Evidence map›Paper›PMID 35475308›Full record

Trial reportHaemophilia : the official journal of the World Federation of Hemophilia2022

Eptacog beta efficacy and safety in the treatment and control of bleeding in paediatric subjects (<12 years) with haemophilia A or B with inhibitors.

Steven W Pipe, Cédric Hermans, Meera Chitlur, Manuel Carcao, Giancarlo Castaman, Joanna A Davis, Jonathan Ducore, Amy L Dunn, Miguel Escobar, Janna Journeycake and 21 more

Open access · bronzeAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Haemophilia : the official journal of the World Federation of Hemophilia, 2022. 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
2.2field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Safety and Use of Eptacog Beta 225 µg/kg in Patients With Haemophilia A or B With Inhibitors.Haemophilia : the official journal of the World Federation of Hemophilia · 2025
    Trial
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Review
  9. [Recent advances in the replacement therapy for Hemophilia].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2023
    Article
  10. [Chinese guidelines on the diagnosis and management of hemophilia with inhibitors (2023)].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2023
    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

31 authors at 20 institutions in 10 countries.

Steven W PipeUniversity of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0003-2558-2089
Cédric HermansCliniques Saint-Luc, Université Catholique de Louvain, Brussels, Belgium.ORCID https://orcid.org/0000-0001-5429-8437
Meera ChitlurChildren's Hospital of Michigan, Central Michigan University, Detroit, Michigan, USA.
Manuel CarcaoThe Hospital for Sick Children, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-5350-1763
Giancarlo CastamanCenter for Bleeding Disorders and Coagulation, Careggi University Hospital, Florence, Italy.ORCID https://orcid.org/0000-0003-4973-1317
Joanna A DavisPediatric Hemophilia Treatment Center, University of Miami, Miami, Florida, USA.
Jonathan DucoreHematology/Oncology Clinic, University of California at Davis, Sacramento, California, USA.
Amy L DunnNationwide Children's Hospital, Department of Pediatrics at The Ohio State University College of Medicine, Columbus, Ohio, USA.ORCID https://orcid.org/0000-0002-9645-6365
Miguel EscobarUniversity of Texas Health Science Center at Houston, Houston, Texas, USA.ORCID https://orcid.org/0000-0002-2944-0240
Janna JourneycakeOklahoma Center for Bleeding and Clotting Disorders at OU Health, Oklahoma City, Oklahoma, USA.
Osman KhanOklahoma Center for Bleeding and Clotting Disorders at OU Health, Oklahoma City, Oklahoma, USA.
Johnny MahlanguHemophilia Comprehensive Care Center, University of the Witwatersrand and National Health Laboratory Service, Johannesburg, South Africa.ORCID https://orcid.org/0000-0001-5781-7669
Shannon L MeeksEmory University and Aflac Cancer and Blood Disorders Center of Children's Healthcare of Atlanta, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-3683-8644
Ismail Haroon MithaLakeview Hospital, Benoni, Gauteng, South Africa.
Claude NégrierEdouard Herriot University Hospital, Lyon, France.
Ulrike Nowak-GöttlInstitute of Clinical Chemistry, University Hospital Schleswig-Holstein, Kiel, Germany.
Michael RechtAmerican Thrombosis and Hemostasis Network, Rochester, New York, USA.
Tammuella Chrisentery-SingletonLouisiana Center for Advanced Medicine, Slidell, Louisiana, USA.
Oleksandra StasyshynInstitute of Blood Pathology and Transfusion Medicine, Lviv, Ukraine.
Kateryna V VilchevskaNational Specialized Children's Hospital Okhmatdyt, Kyiv, Ukraine.
Laura Villarreal MartinezDr. José Eleuterio González Monterrey University Hospital, Monterrey, Nuevo León, México.ORCID https://orcid.org/0000-0003-0313-7312
Michael WangHemophilia and Thrombosis Center, University of Colorado, Aurora, Colorado, USA.ORCID https://orcid.org/0000-0001-9289-4862
Jerzy WindygaDepartment of Hemostasis Disorders and Internal Medicine, Institute of Hematology and Transfusion Medicine, Warsaw, Poland.
Guy YoungChildren's Hospital Los Angeles, Los Angeles, California, USA.ORCID https://orcid.org/0000-0001-6013-1254
W Allan AlexanderAoede Associates, Athens, Texas, USA.
Daniel BonzoLFB-USA, Inc., Framingham, Massachusetts, USA.
Christopher MacieHEMA Biologics, LLC, Louisville, Kentucky, USA.
Ian S MitchellHEMA Biologics, LLC, Louisville, Kentucky, USA.
Evelyne SautyLFB, Laboratoire français du fractionnement et des biotechnologies, Les Ulis, France.
Thomas A WilkinsonGLOVAL LLC, Broomfield, Colorado, USA.
Amy D ShapiroIndiana Hemophilia and Thrombosis Center, Indianapolis, Indiana, USA.
Heat Biologics (United States) · USOU HealthAthens State University · USAzienda Ospedaliero-Universitaria Careggi · ITCentral Michigan University · USChildren's Specialized Hospital · USCliniques Universitaires Saint-Luc · BEEmory University · USHebron Theological College · ZAHospices Civils de Lyon · FRHospital for Sick Children · CAHospital Universitario Dr José Eleuterio Gonzalez · MXIndiana Hemophilia and Thrombosis Center · USInstitute of Blood Pathology and Transfusion Medicine of the National Academy of Medical Sciences of Ukraine · UAInstytut Hematologii i Transfuzjologi · PLLFB (France) · FRLFB (United States) · USNational Health Laboratory Service · ZANationwide Children's Hospital · USOregon Health & Science University · US

Funding

LFB SA
6 · The paper itself

Abstract

introductionEptacog beta is a new recombinant activated human factor VII bypassing agent approved in the United States for the treatment and control of bleeding in patients with haemophilia A or B with inhibitors 12 years of age or older.

aimTo prospectively assess in a phase 3 clinical trial (PERSEPT 2) eptacog beta efficacy and safety for treatment of bleeding in children <12 years of age with haemophilia A or B with inhibitors.

methodsUsing a randomised crossover design, subjects received initial doses of 75 or 225 μg/kg eptacog beta followed by 75 μg/kg dosing at predefined intervals (as determined by clinical response) to treat bleeding episodes (BEs). Treatment success criteria included a haemostasis evaluation of 'excellent' or 'good' without use of additional eptacog beta, alternative haemostatic agent or blood product, and no increase in pain following the first 'excellent' or 'good' assessment.

resultsTreatment success proportions in 25 subjects (1-11 years) who experienced 546 mild or moderate BEs were 65% in the 75 μg/kg initial dose regimen (IDR) and 60% in the 225 μg/kg IDR 12 h following initial eptacog beta infusion. By 24 h, the treatment success proportions were 97% for the 75 μg/kg IDR and 98% for the 225 μg/kg IDR. No thrombotic events, allergic reactions, neutralising antibodies or treatment-related adverse events were reported.

conclusionBoth 75 and 225 μg/kg eptacog beta IDRs provided safe and effective treatment and control of bleeding in children <12 years of age.

Indexed as

Factor VIIaHemophilia ARecombinant ProteinsChildCross-Over StudiesHemorrhageHumansFactor VIIarecombinant FVIIaRecombinant Proteinseptacog betahaemophiliainhibitorspaediatricPERSEPTrecombinant FVIIa

Identifiers

PMID35475308
PMCPMC9542908
OpenAlexW4224952647

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.