Evidence map›Paper›PMID 25274508›Full record

ArticleBlood2014

Anti-factor IXa/X bispecific antibody ACE910 prevents joint bleeds in a long-term primate model of acquired hemophilia A.

Atsushi Muto, Kazutaka Yoshihashi, Minako Takeda, Takehisa Kitazawa, Tetsuhiro Soeda, Tomoyuki Igawa, Zenjiro Sampei, Taichi Kuramochi, Akihisa Sakamoto, Kenta Haraya and 5 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Blood, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05345197 (Emicizumab in Patients With Acquired Hemophilia A), which is not on this map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% 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.

NCT05345197 phase2active not recruitingnot on this mapstarted 2022, after this paper: background citation

Emicizumab in Patients With Acquired Hemophilia A: Multicenter, Single-arm, Open-label Clinical Trial

TypeinterventionalSponsorUniversity of WashingtonRan2022 to 2026Enrolled51ConditionsAcquired Hemophilia AArmsemicizumab
3 · Its place in the literature

Who cites it

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

  1. Emicizumab for the treatment of haemophilia A: a narrative review.Blood transfusion = Trasfusione del sangue · 2019
    Pooled it
  2. Trial
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  11. Review
  12. Review
  13. The role of emicizumab in acquired hemophilia A.Hematology. American Society of Hematology. Education Program · 2023
    Article
  14. Review
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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

15 authors at 1 institution in 1 country.

Atsushi MutoResearch Division, Chugai Pharmaceutical Co, Ltd, Gotemba, Shizuoka, Japan; and.
Kazutaka YoshihashiResearch Division, Chugai Pharmaceutical Co, Ltd, Gotemba, Shizuoka, Japan; and.
Minako TakedaResearch Division, Chugai Pharmaceutical Co, Ltd, Gotemba, Shizuoka, Japan; and.
Takehisa KitazawaResearch Division, Chugai Pharmaceutical Co, Ltd, Gotemba, Shizuoka, Japan; and.
Tetsuhiro SoedaResearch Division, Chugai Pharmaceutical Co, Ltd, Gotemba, Shizuoka, Japan; and.
Tomoyuki IgawaResearch Division, Chugai Pharmaceutical Co, Ltd, Gotemba, Shizuoka, Japan; and.
Zenjiro SampeiResearch Division, Chugai Pharmaceutical Co, Ltd, Gotemba, Shizuoka, Japan; and.
Taichi KuramochiResearch Division, Chugai Pharmaceutical Co, Ltd, Gotemba, Shizuoka, Japan; and.
Akihisa SakamotoResearch Division, Chugai Pharmaceutical Co, Ltd, Gotemba, Shizuoka, Japan; and.
Kenta HarayaResearch Division, Chugai Pharmaceutical Co, Ltd, Gotemba, Shizuoka, Japan; and.
Kenji AdachiResearch Division, Chugai Pharmaceutical Co, Ltd, Gotemba, Shizuoka, Japan; and.
Yoshiki KawabeResearch Division, Chugai Pharmaceutical Co, Ltd, Gotemba, Shizuoka, Japan; and.
Keiji NogamiDepartment of Pediatrics, Nara Medical University, Kashihara, Nara, Japan.
Midori ShimaDepartment of Pediatrics, Nara Medical University, Kashihara, Nara, Japan.
Kunihiro HattoriResearch Division, Chugai Pharmaceutical Co, Ltd, Gotemba, Shizuoka, Japan; and.
Nara Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ACE910 is a humanized anti-factor IXa/X bispecific antibody mimicking the function of factor VIII (FVIII). We previously demonstrated in nonhuman primates that a single IV dose of ACE910 exerted hemostatic activity against hemophilic bleeds artificially induced in muscles and subcutis, and that a subcutaneous (SC) dose of ACE910 showed a 3-week half-life and nearly 100% bioavailability, offering support for effective prophylaxis for hemophilia A by user-friendly SC dosing. However, there was no direct evidence that such SC dosing of ACE910 would prevent spontaneous bleeds occurring in daily life. In this study, we newly established a long-term primate model of acquired hemophilia A by multiple IV injections of an anti-primate FVIII neutralizing antibody engineered in mouse-monkey chimeric form to reduce its antigenicity. The monkeys in the control group exhibited various spontaneous bleeding symptoms as well as continuous prolongation of activated partial thromboplastin time; notably, all exhibited joint bleeds, which are a hallmark of hemophilia. Weekly SC doses of ACE910 (initial 3.97 mg/kg followed by 1 mg/kg) significantly prevented these bleeding symptoms; notably, no joint bleeding symptoms were observed. ACE910 is expected to prevent spontaneous bleeds and joint damage in hemophilia A patients even with weekly SC dosing, although appropriate clinical investigation is required.

Indexed as

AnimalsAntibodies, BispecificAntibodies, Monoclonal, HumanizedCell LineDisease Models, AnimalFactor IXaFactor XHemophilia AHemorrhageHumansJointsMacaca fascicularisMaleMiceAntibodies, BispecificAntibodies, Monoclonal, HumanizedFactor IXaFactor X

Identifiers

PMID25274508
PMCPMC4231424
OpenAlexW2086294372

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.