombotic thrombocytopenic purpura (TTP) exacerbations, and prevent refractory acute disease. We report the first case of caplacizumab "resistance" in a patient with immune TTP with a failure of suppression of in vivo von Willebrand factor (VWF) activity by the drug and persistence of VWF-mediated platelet capture in a flow-based in...
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