Evidence map›Paper›PMID 33772837›Full record

ReviewBritish journal of clinical pharmacology2021

Haemophilia, state of the art and new therapeutic opportunities, a regulatory perspective.

Francesca Tomeo, Segundo Mariz, Angelo Loris Brunetta, Violeta Stoyanova-Beninska, Karri Penttila, Armando Magrelli

Open access · bronzeAbstract readReview
In one paragraph

Review in British journal of clinical pharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
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  6. Article
  7. Article
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  9. Article
  10. Literature Review on Health Emigration in Rare Diseases-A Machine Learning Perspective.International journal of environmental research and public health · 2023
    Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Gene Therapy in Hemophilia: Recent Advances.International journal of molecular sciences · 2021
    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

6 authors at 5 institutions in 3 countries.

Francesca TomeoUniversity of Rome Tor Vergata, Rome, Italy.
Segundo MarizOrphan Office, European Medicines Agency, Amsterdam, The Netherlands.
Angelo Loris BrunettaItalian Foundation 'L.Giambrone' for the cure of Thalassemia, Castel Volturno, Italy.
Violeta Stoyanova-BeninskaMedicines Evaluation Board, Utrecht, The Netherlands.
Karri PenttilaFinnish Medicines Agency, Fimea, Finland.
Armando MagrelliNational Center for Drug Research and Evaluation, Istituto Superiore di Sanità, Rome, Italy.ORCID 0000-0002-5036-3710
European Medicines Agency · NLFinnish Medicines Agency Fimea · FIIstituto Superiore di Sanità · ITMedicines Evaluation Board · NLUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Haemophilia A and B are rare bleeding disorders. Over the past decades, they have been transformed from debilitating diseases to manageable conditions in the Western world. However, optimizing haemophilia care remains challenging in developing countries. Several challenges and unmet needs remain in the treatment of the haemophilia limiting the QoL of patients. These challenges are now being addressed by extended half-life recombinant factors, rebalancing and substitution therapies. Gene therapy and genome editing show promise for a definite clinical cure. Here, we provide an overview of new therapeutic opportunities for haemophilia and their advances and limitations from a regulatory perspective. The database on human medicines from the European Medicines Agency (EMA) was used and data from rare disease (orphan) designations and EPARs were retrieved for the analysis. Clinical trial databases were used to query all active studies on haemophilia. Gene therapy medicinal products based on AAV and lentiviral vectors are in development and clinical trials have reported substantial success in ameliorating bleeding tendency in haemophilia patients. The prospect of gene editing for correction of the underlying mutation is on the horizon and has considerable potential. With regard to the benefit of the gene therapy medicinal products, more long-term efficacy and safety data are awaited. We are entering an era of innovation and abundance in treatment options for those affected by bleeding disorders, but issues remain about the affordability and accessibility to patients.

Indexed as

Hemophilia AGenetic TherapyHumansQuality of LifeRare Diseasesgene therapyhaemophiliamarketing authorizationorphan designationorphan drugsrebalancing therapyreplacement therapy

Identifiers

PMID33772837
PMCPMC8596702
OpenAlexW3146304711

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.