Evidence map›Paper›PMID 35224416›Full record

ArticleResearch and practice in thrombosis and haemostasis2022

Recombinant single-chain factor VIII in severe hemophilia: Long-term safety and efficacy in previously treated patients in the AFFINITY extension study.

Johnny Mahlangu, Faraizah Abdul Karim, Oleksandra Stasyshyn, Bartosz Korczowski, Blanca Salazar, Samantha Lucas, Amy Suen, Brahm Goldstein, Thomas Chung, Ingrid Pabinger

Open access · goldAbstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Extension Study With rVIII-SingleChain in Previously Untreated Patients (PUPs) With Severe Haemophilia A.Haemophilia : the official journal of the World Federation of Hemophilia · 2025
    Trial
  2. Article
  3. Observational
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  5. Article
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

10 authors at 6 institutions in 6 countries.

Johnny MahlanguUniversity of the Witwatersrand NHLS and Charlotte Maxeke Hospital Johannesburg South Africa.ORCID https://orcid.org/0000-0001-5781-7669
Faraizah Abdul KarimNational Blood Centre Kuala Lumpur Malaysia.ORCID https://orcid.org/0000-0001-6954-2906
Oleksandra StasyshynInstitute of Blood Pathology and Transfusion Medicine National Academy of Medical Sciences of Ukraine Lviv Ukraine.
Bartosz KorczowskiDepartment of Pediatrics Regional Hospital University of Rzeszów Rzeszów Poland.
Blanca SalazarCSL Behring King of Prussia Pennsylvania USA.
Samantha LucasCSL Behring King of Prussia Pennsylvania USA.
Amy SuenCSL Behring King of Prussia Pennsylvania USA.
Brahm GoldsteinCSL Behring King of Prussia Pennsylvania USA.
Thomas ChungCSL Behring King of Prussia Pennsylvania USA.
Ingrid PabingerClinical Division of Haematology and Haemostaseology Medical Clinic I Medical University Vienna Vienna Austria.ORCID https://orcid.org/0000-0002-7677-9896
CSL (United States) · USInstitute of Blood Pathology and Transfusion Medicine of the National Academy of Medical Sciences of Ukraine · UAKuala Lumpur Sports Medicine Centre · MYMedical University of Vienna · ATUniversity of Rzeszów · PLUniversity of the Witwatersrand · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundrVIII-SingleChain is a recombinant single-chain factor VIII used to treat people with hemophilia A.

objectivesThe aim of this extension study was to investigate the long-term safety and efficacy of rVIII-SingleChain prophylaxis in ≥200 previously treated patients (PTPs) with hemophilia A with ≥100 exposure days (EDs).

methodsIn total, 222 patients were enrolled, of which 204 rolled over from prior rVIII-SingleChain studies. The median age was 21 years (range, 2-65 years), including 155 patients ≥12 years and 67 patients <12 years. Patients continued with their previously assigned dose and regimen, or switched at the investigator's discretion. Patients were treated for a mean duration of 31 months (range, 1-47 months), the mean ED was 342 (standard deviation, 135.5), and 212 (95.5%) patients achieved >100 EDs. When the study ended, most patients were on either a prophylaxis regimen of 34.9 (17-62) IU/kg, 3×/week (N = 88; 39.6%), or 37.2 (13-65) IU/kg, 2×/week regimen (N = 72; 32.4%).

resultsHemostatic efficacy was rated excellent or good in 87.1% of assessed bleeds. The median (range) annualized bleeding rate was 1.21 (0.0-42.6), and the annualized spontaneous bleeding rate (AsBR) was 0.32 (0.0-33.0) for prophylaxis regimens. Median AsBR was similar for patients treated 3×/week and 2×/week (0.31 and 0.30, respectively). Surgical hemostatic efficacy was rated excellent or good in 100% of surgeries. No inhibitors, anaphylactic reactions, or thromboembolic events were reported in PTPs.

conclusionThese results confirm the safety and efficacy of rVIII-SingleChain as a long-term prophylaxis treatment modality for PTPs with severe hemophilia A.

Indexed as

clinical efficacyclinical trialhemophilia AprophylaxisrVIII‐SingleChainsafety

Identifiers

PMID35224416
PMCPMC8844480
OpenAlexW4213311400

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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.