Evidence map›Paper›PMID 33581698›Full record

Trial reportThrombosis and haemostasis2021

Simoctocog Alfa (Nuwiq) in Previously Untreated Patients with Severe Haemophilia A: Final Results of the NuProtect Study.

Ri J Liesner, Aby Abraham, Carmen Altisent, Mark J Belletrutti, Manuel Carcao, Manuela Carvalho, Hervé Chambost, Anthony K C Chan, Leonid Dubey, Jonathan Ducore and 21 more

Abstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Thrombosis and haemostasis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Shaping hemophilia care: lessons and legacy of the SIPPET trial after 10 years.Research and practice in thrombosis and haemostasis · 2026
    Review
  4. Article
  5. Simoctocog alfa (NuwiqTherapeutic advances in hematology · 2024
    Review
  6. Article
  7. Article
  8. Immunogenicity of Current and New Therapies for Hemophilia A.Pharmaceuticals (Basel, Switzerland) · 2022
    Review
  9. Article
  10. Review
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

31 authors.

Ri J LiesnerGreat Ormond Street Hospital for Children NHS Trust Haemophilia Centre, NIHR GOSH BRC, London, United Kingdom.
Aby AbrahamDepartment of Hematology, Christian Medical College, Vellore, India.
Carmen AltisentUnitat d'Hemofilia, Hospital Vall D'Hebron, Barcelona, Spain.
Mark J BelletruttiPediatric Hematology, Department of Pediatrics, University of Alberta, Edmonton, Canada.
Manuel CarcaoDivision of Haematology/Oncology and Child Health Evaluative Sciences, Department of Paediatrics, Research Institute, Hospital for Sick Children, Toronto, Canada.
Manuela CarvalhoCongenital Coagulopathies Reference Centre, São João University Hospital Centre, Porto, Portugal.
Hervé ChambostAP-HM, Department of Pediatric Hematology Oncology, Children Hospital La Timone, Aix Marseille Univ, INSERM, INRA, C2VN, Marseille, France.
Anthony K C ChanDivision of Pediatric Hematology/Oncology, McMaster University, Hamilton, Canada.
Leonid DubeyDepartment of Pediatrics, Western Ukrainian Specialized Children's Medical Centre, Lviv, Ukraine.
Jonathan DucoreDepartment of Pediatrics, University of California Davis Medical Center, Sacramento, United States.
Michael GattensDepartment of Paediatric Haematology and Oncology, Addenbrooke's Hospital, Cambridge University Hospital NHS Foundation Trust, Cambridge, United Kingdom.
Paolo GreseleDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy.
Yves GruelCentre Régional de Traitement de l'Hémophilie, Hôpital Trousseau, Tours, France.
Benoit GuilletHaemophilia Treatment Centre, Univ Rennes, CHU Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, Rennes, France.
Victor Jimenez-YusteServicio de Hematología, Hospital Univeristario La Paz, Autónoma University, Madrid, Spain.
Lidija KitanovskiDepartment of Haemato-Oncology, University Medical Center Ljubljana, Ljubljana, Slovenia.
Anna KlukowskaDepartment of Pediatrics, Haematology and Oncology, Warsaw Medical University, Warsaw, Poland.
Sunil LohadeDepartment of Hematology, Sahyadri Speciality Hospital, Pune, India.
Maria Elisa MancusoCenter for Thrombosis and Hemorrhagic Diseases, Humanitas Clinical and Research Center - IRCCS, Rozzano, Milan, Italy.
Johannes OldenburgInstitute of Experimental Haematology and Transfusion Medicine, University Clinic Bonn, Bonn, Germany.
Anna PavlovaInstitute of Experimental Haematology and Transfusion Medicine, University Clinic Bonn, Bonn, Germany.
Berardino PollioDepartment of Transfusion Medicine, Regina Margherita Children Hospital of Turin, Turin, Italy.
Marianne SigaudCentre Régional de Traitement de I'Hémophilie, University Hospital of Nantes, Nantes, France.
Vladimir VdovinDepartment of Hematology, Morozovskaya Children's Hospital, Moscow, Russian Federation.
Kateryna VilchevskaDepartment of Hematology, State Institution "Institute of Urgent and Reconstructive Surgery named after V.K. Gusak of National Academy of Medical Sciences of Ukraine," Donetsk, Ukraine.
John K M WuBritish Columbia Children's Hospital, Vancouver, Canada.
Martina JansenOctapharma Pharmazeutika Produktionsges.mbH, Vienna, Austria.
Larisa BelyanskayaOctapharma AG, Lachen, Switzerland.
Olaf WalterOctapharma AG, Lachen, Switzerland.
Sigurd KnaubOctapharma AG, Lachen, Switzerland.
Ellis J NeufeldSt. Jude Children's Research Hospital, Memphis, Tennessee, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFVIII inhibitor development is the most serious contemporary treatment complication in haemophilia A, particularly in previously untreated patients (PUPs). No inhibitors developed in clinical trials in previously treated patients treated with simoctocog alfa (Nuwiq), a fourth-generation recombinant FVIII produced in a human cell line.

methodsThe NuProtect study investigated the immunogenicity of simoctocog alfa in PUPs. NuProtect was a prospective, multinational, open-label, non-controlled, phase III study. PUPs with severe haemophilia A (FVIII:C <1%) of any age and ethnicity were treated with simoctocog alfa for 100 exposure days or a maximum of 5 years. Patients were true PUPs without prior exposure to FVIII concentrates or blood components. Inhibitor titres were measured with the Nijmegen-modified Bethesda assay; cut-off for positivity was 0.6 BU mL

resultsA total of 108 PUPs with a median age at first treatment of 12.0 months (interquartile range: 8.0-23.5) were treated with simoctocog alfa.

conclusionIn the NuProtect study, the rate of inhibitor development in PUPs with severe haemophilia A treated with simoctocog alfa was lower than the rate reported for hamster-cell-derived recombinant factor VIII products in other recent clinical trials. No inhibitors were reported in PUPs with non-null

Indexed as

AntibodiesCoagulantsFactor VIIIGenetic Predisposition to DiseaseHemophilia AHemorrhageHumansInfantMaleMutationProspective StudiesRecombinant ProteinsSeverity of Illness IndexTime FactorsTreatment OutcomeAntibodiesCoagulantsF8 protein, humanFactor VIIIRecombinant Proteins

Identifiers

PMID33581698
PMCPMC8570909

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Registered trials

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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.