Jeremie H. Estepp
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View article: Long‐term efficacy and safety of mitapivat in non‐transfusion‐dependent α‐ or β‐thalassaemia: An open‐label phase 2 study
Long‐term efficacy and safety of mitapivat in non‐transfusion‐dependent α‐ or β‐thalassaemia: An open‐label phase 2 study Open
Summary Non‐transfusion‐dependent thalassaemia (NTDT) can result in serious complications and comorbidities that can impact patients' quality of life. Mitapivat, a first‐in‐class, oral, small‐molecule allosteric activator of red blood cell…
View article: A Novel One‐Sample Mendelian Randomization Approach for Count‐Type Outcomes That Is Robust to Correlated and Uncorrelated Pleiotropic Effects
A Novel One‐Sample Mendelian Randomization Approach for Count‐Type Outcomes That Is Robust to Correlated and Uncorrelated Pleiotropic Effects Open
We propose two novel one‐sample Mendelian randomization (MR) approaches to causal inference from count‐type health outcomes, tailored to both equidispersion and overdispersion conditions. Selecting valid single‐nucleotide polymorphisms (SN…
View article: Social determinants of health affect disease severity among preschool children with sickle cell disease
Social determinants of health affect disease severity among preschool children with sickle cell disease Open
Individuals with sickle cell disease (SCD) face the burden of managing a lifelong chronic illness, increasing vulnerability to social determinants of health (SDoH). However, how SDoH contributes to health disparities is understudied. We hy…
View article: Genetic Variation and Sickle Cell Disease Severity
Genetic Variation and Sickle Cell Disease Severity Open
Importance Sickle cell disease (SCD) is a monogenic disorder, yet clinical outcomes are influenced by additional genetic factors. Despite decades of research, the genetics of SCD remain poorly understood. Objective To assess all reported g…
View article: Intensive hydroxyurea dosing in very young children with sickle cell anemia
Intensive hydroxyurea dosing in very young children with sickle cell anemia Open
View article: Genomic analysis of venous thrombosis in children with acute lymphoblastic leukemia from diverse ancestries
Genomic analysis of venous thrombosis in children with acute lymphoblastic leukemia from diverse ancestries Open
Venous thrombosis is a common adverse effect of modern therapy for acute lymphoblastic leukemia (ALL). Prior studies to identify risks of thrombosis in pediatric ALL have been limited by genetic screens of pre-identified genetic variants o…
View article: Leveraging mathematical modeling to analyze nonadherence for hydroxyurea therapy in sickle cell disease
Leveraging mathematical modeling to analyze nonadherence for hydroxyurea therapy in sickle cell disease Open
Nonadherence is common in individuals with sickle cell disease (SCD) on hydroxyurea therapy and can be observed with waning improvements in hematologic parameters or biomarkers like mean cell volume and fetal hemoglobin level over time. We…
View article: Data from Genetic Variants Associated with Therapy-Related Cardiomyopathy among Childhood Cancer Survivors of African Ancestry
Data from Genetic Variants Associated with Therapy-Related Cardiomyopathy among Childhood Cancer Survivors of African Ancestry Open
Cardiomyopathy occurs at significantly higher rates in survivors of childhood cancer than the general population, but few studies have evaluated racial or ethnic disparities, and none have assessed potential genetic factors contributing to…
View article: Supplementary Data from Genetic Variants Associated with Therapy-Related Cardiomyopathy among Childhood Cancer Survivors of African Ancestry
Supplementary Data from Genetic Variants Associated with Therapy-Related Cardiomyopathy among Childhood Cancer Survivors of African Ancestry Open
Supplementary Data
View article: Supplementary Data from Genetic Variants Associated with Therapy-Related Cardiomyopathy among Childhood Cancer Survivors of African Ancestry
Supplementary Data from Genetic Variants Associated with Therapy-Related Cardiomyopathy among Childhood Cancer Survivors of African Ancestry Open
Supplementary Data
View article: Data from Genetic Variants Associated with Therapy-Related Cardiomyopathy among Childhood Cancer Survivors of African Ancestry
Data from Genetic Variants Associated with Therapy-Related Cardiomyopathy among Childhood Cancer Survivors of African Ancestry Open
Cardiomyopathy occurs at significantly higher rates in survivors of childhood cancer than the general population, but few studies have evaluated racial or ethnic disparities, and none have assessed potential genetic factors contributing to…
View article: A Versatile and Efficient Novel Approach for Mendelian Randomization Analysis with Application to Assess the Causal Effect of Fetal Hemoglobin on Anemia in Sickle Cell Anemia
A Versatile and Efficient Novel Approach for Mendelian Randomization Analysis with Application to Assess the Causal Effect of Fetal Hemoglobin on Anemia in Sickle Cell Anemia Open
Mendelian randomization (MR) is increasingly employed as a technique to assess the causation of a risk factor on an outcome using observational data. The two-stage least-squares (2SLS) procedure is commonly used to examine the causation us…
View article: Mathematical Modeling of Hydroxyurea Therapy in Individuals with Sickle Cell Disease
Mathematical Modeling of Hydroxyurea Therapy in Individuals with Sickle Cell Disease Open
Sickle cell disease (SCD) is a chronic hemolytic anemia affecting millions worldwide with acute and chronic clinical manifestations and early mortality. While hydroxyurea (HU) and other treatment strategies managed to ameliorate disease se…
View article: Safety and efficacy of voxelotor in pediatric patients with sickle cell disease aged 4 to 11 years
Safety and efficacy of voxelotor in pediatric patients with sickle cell disease aged 4 to 11 years Open
Background Sickle cell disease (SCD) is a devastating, multisystemic disorder that affects millions of people worldwide. The earliest clinical manifestations of SCD can affect infants as young as 6 months of age, and pediatric patients are…
View article: Strategies to increase access to basic sickle cell disease care in low- and middle-income countries
Strategies to increase access to basic sickle cell disease care in low- and middle-income countries Open
Outcomes for patients with SCD in high-income countries have improved over the last few decades due to the implementation of universal newborn screening programs and use of routine antimicrobial prophylaxis, increase in therapeutic and cur…
View article: Fetal hemoglobin modulates neurocognitive performance in sickle cell anemia✰,✰✰
Fetal hemoglobin modulates neurocognitive performance in sickle cell anemia✰,✰✰ Open
View article: A Versatile and Efficient Novel Approach for Mendelian Randomization Analysis with Application to Assess the Causal Effect of Fetal Hemoglobin on Anemia in Sickle Cell Anemia
A Versatile and Efficient Novel Approach for Mendelian Randomization Analysis with Application to Assess the Causal Effect of Fetal Hemoglobin on Anemia in Sickle Cell Anemia Open
Mendelian randomization (MR) is increasingly employed as a technique to assess the causation of a risk factor on an outcome using observational data. The two-stage least-squares (2SLS) procedure is commonly used to examine the causation us…
View article: SARS-CoV-2 mRNA vaccination elicits a robust and persistent T follicular helper cell response in humans
SARS-CoV-2 mRNA vaccination elicits a robust and persistent T follicular helper cell response in humans Open
View article: Pre-existing humoral immunity to human common cold coronaviruses negatively impacts the protective SARS-CoV-2 antibody response
Pre-existing humoral immunity to human common cold coronaviruses negatively impacts the protective SARS-CoV-2 antibody response Open
View article: 437. Longitudinal Plasma Cytokine Profiles Differentiating COVID-19 Severity Groups
437. Longitudinal Plasma Cytokine Profiles Differentiating COVID-19 Severity Groups Open
Background Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes coronavirus disease 2019 (COVID-19), an infection with widely varying clinical severity. Severe COVID-19 was initially proposed to be secondary to cytokine stor…
View article: A reanalysis of pain crises data from the pivotal l-glutamine in sickle cell disease trial
A reanalysis of pain crises data from the pivotal l-glutamine in sickle cell disease trial Open
The pivotal Endari trial in sickle cell disease showed a reduction in pain crises events. This reanalysis of the l-glutamine phase 3 trial using annual rates of pain crises, consistent with other SCD studies, supported the statistically si…
View article: Progression of central nervous system disease from pediatric to young adulthood in sickle cell anemia
Progression of central nervous system disease from pediatric to young adulthood in sickle cell anemia Open
Silent cerebral infarcts and arteriopathy are common and progressive in individuals with sickle cell anemia. However, most data describing brain lesions in sickle cell anemia are cross-sectional or derive from pediatric cohorts with short …
View article: Developmental screening of three‐year‐old children with sickle cell disease compared to controls
Developmental screening of three‐year‐old children with sickle cell disease compared to controls Open
Summary We previously found that neurodevelopmental deficits commonly occurred in three‐year‐olds with sickle cell disease (SCD), but clinical significance was uncertain because a comparison group was lacking. Our objective in the current …
View article: Cross-reactive Antibody Response to mRNA SARS-CoV-2 Vaccine After Recent COVID-19-Specific Monoclonal Antibody Therapy
Cross-reactive Antibody Response to mRNA SARS-CoV-2 Vaccine After Recent COVID-19-Specific Monoclonal Antibody Therapy Open
The efficacy of coronavirus disease 2019 (COVID-19) vaccines administered after COVID-19-specific monoclonal antibody is unknown, and “antibody interference” might hinder immune responses leading to vaccine failure. In an institutional rev…
View article: A polygenic score for acute vaso-occlusive pain in pediatric sickle cell disease
A polygenic score for acute vaso-occlusive pain in pediatric sickle cell disease Open
Individuals with monogenic disorders can experience variable phenotypes that are influenced by genetic variation. To investigate this in sickle cell disease (SCD), we performed whole-genome sequencing (WGS) of 722 individuals with hemoglob…
View article: SARS-CoV-2 antigen exposure history shapes phenotypes and specificity of memory CD8 T cells
SARS-CoV-2 antigen exposure history shapes phenotypes and specificity of memory CD8 T cells Open
Although mRNA vaccine efficacy against severe COVID-19 remains high, variant emergence and breakthrough infections have changed vaccine policy to include booster immunizations. However, the effect of diverse and repeated antigen exposures …
View article: What drives transcranial Doppler velocity improvement in paediatric sickle cell anaemia: analysis from the Sickle Cell Clinical Research and Intervention Program (SCCRIP) longitudinal cohort study
What drives transcranial Doppler velocity improvement in paediatric sickle cell anaemia: analysis from the Sickle Cell Clinical Research and Intervention Program (SCCRIP) longitudinal cohort study Open
Summary Children with sickle cell anaemia (SCA) and conditional transcranial Doppler (TCD) flow velocities (conditional: 170–199 cm/s; normal: <170 cm/s) have an increased risk of stroke. The Sickle Cell Clinical Research and Intervention …
View article: Choosing the right tool for the job: A comprehensive assessment of serological assays for SARS-CoV-2 as surrogates for authentic virus neutralization
Choosing the right tool for the job: A comprehensive assessment of serological assays for SARS-CoV-2 as surrogates for authentic virus neutralization Open
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged in late 2019 and has since caused a global pandemic resulting in millions of cases and deaths 1-4 . Diagnostic tools and serological assays are critical for controlling t…
View article: The Edoxaban Hokusai VTE PEDIATRICS Study: An open‐label, multicenter, randomized study of edoxaban for pediatric venous thromboembolic disease
The Edoxaban Hokusai VTE PEDIATRICS Study: An open‐label, multicenter, randomized study of edoxaban for pediatric venous thromboembolic disease Open
View article: A meta‐analysis of toxicities related to hydroxycarbamide dosing strategies
A meta‐analysis of toxicities related to hydroxycarbamide dosing strategies Open
Due to fear of short‐term toxicities, there is nonconsensus of hydroxycarbamide dosing strategy (escalated vs fixed‐dosing methods), which contributes to its suboptimal use. We performed a meta‐analysis to summarize the incidence rates of …