Evidence map›Paper›PMID 25990590›Full record

Trial reportHaemophilia : the official journal of the World Federation of Hemophilia2015

Results of a phase I/II open-label, safety and efficacy trial of coagulation factor IX (recombinant), albumin fusion protein in haemophilia B patients.

U Martinowitz, T Lissitchkov, A Lubetsky, G Jotov, T Barazani-Brutman, C Voigt, I Jacobs, T Wuerfel, E Santagostino

Open access · hybridAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Haemophilia : the official journal of the World Federation of Hemophilia, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.8field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 39 citations in OpenAlex.

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  15. Extravascular FIX and coagulation.Thrombosis journal · 2016
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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

9 authors at 5 institutions in 5 countries.

U MartinowitzThe Israeli National Hemophilia Center, Chaim Sheba Medical Center, Tel Hashomer, Israel.
T LissitchkovDepartment of Coagulation Disorders and Anemia, SHAT Joan Pavel, Sofia, Bulgaria.
A LubetskyThe Israeli National Hemophilia Center, Chaim Sheba Medical Center, Tel Hashomer, Israel.
G JotovDepartment of Coagulation Disorders and Anemia, SHAT Joan Pavel, Sofia, Bulgaria.
T Barazani-BrutmanThe Israeli National Hemophilia Center, Chaim Sheba Medical Center, Tel Hashomer, Israel.
C VoigtCRD, CSL Behring, King of Prussia, PA, USA.
I JacobsCRD, CSL Behring, King of Prussia, PA, USA.
T WuerfelPRD, CSL Behring GmbH, Marburg, Germany.
E SantagostinoMaggiore Hospital Policlinico, IRCCS Cà Granda Foundation, Milano, Italy.
Sheba Medical Center · ILCSL (Switzerland) · CHSpecialised Hospital for Active Treatment of Oncology · BGBehringwerke (Germany) · DEFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionrIX-FP is a coagulation factor IX (recombinant), albumin fusion protein with more than fivefold half-life prolongation over other standard factor IX (FIX) products available on the market.

aimThis prospective phase II, open-label study evaluated the safety and efficacy of rIX-FP for the prevention of bleeding episodes during weekly prophylaxis and assessed the haemostatic efficacy for on-demand treatment of bleeding episodes in previously treated patients with haemophilia B.

methodsThe study consisted of a 10-14 day evaluation of rIX-FP pharmacokinetics (PK), and an 11 month safety and efficacy evaluation period with subjects receiving weekly prophylaxis treatment. Safety was evaluated by the occurrence of related adverse events, and immunogenic events, including development of inhibitors. Efficacy was evaluated by annualized spontaneous bleeding rate (AsBR), and the number of injections to achieve haemostasis.

resultsSeventeen subjects participated in the study, 13 received weekly prophylaxis and 4 received episodic treatment only. No inhibitors were detected in any subject. The mean and median AsBR were 1.25, and 1.13 respectively in the weekly prophylaxis arm. All bleeding episodes were treated with 1 or 2 injections of rIX-FP. Three prophylaxis subjects who were treated on demand prior to study entry had >85% reduction in AsBR compared to the bleeding rate prior to study entry.

conclusionThis study demonstrated the efficacy for weekly routine prophylaxis of rIX-FP to prevent spontaneous bleeding episodes and for the treatment of bleeding episodes. In addition no safety issues were detected during the study and an improved PK profile was demonstrated.

Indexed as

SafetyAdolescentAdultAlbuminsFactor IXHemophilia BHemorrhageHemostasisHumansMaleMiddle AgedRecombinant Fusion ProteinsYoung AdultAlbuminsFactor IXRecombinant Fusion Proteinsfactor IXhaemophilia Bhaemostasispharmacokineticsprophylaxis

Identifiers

PMID25990590
PMCPMC4682460
OpenAlexW1497403991

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.