Evidence map›Paper›PMID 30656283›Full record

ArticleResearch and practice in thrombosis and haemostasis2019

Extending recombinant factor IX Fc fusion protein dosing interval to 14 or more days in patients with hemophilia B.

Amy D Shapiro, K John Pasi, Margareth C Ozelo, Roshni Kulkarni, Christopher Barnowski, Bent Winding, Johan Szamosi, Stefan Lethagen

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2019. 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 25% 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.

NCT01027364 phase3completednot on this map

B-LONG: An Open-Label, Multicenter Evaluation of the Safety, Pharmacokinetics, and Efficacy of Recombinant, Long-acting Coagulation Factor IX Fc Fusion Protein (rFIXFc) in the Prevention and Treatment of Bleeding in Previously Treated Subjects With Severe Hemophilia B

TypeinterventionalSponsorBioverativ Therapeutics Inc.Ran2009 to 2012Enrolled123ConditionsSevere Hemophilia BArmsFactor IX (rFIXFc), rFIX
NCT01425723 phase3completednot on this map

An Open-Label, Multicenter, Evaluation of the Long-Term Safety and Efficacy of Recombinant Human Coagulation Factor IX Fusion Protein (rFIXFc) in the Prevention and Treatment of Bleeding Episodes in Previously Treated Subjects With Hemophilia B

TypeinterventionalSponsorBioverativ Therapeutics Inc.Ran2011 to 2017Enrolled120ConditionsSevere Hemophilia BArmsrFIXFc
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 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

8 authors at 6 institutions in 5 countries.

Amy D ShapiroIndiana Hemophilia & Thrombosis Center Indianapolis Indiana.
K John PasiRoyal London Haemophilia Centre Barts and The London School of Medicine and Dentistry London UK.
Margareth C OzeloINCT do Sangue Hemocentro UNICAMP University of Campinas Campinas Brazil.
Roshni KulkarniDepartment of Pediatrics and Human Development Michigan State University East Lansing Michigan.
Christopher BarnowskiBioverativ, a Sanofi Company Waltham Massachusetts.
Bent WindingSobi Stockholm Sweden.
Johan SzamosiSobi Stockholm Sweden.
Stefan LethagenSobi Stockholm Sweden.
Swedish Orphan Biovitrum (Sweden) · SEIndiana Hemophilia and Thrombosis Center · USMichigan State University · USQueen Mary University of London · GBSanofi (United States) · USUniversidade Estadual de Campinas (UNICAMP) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the phase 3 B-LONG study (NCT01027364), prophylaxis with recombinant factor IX Fc fusion protein (rFIXFc) every 7 to >14 days was associated with low annualized bleed rates (ABRs) in males aged ≥12 years with severe hemophilia B. The long-term safety and efficacy of rFIXFc prophylaxis was confirmed in the B-YOND study (NCT01425723), an extension of the B-LONG clinical trial.

objectiveThe aim of this post-hoc analysis was to evaluate the efficacy of a ≥14-day rFIXFc dosing interval in patients treated prophylactically during B-LONG or B-YOND.

methodsThe analysis included 22 patients aged ≥12 years who received prophylactic rFIXFc with a ≥14-day dosing interval at any time during B-LONG or B-YOND up until the second interim analysis of B-YOND (September 2015).

resultsThe median (interquartile range [IQR]) rFIXFc exposure on the ≥14-day dosing interval was 3.4 (1.8-4) years. Patients treated with a ≥14-day dosing interval were well controlled with a median (IQR) overall ABR of 1.6 (0.6-2.7) and a median (IQR) spontaneous ABR of 0.7 (0.3-1.1) in 18 evaluable patients. A rFIXFc dosing interval of ≥14 days was well tolerated, with no new safety concerns identified.

conclusionMost patients on rFIXFc prophylaxis, with a dosing interval of ≥14 days, remained well controlled; ABRs were consistent with those reported in the overall study population. A ≥14-day dosing interval can be utilized in some well controlled individuals and reduces the burden imposed by frequent prophylactic injections while maintaining adequate bleed suppression.

Indexed as

clinical trialfactor IXhemophilia Bprophylaxisrecombinant fusion proteins

Identifiers

PMID30656283
PMCPMC6332734
OpenAlexW2902268034

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.