Evidence map›Paper›PMID 36423202›Full record

Observational studyHaemophilia : the official journal of the World Federation of Hemophilia2023

IDEAL study: A real-world assessment of pattern of use and clinical outcomes with recombinant coagulation factor IX albumin fusion protein (rIX-FP) in patients with haemophilia B in Italy.

Annarita Tagliaferri, Angelo Claudio Molinari, Flora Peyvandi, Antonio Coppola, Francesco Demartis, Chiara Biasoli, Alessandra Borchiellini, Dorina Cultrera, Raimondo De Cristofaro, Filomena Daniele and 18 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Haemophilia : the official journal of the World Federation of Hemophilia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.2field-weighted citation impact, top 10% 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

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Extended Half-Life Factor Concentrates in Haemophilia Treatment.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2026
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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

28 authors at 20 institutions in 4 countries.

Annarita TagliaferriRegional Reference Centre for Inherited Bleeding Disorders, University Hospital of Parma, Parma, Italy.
Angelo Claudio MolinariRegional Reference Centre for Haemorrhagic Diseases, IRCCS Istituto Giannina Gaslini, Genova, Italy.ORCID https://orcid.org/0000-0002-8078-8402
Flora PeyvandiDepartment of Pathophysiology and Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Haemophilia and Thrombosis Centre, Università degli Studi di Milano, Milan, Italy.
Antonio CoppolaRegional Reference Centre for Inherited Bleeding Disorders, University Hospital of Parma, Parma, Italy.ORCID https://orcid.org/0000-0003-3697-706X
Francesco DemartisDepartment of Oncology, Centre for Bleeding Disorders and Coagulation, Careggi University Hospital, Florence, Italy.
Chiara BiasoliHaemophilia and Transfusion Centre, "Bufalini" Hospital, Cesena, Italy.
Alessandra BorchielliniRegional Reference Centre for Bleeding and Thrombotic Disorders, "Città della Salute e della Scienza" University Hospital, Turin, Italy.
Dorina CultreraHaemophilia Regional Reference Centre, Haematology Unit, Policlinico "G. Rodolico - S. Marco" Hospital, Catania, Italy.
Raimondo De CristofaroHaemorrhagic and Thrombotic Disease Service, Area of Haematological and Oncological Sciences, IRCCS Fondazione Policlinico Universitario "A. Gemelli", Rome, Italy.
Filomena DanieleHaemostasis and Thrombosis Service, Ospedale Civile dell'Annunziata, Cosenza, Italy.
Paola Giordano"B. Trambusti" General and Specialised Paediatrics Unit, "Giovanni XXIII" Hospital, University of Bari, Bari, Italy.
Emanuela MarchesiniHaemophilia Centre, Internal and Cardiovascular Medicine, "Santa Maria della Misericordia" University Hospital, Perugia, Italy.
Maurizio MargaglioneDepartment of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
Renato MarinoHaemophilia and Thrombosis Centre, University Hospital, Bari, Italy.
Berardino PollioRegional Reference Centre for Inherited Bleeding and Thrombotic Disorders, Transfusion Medicine, "Regina Margherita" Children Hospital, Turin, Italy.
Paolo RadossiOnco-Haematology Unit, Istituto Oncologico Veneto, Castelfranco Veneto Hospital, Castelfranco Veneto, Italy.
Cristina SantoroDepartment of Haematology, University Hospital Policlinico Umberto I, Rome, Italy.ORCID https://orcid.org/0000-0002-7181-447X
Rita Carlotta SantoroRegional Reference Centre for Haemophilia and Coagulation Diseases, Azienda Ospedaliera Pugliese-Ciaccio, Catanzaro, Italy.ORCID https://orcid.org/0000-0002-5081-8201
Sergio SiragusaHaematology Unit, Thrombosis and Haemostasis Reference Regional Centre, University of Palermo, Palermo, Italy.
Gianluca SottilottaHaemophilia Centre, Grande Ospedale Metropolitano, Reggio Calabria, Italy.ORCID https://orcid.org/0000-0001-8833-1514
Alberto TosettoHaematology Department, Haemostasis and Thrombosis Unit, San Bortolo Hospital, Vicenza, Italy.
Lydia PiscitelliSSD Congenital Haemorrhagic Diseases, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Maria Rosaria VillaHaemophilia and Thrombosis Centre, Haematology Unit, "Ospedale del Mare" Hospital, Naples, Italy.
Ezio ZanonDepartment of Medicine, Haemophilia Centre, University Hospital of Padua, Padua, Italy.
Adele FinardiCSL Behring, Milan, Italy.
Irene SchiavettiHippocrates Research, Genova, Italy.
Daniella VaccariHippocrates Research, Genova, Italy.
Giancarlo CastamanDepartment of Oncology, Centre for Bleeding Disorders and Coagulation, Careggi University Hospital, Florence, Italy.ORCID https://orcid.org/0000-0003-4973-1317
Azienda Ospedaliero-Universitaria Careggi · ITUniversity of Parma · ITAgostino Gemelli University Polyclinic · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITAzienda Ospedaliera Pugliese Ciaccio · ITAzienda USL di Bologna · ITIstituto Giannina Gaslini · ITIstituto Oncologico Veneto · ITMetropolitan Hospital · GROspedale Annunziata di Cosenza · ITOspedale “M. Bufalini” di Cesena · ITOspedale Pediatrico Giovanni XXIII · ITOspedale Regina Margherita · ITOspedale San Bortolo · ITOspedale Santa Maria · ITPoliclinico Umberto I · ITPoliclinico Universitario di Catania · ITRegione Campania · ITThrombosis Research Institute · GBUniversity of Foggia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFactor IX replacement therapy is used for treatment and prophylaxis of bleeding in haemophilia B. rIX-FP is an extended half-life albumin-fusion protein, which, in clinical studies, has demonstrated prolonged dosing intervals up to 21 days for routine prophylaxis, providing therapeutic benefit.

aimsTo describe dosing frequency and consumption (primary endpoint), efficacy and safety of rIX-FP treatment during routine clinical practice in Italy.

methodsPatients with moderate/severe haemophilia B on prophylaxis with rIX-FP for ≥6 months, were enrolled in this observational study from October 2017 to February 2019 and followed-up for 2 years. Descriptive analysis included prospective and retrospective data (12 months prior to switching to rIX-FP).

resultsData were collected from 59 male patients (median age 30.1 years) enrolled by 23 Italian centres. Of them, 50 were on prophylaxis during the entire observation period and completed the study. The infusion frequency changed from 2-3 times/week in 86.0% of patients with previous treatment, to less than once a week in 84.0% of patients treated with rIX-FP at the 2nd-year follow-up. The annual number of infusions decreased by about 70%, whereas the mean FIX activity trough level increased from 3.8% to 14.4% (mean > 10% in all the infusion regimens). Median Annualised Bleeding Rate of .0 was achieved across all prophylaxis regimens. Subjects with zero bleedings increased from 66.0% to 78.0% with rIX-FP.

conclusionTreatment with rIX-FP reduced infusion frequency, while providing higher FIX trough levels with substantial benefit in terms of annualised bleeding rate and a good safety profile.

Indexed as

Factor IXHemophilia BAdultAlbuminsHemorrhageHumansItalyMaleProspective StudiesRecombinant Fusion ProteinsRetrospective StudiesAlbuminsFactor IXRecombinant Fusion ProteinsABRannual consumptionextended half-life FIXinfusion frequencyreal lifeTrough levels

Identifiers

PMID36423202
PMCPMC10099489
OpenAlexW4309912566

What OpenQuestion holds

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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.