Evidence map›Paper›PMID 26157075›Full record

Trial reportBlood2015

Pegylated, full-length, recombinant factor VIII for prophylactic and on-demand treatment of severe hemophilia A.

Barbara A Konkle, Oleksandra Stasyshyn, Pratima Chowdary, David H Bevan, Tim Mant, Midori Shima, Werner Engl, Jacqueline Dyck-Jones, Monika Fuerlinger, Lisa Patrone and 2 more

2 registry-linked trialsOpen access · bronzeAbstract readClinical TrialClinical Trial, Phase I
In one paragraph

Trial report in Blood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 100 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 4 pooled it
17.1field-weighted citation impact, top 1% 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.

NCT01599819 phase1completednot on this map

BAX 855 (PEGylated Recombinant Factor VIII): A Phase 1, Prospective, Open Label, Cross-Over, Dose-Escalation Study in Previously Treated Patients (PTPs) With Severe (FVIII < 1%) Hemophilia A

TypeinterventionalSponsorBaxalta now part of ShireRan2011 to 2012Enrolled19ConditionsHemophilia AArmsAntihemophilic Factor (Recombinant) - Plasma/Albumin Free Method, PEGylated Recombinant Factor VIII
NCT01736475 phase2 / phase3completednot on this map

A Phase 2/3, Multi-Center, Open Label Study of Efficacy, Safety, and Pharmacokinetics of PEGylated Recombinant Factor VIII (BAX 855) Administered for Prophylaxis and Treatment of Bleeding in Previously Treated Patients With Severe Hemophilia A

TypeinterventionalSponsorBaxalta now part of ShireRan2013 to 2014Enrolled159ConditionsHemophilia AArmsAntihemophilic Factor (Recombinant) - Plasma/Albumin Free Method, PEGylated Recombinant Factor VIII
3 · Its place in the literature

Who cites it

100 citing papers in PubMed, 4 syntheses or guidelines pooled it, 252 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Gene therapy for haemophilia.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Gene therapy for haemophilia.The Cochrane database of systematic reviews · 2016
    Pooled it
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  18. Review
  19. Extended Half-Life Factor Concentrates in Haemophilia Treatment.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2026
    Review
  20. Article

40 more citing papers are in PubMed but not listed here.

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

12 authors at 6 institutions in 3 countries.

Barbara A KonklePuget Sound Blood Center and University of Washington, Seattle, WA;
Oleksandra StasyshynAcademy of Medical Sciences of Ukraine, Lviv, Ukraine;
Pratima ChowdaryKatharine Dormandy Haemophilia Centre and Thrombosis Unit, Royal Free Hospital, London, United Kingdom;
David H BevanSt. Thomas' Hospital, London, United Kingdom;
Tim MantQuintiles Drug Research Unit at Guy's Hospital, London, United Kingdom;
Midori ShimaNara Medical University Hospital, Nara, Japan;
Werner EnglBaxalta Innovations GmbH, Vienna, Austria; and.
Jacqueline Dyck-JonesBaxalta US Inc., Westlake Village, CA.
Monika FuerlingerBaxalta Innovations GmbH, Vienna, Austria; and.
Lisa PatroneBaxalta US Inc., Westlake Village, CA.
Bruce EwensteinBaxalta US Inc., Westlake Village, CA.
Brigitt AbbuehlBaxalta Innovations GmbH, Vienna, Austria; and.
Baxalta (United States) · USIQVIA (United Kingdom) · GBNara Medical University Hospital · JPSt Thomas' Hospital · GBUniversity College London · GBUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current management of hemophilia A includes prophylaxis with factor VIII (FVIII) replacement every 2 to 3 days. BAX 855, Baxalta's pegylated full-length recombinant FVIII (rFVIII), was designed to increase half-life and, thus, reduce the frequency of prophylactic infusions while maintaining hemostatic efficacy. BAX 855 was evaluated in previously treated patients with severe hemophilia A who were aged 12 to 65 years. A phase 1 study compared the pharmacokinetic (PK) profile of BAX 855 with that of licensed rFVIII (Advate). In a pivotal study, the annualized bleeding rate (ABR), PK parameters, and efficacy of bleeding treatment were assessed. In the phase 1 study, the mean half-life (T1/2) and the mean residence time of BAX 855 compared with Advate were 1.4- to 1.5-fold higher. These results were confirmed in the pivotal study. The pivotal study met its primary endpoint: Prophylaxis with BAX 855 resulted in an ABR that was significantly lower than half the ABR of on-demand treatment (P < .0001). The median ABR was 1.9, and 39.6% of compliant subjects had no bleeding episodes during prophylaxis, whereas subjects treated on-demand had a median ABR of 41.5. BAX 855 was also efficacious for the treatment of bleeding episodes, with 95.9% of bleeding episodes treated with 1 to 2 infusions and 96.1% having efficacy ratings of excellent/good. No FVIII inhibitory antibodies or safety signals were identified. These studies provide evidence that BAX 855 was safe and efficacious for on-demand treatment and prophylaxis administered twice weekly in patients with hemophilia A. The trials were registered at www.clinicaltrials.gov as #NCT01736475 and #NCT01599819.

Indexed as

AdolescentAdultChildCross-Over StudiesDrug Administration ScheduleFactor VIIIFemaleHemophilia AHemorrhageHemostaticsHumansMaleMiddle AgedPolyethylene GlycolsProspective StudiesRecombinant ProteinsFactor VIIIHemostaticsPolyethylene GlycolsRecombinant Proteins

Identifiers

PMID26157075
PMCPMC4551361
OpenAlexW1623696825

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.