The present invention concerns
clusterin for use in the treatment of thrombotic microangiopathies, and a pharmaceutical composition comprising
clusterin for use in the treatment of thrombotic microangiopathies, said composition not comprising
von Willebrand factor
protease. The present invention also concerns an
ex vivo method for stratifying a patient suffering, or likely to be suffering, from TMA, comprising the following steps: 1) measuring, in a biological sample from said patient, the amount LC of
clusterin, and 2) comparing the amount Lc measured in step 1) with an amount Lref of clusterin by calculating the
score S1=LC / Lref, in which: •If S1≤1, the patient is considered to be likely to benefit from a treatment of the TMA with clusterin, •If S1>1, the patient is not considered to be likely to benefit from treatment of TMA with clusterin.