Evidence map›Paper›PMID 33818853›Full record

Trial reportHaemophilia : the official journal of the World Federation of Hemophilia2021

Confirmed long-term safety and efficacy of prophylactic treatment with BAY 94-9027 in severe haemophilia A: final results of the PROTECT VIII extension study.

Mark T Reding, Ingrid Pabinger, Pal Andre Holme, Lone Poulsen, Claude Negrier, Pavani Chalasani, Monika Maas Enriquez, Maria Wang, Karina Meijer, Maria Elisa Mancuso and 1 more

Open access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Haemophilia : the official journal of the World Federation of Hemophilia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  6. Review
  7. Extended Half-Life Factor Concentrates in Haemophilia Treatment.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2026
    Review
  8. Observational
  9. Article
  10. Article
  11. Review
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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

11 authors at 11 institutions in 9 countries.

Mark T RedingCenter for Bleeding and Clotting Disorders, University of Minnesota Medical Center, Minneapolis, MN, USA.ORCID https://orcid.org/0000-0003-3319-2806
Ingrid PabingerUniversity Clinic for Internal Medicine I, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-7677-9896
Pal Andre HolmeDepartment of Haematology, Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Lone PoulsenThe Haemophilia Centre, Aarhus University Hospital, Aarhus, Denmark.
Claude NegrierHemophilia Comprehensive Care Center and Hematology Department, Louis Pradel University Hospital, Lyon, France.ORCID https://orcid.org/0000-0002-2905-055X
Pavani ChalasaniDivision of Hematology and Oncology, University of Arizona Cancer Center, Phoenix, AZ, USA.
Monika Maas EnriquezBayer, Wuppertal, Germany.
Maria WangBayer, Whippany, NJ, USA.
Karina MeijerUniversity Medical Center Groningen, Groningen, Netherlands.
Maria Elisa MancusoCenter for Thrombosis and Haemorrhagic Diseases, IRCCS Humanitas Clinical and Research Center, Rozzano, Italy.ORCID https://orcid.org/0000-0002-7113-4028
Shadan LalezariNational Haemophilia Centre, Chaim Sheba Medical Centre, Tel Aviv University, Tel Hashomer, Israel.
Aarhus University Hospital · DKBayer (Germany) · DEBayer (United States) · USHospices Civils de Lyon · FRHumanitas University · ITMedical University of Vienna · ATOslo University Hospital · NOTel Aviv University · ILUniversity Medical Center Groningen · NLUniversity of Arizona · USUniversity of Minnesota Medical Center · US

Funding

Bayer
6 · The paper itself

Abstract

introductionThe phase 2/3 PROTECT VIII main study demonstrated efficacy and safety of BAY 94-9027 (damoctocog alfa pegol; Jivi

aimTo report the final efficacy and safety data for BAY 94-9027 from the PROTECT VIII extension.

methodsPreviously treated males aged 12-65 years with severe haemophilia A (FVIII <1%) who completed the multicentre, open-label PROTECT VIII main study were eligible for the extension. Patients received either on demand or prophylaxis treatments (30-40 IU/kg twice weekly [2 × W], 45-60 IU/kg every 5 days [E5D], or 60 IU/kg every 7 days [E7D]) and could switch to any prophylaxis regimen (variable frequency) as needed. Annualised bleeding rates (ABR), zero bleeds and safety outcomes were included in this final analysis.

resultsAt extension completion, patients (n = 121) received BAY 94-9027 for a median (range) total time of 3.9 (0.8-7.0) years. Median (Q1; Q3) total ABR was 1.49 (0.36; 4.80) for prophylaxis patients (n = 107), compared with 34.09 (20.3; 36.6) for on-demand patients (n = 14). Median total ABRs for 2 × W (n = 23), E5D (n = 33), E7D (n = 23) and variable frequency (n = 28) groups were 1.57, 1.17, 0.65 and 3.10, respectively. Of prophylaxis patients, 20.6% were bleed-free during the entire extension (median time, 3.2 years) and 50.0% were bleed-free during the last 6 months. No patient developed FVIII inhibitors. No deaths or thrombotic events were reported.

conclusionsEfficacy and safety of BAY 94-9027 was confirmed, with extension data supporting its use as a long-term treatment option for patients with haemophilia A.

Indexed as

Factor VIIIHemophilia APolyethylene GlycolsHumansMaleTreatment OutcomeBAY 94-9027Factor VIIIPolyethylene GlycolsExtended half-lifehaemophilia APEGylatedprophylaxisrecombinant proteins

Identifiers

PMID33818853
PMCPMC9290859
OpenAlexW3146526119

What OpenQuestion holds

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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.