Evidence map›Paper›PMID 32369559›Full record

ArticleBlood2020

A hemophilia A mouse model for the in vivo assessment of emicizumab function.

Stephen Ferrière, Ivan Peyron, Olivier D Christophe, Charlotte Kawecki, Caterina Casari, Vincent Muczynski, Amit Nathwani, Alexandre Kauskot, Peter J Lenting, Cécile V Denis

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Blood, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
4.2field-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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
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  4. Observational
  5. Observational
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  7. Article
  8. Factor VIIIResearch and practice in thrombosis and haemostasis · 2026
    Article
  9. Article
  10. Augmented emicizumab-driven coagulation potential in hemophilia A state byResearch and practice in thrombosis and haemostasis · 2026
    Article
  11. Article
  12. Estimating the Factor VIII-Equivalent Activity of Emicizumab Using Global Assays of Haemostasis.Haemophilia : the official journal of the World Federation of Hemophilia · 2025
    Article
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  15. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Stephen FerrièreUnité Mixte de Recherche Scientifique (UMR_S) 1176, INSERM/Université Paris-Sud/Université Paris-Saclay, Le Kremlin-Bicêtre, France.
Ivan PeyronUnité Mixte de Recherche Scientifique (UMR_S) 1176, INSERM/Université Paris-Sud/Université Paris-Saclay, Le Kremlin-Bicêtre, France.
Olivier D ChristopheUnité Mixte de Recherche Scientifique (UMR_S) 1176, INSERM/Université Paris-Sud/Université Paris-Saclay, Le Kremlin-Bicêtre, France.
Charlotte KaweckiUnité Mixte de Recherche Scientifique (UMR_S) 1176, INSERM/Université Paris-Sud/Université Paris-Saclay, Le Kremlin-Bicêtre, France.
Caterina CasariUnité Mixte de Recherche Scientifique (UMR_S) 1176, INSERM/Université Paris-Sud/Université Paris-Saclay, Le Kremlin-Bicêtre, France.
Vincent MuczynskiResearch Department of Haematology, University College London (UCL) Cancer Institute, London, United Kingdom; and.
Amit NathwaniResearch Department of Haematology, University College London (UCL) Cancer Institute, London, United Kingdom; and.
Alexandre KauskotUnité Mixte de Recherche Scientifique (UMR_S) 1176, INSERM/Université Paris-Sud/Université Paris-Saclay, Le Kremlin-Bicêtre, France.
Peter J LentingUnité Mixte de Recherche Scientifique (UMR_S) 1176, INSERM/Université Paris-Sud/Université Paris-Saclay, Le Kremlin-Bicêtre, France.
Cécile V DenisUnité Mixte de Recherche Scientifique (UMR_S) 1176, INSERM/Université Paris-Sud/Université Paris-Saclay, Le Kremlin-Bicêtre, France.
Université Paris-Sud · FRThe Royal Free Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The bispecific antibody emicizumab is increasingly used for hemophilia A treatment. However, its specificity for human factors IX and X (FIX and FX) has limited its in vivo functional analysis to primate models of acquired hemophilia. Here, we describe a novel mouse model that allows emicizumab function to be examined. Briefly, FVIII-deficient mice received IV emicizumab 24 hours before tail-clip bleeding was performed. A second infusion with human FIX and FX, administered 5 minutes before bleeding, generated consistent levels of emicizumab (0.7-19 mg/dL for 0.5-10 mg/kg doses) and of both FIX and FX (85 and 101 U/dL, respectively, after dosing at 100 U/kg). Plasma from these mice display FVIII-like activity in assays (diluted activated partial thromboplastin time and thrombin generation), similar to human samples containing emicizumab. Emicizumab doses of 1.5 mg/kg and higher significantly reduced blood loss in a tail-clip-bleeding model using FVIII-deficient mice. However, reduction was incomplete compared with mice treated with human FVIII concentrate, and no difference in efficacy between doses was observed. From this model, we deducted FVIII-like activity from emicizumab that corresponded to a dose of 4.5 U of FVIII per kilogram (ie, 9.0 U/dL). Interestingly, combined with a low FVIII dose (5 U/kg), emicizumab provided enough additive activity to allow complete bleeding arrest. This model could be useful for further in vivo analysis of emicizumab.

Indexed as

Models, AnimalAnimalsAntibodies, BispecificAntibodies, Monoclonal, HumanizedDrug Therapy, CombinationFactor IXFactor VIIIFactor XFactor XIaFemaleHemophilia AHemorrhageInfusions, IntravenousMaleMiceMice, Inbred C57BLAntibodies, BispecificAntibodies, Monoclonal, HumanizedemicizumabF8 protein, humanFactor IXFactor VIIIFactor XFactor XIaThrombin

Identifiers

PMID32369559
OpenAlexW3023240913

What OpenQuestion holds

Textmetadata
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.