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Abstract #2216

Evaluating the Neuroprotective Effects of Caplacizumab in Thrombotic Thrombocytopenic Purpura with Quantitative MRI and CT

Fahad Hannan1, Daniel Mendes2, Lee Ting-Yim1,2,3, Jonathan D. Thiessen1,3, and Susan HS. Huang1,3
1Medical Biophysics, University of Western Ontario, London, ON, Canada, 2Robarts Research Institute, London, ON, Canada, 3Lawson Health Research Institute, London, ON, Canada

Synopsis

Keywords: Blood Vessels, Neurodegeneration, Myelin Water Imaging

Motivation: Thrombotic Thrombocytopenic Purpura patients suffer from high risk of cognitive related complications post-remission that can decrease quality-of-life and in some cases death.

Goal(s): We investigate a new treatment drug Caplacizumab to determine whether it can reduce neurocognitive burden.

Approach: We use quantitative MRI and CT-perfusion to investigate patients that have received Caplacizumab to patients that have not. MRI and CT data look at a variety of different metrics to investigate brain health.

Results: Preliminary results from CT-perfusion indicate better blood brain barrier recovery in Caplacizumab group, which may decrease cognitive burden. MRI results show significant decrease of myelin in patients without Caplacizumab.

Impact: The results of this study can open the door for a new treatment for Thrombotic Thrombocytopenic Purpura patients that may ensure they do not suffer from cognitive decline or cerebrovascular disease related death.

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Keywords