Evidence map›Paper›PMID 31515851›Full record

Trial reportHaemophilia : the official journal of the World Federation of Hemophilia2019

A multicentre, open-label study of emicizumab given every 2 or 4 weeks in children with severe haemophilia A without inhibitors.

Midori Shima, Keiji Nogami, Sayaka Nagami, Seitaro Yoshida, Koichiro Yoneyama, Akira Ishiguro, Takashi Suzuki, Masashi Taki

Open access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Haemophilia : the official journal of the World Federation of Hemophilia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 3 pooled it
12.9field-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.

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

67 citing papers in PubMed, 3 syntheses or guidelines pooled it, 150 citations in OpenAlex.

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  6. Emicizumab dose up-titration in case of suboptimal bleeding control in people with haemophilia A.Haemophilia : the official journal of the World Federation of Hemophilia · 2023
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7 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

8 authors at 4 institutions in 1 country.

Midori ShimaDepartment of Pediatrics, Nara Medical University, Kashihara, Japan.
Keiji NogamiDepartment of Pediatrics, Nara Medical University, Kashihara, Japan.
Sayaka NagamiChugai Pharmaceutical Co., Ltd, Tokyo, Japan.ORCID https://orcid.org/0000-0002-2904-3237
Seitaro YoshidaChugai Pharmaceutical Co., Ltd, Tokyo, Japan.
Koichiro YoneyamaChugai Pharmaceutical Co., Ltd, Tokyo, Japan.ORCID https://orcid.org/0000-0001-8166-6522
Akira IshiguroDivision of Hematology, National Center for Child Health and Development, Tokyo, Japan.ORCID https://orcid.org/0000-0002-3896-5313
Takashi SuzukiDepartment of Blood Coagulation, Ogikubo Hospital, Tokyo, Japan.
Masashi TakiDepartment of Pediatrics, St. Marianna University School of Medicine, Kawasaki, Japan.
Nara Medical University · JPNational Center For Child Health and Development · JPOgikubo Hospital · JPSt. Marianna University School of Medicine · JP

Funding

Chugai Pharmaceutical Co., Ltd
6 · The paper itself

Abstract

introductionEmicizumab is a recombinant humanized bispecific monoclonal antibody mimicking the cofactor function of activated factor VIII.

aimIn this multicentre, open-label study (HOHOEMI), we evaluated the efficacy, safety and pharmacokinetics of emicizumab in Japanese paediatric patients aged <12 years with severe haemophilia A without factor VIII (FVIII) inhibitors.

methodsEmicizumab was administered subcutaneously, with four loading doses of 3 mg/kg every week followed by maintenance doses of 3 mg/kg every 2 weeks (Q2W) or 6 mg/kg every 4 weeks (Q4W) in 6 and 7 patients, respectively.

resultsAll patients completed at least 24 weeks of treatment. Baseline ages ranged from 4 months to 10 years, and all patients had been treated with FVIII prophylaxis prior to enrolment except a 4-month-old patient untreated with FVIII previously. In the respective Q2W and Q4W cohorts, 2/6 and 5/7 patients experienced no treated bleeding events, and annualized bleeding rates for treated bleeding events were 1.3 (95% confidence interval [CI], 0.6-2.9) and 0.7 (95% CI, 0.2-2.6). All caregivers preferred emicizumab to the patient's previous treatment. Only one related adverse event (injection site reaction) was observed. There were no thromboembolic events or thrombotic microangiopathy. Individual trough plasma concentrations of emicizumab were within the variability observed in preceding adult/adolescent studies. All patients tested negative for anti-emicizumab antibodies.

conclusionsEmicizumab administered Q2W or Q4W was efficacious and safe in paediatric patients with severe haemophilia A without inhibitors. This study was registered at http://www.clinicaltrials.jp (JapicCTI-173710).

Indexed as

Antibodies, BispecificAntibodies, Monoclonal, HumanizedChildChild, PreschoolDose-Response Relationship, DrugDrug Administration ScheduleFemaleHemophilia AHumansInfantMaleSafetyAntibodies, BispecificAntibodies, Monoclonal, Humanizedemicizumabbispecific antibodyemicizumabhaemophilia Anon-inhibitorpaediatricsprophylaxis

Identifiers

PMID31515851
PMCPMC6900083
OpenAlexW2972682000

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.