Evidence map›Paper›PMID 23934275›Full record

Trial reportInternational journal of hematology2013

Long-term efficacy and safety of eculizumab in Japanese patients with PNH: AEGIS trial.

Yuzuru Kanakura, Kazuma Ohyashiki, Tsutomu Shichishima, Shinichiro Okamoto, Kiyoshi Ando, Haruhiko Ninomiya, Tatsuya Kawaguchi, Shinji Nakao, Hideki Nakakuma, Jun-ichi Nishimura and 4 more

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in International journal of hematology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01194804 (Phase II Clinical Study of Eculizumab), which is not on this 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
1.8field-weighted citation impact, top 16% 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.

NCT01194804 phase2completednot on this map

Phase II Clinical Study of Eculizumab (h5G1.1-mAb) in Hemolytic Paroxysmal Nocturnal Hemoglobinuria (PNH) Patients: Extension Study to C07-001 Protocol

TypeinterventionalSponsorAlexion Pharmaceuticals, Inc.Ran2008 to 2011Enrolled27ConditionsParoxysmal Nocturnal HemoglobinuriaArmsEculizumab
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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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 2 countries.

Yuzuru KanakuraDepartment of Hematology and Oncology, Osaka University Hospital, Suita, Japan, kanakura@bldon.med.osaka-u.ac.jp.
Kazuma Ohyashiki
Tsutomu Shichishima
Shinichiro Okamoto
Kiyoshi Ando
Haruhiko Ninomiya
Tatsuya Kawaguchi
Shinji Nakao
Hideki Nakakuma
Jun-ichi Nishimura
Taroh Kinoshita
Camille L Bedrosian
Keiya Ozawa
Mitsuhiro Omine
Osaka University · JPAlexion Pharmaceuticals (United States) · USFukushima Medical University · JPJichi Medical University · JPKanazawa University · JPKeio University Hospital · JPKumamoto University · JPShowa University · JPTokai University · JPTokyo Medical University · JPUniversity of Tsukuba · JPWakayama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Paroxysmal nocturnal hemoglobinuria (PNH) is a rare, progressive hematopoietic stem cell disorder characterized by chronic complement-mediated hemolysis leading to life-threatening complications and early mortality. Eculizumab, a humanized anti-C5 monoclonal antibody, inhibits terminal complement activation, reduces hemolysis, decreases the risk of thrombosis, and improves renal function and quality of life in PNH patients. The long-term efficacy and safety of eculizumab in Japanese patients were assessed in a 2-year extension to a 12-week, open-label study (AEGIS). Eculizumab treatment led to an immediate and sustained reduction in intravascular hemolysis (P < 0.001) and red blood cell transfusions (P = 0.0016) compared with baseline levels. There were no reports of thromboembolism during eculizumab treatment. The majority of patients had stable (56 %) or improved (41 %) renal function and an improved quality of life (P = 0.015), with sustained reductions in fatigue and dyspnea. Eculizumab was well tolerated; no deaths or serious hemolytic events were reported, and the rate of infections declined over time. There were no significant differences in the response to eculizumab in patients with or without bone marrow dysfunction. These results demonstrate that eculizumab is an effective, well-tolerated long-term treatment for Japanese PNH patients and leads to continued amelioration of some hemolytic complications.

Indexed as

AdultAgedAntibodies, Monoclonal, HumanizedComplement C5FemaleHemoglobinuria, ParoxysmalHumansImmunologic FactorsJapanMaleMiddle AgedRisk FactorsTreatment OutcomeAntibodies, Monoclonal, HumanizedComplement C5eculizumabImmunologic Factors

Identifiers

PMID23934275
OpenAlexW1984737284

What OpenQuestion holds

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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.