Evidence map›Paper›PMID 23403322›Full record

Trial reportHaematologica2013

Prophylaxis in congenital factor VII deficiency: indications, efficacy and safety. Results from the Seven Treatment Evaluation Registry (STER).

Mariasanta Napolitano, Muriel Giansily-Blaizot, Alberto Dolce, Jean F Schved, Guenter Auerswald, Jørgen Ingerslev, Jens Bjerre, Carmen Altisent, Pimlak Charoenkwan, Lisa Michaels and 4 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Haematologica, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
6.8field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Review
  5. Rare inherited coagulation disorders: no longer orphan and neglected.Research and practice in thrombosis and haemostasis · 2024
    Review
  6. Review
  7. Article
  8. Gene Therapy for Inherited Bleeding Disorders.Seminars in thrombosis and hemostasis · 2021
    Review
  9. Review
  10. Review
  11. [Congenital factor Ⅶ deficiency: a retrospective analysis of 43 cases].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2020
    Article
  12. Article
  13. Article
  14. Congenital Factor Deficiencies in Children: A Report of a Single-Center Experience.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis · 2018
    Article
  15. Recurrent Bleedings in Newborn: A Factor VII Deficiency Case Report.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2018
    Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 12 institutions in 9 countries.

Mariasanta NapolitanoUniversity of L'Aquila, Dipartimento di Medicina Interna e Sanità Pubblica, L'Aquila, Italy. marysanta@libero.it
Muriel Giansily-Blaizot
Alberto Dolce
Jean F Schved
Guenter Auerswald
Jørgen Ingerslev
Jens Bjerre
Carmen Altisent
Pimlak Charoenkwan
Lisa Michaels
Ampaiwan Chuansumrit
Giovanni Di Minno
Umran Caliskan
Guglielmo Mariani
Centre Hospitalier Universitaire de Montpellier · FRAarhus University Hospital · DKChiang Mai University · THHebron University · PSIstituto Nazionale di Statistica · ITJohnson University · USKlinikum Bremen-Mitte · DEMahidol University · THNovo Nordisk (Denmark) · DKSelçuk University · TRUniversity of Ferrara · ITUniversity of L'Aquila · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Because of the very short half-life of factor VII, prophylaxis in factor VII deficiency is considered a difficult endeavor. The clinical efficacy and safety of prophylactic regimens, and indications for their use, were evaluated in factor VII-deficient patients in the Seven Treatment Evaluation Registry. Prophylaxis data (38 courses) were analyzed from 34 patients with severe factor VII deficiency (<1-45 years of age, 21 female). Severest phenotypes (central nervous system, gastrointestinal, joint bleeding episodes) were highly prevalent. Twenty-one patients received recombinant activated factor VII (24 courses), four received plasma-derived factor VII, and ten received fresh frozen plasma. Prophylactic schedules clustered into "frequent" courses (three times weekly, n=23) and "infrequent" courses (≤ 2 times weekly, n=15). Excluding courses for menorrhagia, "frequent" and "infrequent" courses produced 18/23 (78%) and 5/12 (41%) "excellent" outcomes, respectively; relative risk, 1.88; 95% confidence interval, 0.93-3.79; P=0.079. Long term prophylaxis lasted from 1 to >10 years. No thrombosis or new inhibitors occurred. In conclusion, a subset of patients with factor VII deficiency needed prophylaxis because of severe bleeding. Recombinant activated factor VII schedules based on "frequent" administrations (three times weekly) and a 90 μg/kg total weekly dose were effective. These data provide a rationale for long-term, safe prophylaxis in factor VII deficiency.

Indexed as

PlasmaAdolescentAdultChildChild, PreschoolFactor VIIFactor VIIaFactor VII DeficiencyFemaleHumansInfantMaleMiddle AgedRecombinant ProteinsRegistriesTime FactorsFactor VIIFactor VIIaRecombinant Proteins

Identifiers

PMID23403322
PMCPMC3659984
OpenAlexW2070212236

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.