Evidence map›Paper›PMID 26626991›Full record

Trial reportBlood2016

A first-in-human phase 1 study of ACE910, a novel factor VIII-mimetic bispecific antibody, in healthy subjects.

Naoki Uchida, Takehiko Sambe, Koichiro Yoneyama, Naoki Fukazawa, Takehiko Kawanishi, Shinichi Kobayashi, Midori Shima

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Blood, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05500807 (Emicizumab for Severe VON Willebrand Disease), which is not on this map. Cited by 107 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 3 pooled it
16.0field-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.

NCT05500807 phase1recruitingnot on this mapstarted 2022, after this paper: background citation

Emicizumab for Severe VON Willebrand Disease (VWD) and VWD/Hemophilia A

TypeinterventionalSponsorBleeding and Clotting Disorders Institute Peoria, IllinoisRan2022 to 2028Enrolled40ConditionsVon Willebrand Disease, Type 3, Concomitant VWD and HemophiliaArmsEmicizumab
3 · Its place in the literature

Who cites it

107 citing papers in PubMed, 3 syntheses or guidelines pooled it, 253 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Emicizumab for the treatment of haemophilia A: a narrative review.Blood transfusion = Trasfusione del sangue · 2019
    Pooled it
  4. Trial
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  13. Discovery and development of a bispecific antibody for the treatment of hemophilia.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
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  15. Article
  16. Review
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  19. More real-world evidence on the impact of emicizumab.Research and practice in thrombosis and haemostasis · 2025
    Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Naoki UchidaShowa University Clinical Research Institute for Clinical Pharmacology and Therapeutics, Tokyo, Japan; Department of Pharmacology, School of Medicine, Showa University, Tokyo, Japan;
Takehiko SambeShowa University Clinical Research Institute for Clinical Pharmacology and Therapeutics, Tokyo, Japan; Department of Pharmacology, School of Medicine, Showa University, Tokyo, Japan;
Koichiro YoneyamaTranslational Clinical Research Division, Chugai Pharmaceutical Co. Ltd., Tokyo, Japan; and.
Naoki FukazawaTranslational Clinical Research Division, Chugai Pharmaceutical Co. Ltd., Tokyo, Japan; and.
Takehiko KawanishiTranslational Clinical Research Division, Chugai Pharmaceutical Co. Ltd., Tokyo, Japan; and.
Shinichi KobayashiShowa University Clinical Research Institute for Clinical Pharmacology and Therapeutics, Tokyo, Japan;
Midori ShimaDepartment of Pediatrics, Nara Medical University, Nara, Japan.
Showa University · JPNara Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ACE910 is a recombinant humanized bispecific antibody that binds to activated factor IX and factor X and mimics the cofactor function of factor VIII (FVIII). This first-in-human study examined the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of ACE910 in healthy male adults. A total of 40 Japanese and 24 white subjects were randomized to receive a single subcutaneous injection of ACE910 (Japanese: 0.001, 0.01, 0.1, 0.3, or 1 mg/kg; white: 0.1, 0.3, or 1 mg/kg; n = 6 per dose group) or placebo (n = 2 per dose group). ACE910 exhibited a linear PK profile and had a half-life of ∼4 to 5 weeks. In FVIII-neutralized plasma, ACE910 shortened activated partial thromboplastin time and increased peak height of thrombin generation in a dose-dependent manner. All adverse events were nonserious and did not lead to any subject's withdrawal. Neither clinical findings nor laboratory abnormalities indicating hypercoagulability were observed. Two of 48 subjects receiving ACE910 (1 Japanese and 1 white) were positive for anti-ACE910 antibodies (anti-drug antibodies [ADAs]). One subject tested positive for ADAs both before and after ACE910 administration, whereas the other became ADA positive after receiving ACE910. The PK and PD profiles of ACE910 were similar in healthy Japanese and white subjects and suggest that ACE910 will be an effective and convenient prophylactic treatment of hemophilia A. This trial was registered at www.clinicaltrials.jp as #JapicCTI-121934.

Indexed as

AdultAntibodies, BispecificAntibodies, Monoclonal, HumanizedBiomimetic MaterialsDose-Response Relationship, DrugFactor VIIIHealthy VolunteersHumansInjections, SubcutaneousMaleMaximum Tolerated DoseYoung AdultAntibodies, BispecificAntibodies, Monoclonal, HumanizedemicizumabFactor VIII

Identifiers

PMID26626991
PMCPMC4817308
OpenAlexW2278365462

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.