Evidence map›Paper›PMID 23223434›Full record

Trial reportBlood2013

The polygenic nature of inhibitors in hemophilia A: results from the Hemophilia Inhibitor Genetics Study (HIGS) Combined Cohort.

Jan Astermark, Sharyne M Donfield, Edward D Gomperts, John Schwarz, Erika D Menius, Anna Pavlova, Johannes Oldenburg, Bailey Kessing, Donna M DiMichele, Amy D Shapiro and 3 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00166387 (Hemophilia Inhibitor Genetics Study), which is not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00166387 completednot on this map

Hemophilia Inhibitor Genetics Study (HIGS)

TypeobservationalSponsorSkane University HospitalRan2003 to 2013Enrolled1,137ConditionsHemophilia A With InhibitorArmsBlood draw
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 103 citations in OpenAlex.

  1. Large deletions in theResearch and practice in thrombosis and haemostasis · 2025
    Article
  2. Article
  3. Article
  4. Mutation detection and inhibitor analysis of 43 children with severe hemophilia A in a single center: three novel mutations.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2024
    Article
  5. Article
  6. Immunogenicity of Current and New Therapies for Hemophilia A.Pharmaceuticals (Basel, Switzerland) · 2022
    Review
  7. Article
  8. Article
  9. Article
  10. Haemophilia.Nature reviews. Disease primers · 2021
    Review
  11. Review
  12. Removal of Mannose-Ending Glycan at AsnFrontiers in immunology · 2020
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Jan AstermarkCentre for Thrombosis and Haemostasis, Lund University, Skåne University Hospital, Malmö, Sweden. jan.astermark@med.lu.se
Sharyne M Donfield
Edward D Gomperts
John Schwarz
Erika D Menius
Anna Pavlova
Johannes Oldenburg
Bailey Kessing
Donna M DiMichele
Amy D Shapiro
Cheryl A Winkler
Erik Berntorp
Hemophilia Inhibitor Genetics Study (HIGS) Combined Cohort
Rho (United States) · USFrederick National Laboratory for Cancer Research · USLund University · SEChildren's Hospital of Los Angeles · USCornell University · USIndiana Hemophilia and Thrombosis Center · US

Funding

Genetics of Renal Disease in African AmericansZIABC010022 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI WINKLER, CHERYL · 2009 to 2022
$8.9M
Pathogenesis of HIV and HCV in Hemophilia: HGDSR01HD041224 · NICHD · CHILDREN'S HOSPITAL LOS ANGELES · PI GOMPERTS, EDWARD DAVID · 2001 to 2004
$2.8M
CCR NIH HHS HHSN261200800001CIntramural NIH HHSNCI NIH HHS HHSN261200800001ENICHD NIH HHS R01 HD041224NICHD NIH HHS R01-HD-41224
6 · The paper itself

Abstract

Studies of determinants of development of inhibitory Abs to factor VIII in people with hemophilia A indicate a complex process involving multiple factors. The Hemophilia Inhibitor Genetics Study (HIGS) Combined Cohort was formed to extend our understanding of the genetic background of risk. The study group contains 833 subjects from 3 independent cohorts: brother pairs and singletons with and without a history of inhibitors, as well as 104 brother pairs discordant for inhibitor status. Using an Illumina iSelect platform, 13 331 single-nucleotide polymorphisms from 1081 genes, primarily immune response and immune modifier genes, were typed. Each cohort was analyzed separately with results combined using a meta-analytic technique. After adjustment for potential confounders, 53 single-nucleotide polymorphisms were found to be significant predictors of inhibitor status using the criteria of odds ratios in the same direction in all cohorts or allowing for a 20% interval around an odds ratio = 1 in 1 of the 3 and significant in at least 2. Of the 53 markers, 13 had meta P < .001. Eight of the 53 were significant predictors among the discordant pairs. Results support the complexity of the immune response and encourage further research with the goal of understanding the pathways involved.

Indexed as

Hemophilia ATranscriptomeAdolescentAntibodiesChildCohort StudiesDrug ResistanceFactor VIIIGenetic MarkersGenetic Predisposition to DiseaseHumansMaleMultifactorial InheritancePolymorphism, Single NucleotideRisk FactorsSiblingsAntibodiesFactor VIIIGenetic Markers

Identifiers

PMID23223434
PMCPMC3578958
OpenAlexW2057950690

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.