Evidence map›Paper›PMID 36445343›Full record

ArticleHaemophilia : the official journal of the World Federation of Hemophilia2023

Area under the curve: Comparing the value of factor VIII replacement therapies in haemophilia A.

Sofie Persson, Cecilia Berndt, Sara Engstrand, Annegret Trinczek, Katarina Steen Carlsson, Erik Berntorp

Open access · hybridAbstract readComparative Study
In one paragraph

Article 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 18% 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, 9 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Area under the curve: Comparing the value of factor VIII replacement therapies in haemophilia A.Haemophilia : the official journal of the World Federation of Hemophilia · 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

6 authors at 3 institutions in 2 countries.

Sofie PerssonSwedish Institute for Health Economics, Lund, Sweden.
Cecilia BerndtBayer AB, Solna, Sweden.
Sara EngstrandBayer A/S, Copenhagen, Denmark.
Annegret TrinczekBayer AB, Solna, Sweden.
Katarina Steen CarlssonSwedish Institute for Health Economics, Lund, Sweden.
Erik BerntorpDepartment of Translational Medicine, Lund University, Lund, Malmö, Sweden.
Bayer (United States) · USLund University · SESwedish Institute for Health Economics · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn factor VIII (FVIII) prophylaxis for haemophilia A, cost comparisons have used price per international unit (IU) based on the once reasonable assumption of equivalent outcome per IU. Now, with several extended half-life (EHL) products available, new outcome-oriented ways to compare products are needed. Area under the curve (AUC) quantifies FVIII levels over time after infusion providing comparable data.

aimTo develop a decision analytical model for making indirect comparisons of FVIII replacement products based on AUC.

methodsA literature search identified 11 crossover studies with relevant pharmacokinetic data. A common comparator FVIII level curve was calculated using pooled data from selected studies. Absolute curves for other products were estimated based on relative differences to the common comparator (% difference vs the anchor). Three scenarios were investigated: (1) Kogenate

resultsIn scenario 1, Jivi (+50%) and Kovaltry (+14%) showed larger AUCs versus Kogenate. In scenario 2, EHL products, Elocta and Adynovate, had the largest AUC (+64% and +58%, respectively) versus Advate. Compared with all other products in scenario 3, Jivi had the largest AUC by +13%-28%.

conclusionThis analysis concludes that EHL products differ in relative AUC, have a larger AUC compared with standard half-life, and thus, different FVIII levels over time after infusion. This model may aid decision makers in the absence of head-to-head data.

Indexed as

Hemophilia AHemostaticsArea Under CurveFactor VIIIHumansF8 protein, humanFactor VIIIHemostaticsarea under the curvefactor VIIIhaemophilia Ahalf-lifehealth economicspharmacokinetics

Identifiers

PMID36445343
PMCPMC10098947
OpenAlexW4310269977

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.