Evidence map›Paper›PMID 38127586›Full record

Trial reportBlood2024

Emicizumab prophylaxis in infants with hemophilia A (HAVEN 7): primary analysis of a phase 3b open-label trial.

Steven W Pipe, Peter Collins, Christophe Dhalluin, Gili Kenet, Christophe Schmitt, Muriel Buri, Víctor Jiménez-Yuste, Flora Peyvandi, Guy Young, Johannes Oldenburg and 8 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase III
In one paragraph

Trial report in Blood, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04431726 (A Phase IIIb, Multicenter, Open-Label, Single-Arm Study to Evaluate the Efficacy, Safety, Pharmacokinetics, and Pharmacodynamics of Subcutaneous Emicizumab in Patients From Birth to 12 Months of Age With Hemophilia A Without Inhibitors), which is not on this map. Cited by 46 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 5 pooled it
20.0field-weighted citation impact, top 1% 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.

NCT04431726 phase3active not recruitingnot on this map

A Phase IIIb, Multicenter, Open-Label, Single-Arm Study to Evaluate the Efficacy, Safety, Pharmacokinetics, and Pharmacodynamics of Subcutaneous Emicizumab in Patients From Birth to 12 Months of Age With Hemophilia A Without Inhibitors

TypeinterventionalSponsorHoffmann-La RocheRan2021 to 2030Enrolled55ConditionsSevere Hemophilia AArmsEmicizumab
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 5 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Guideline
  2. [Chinese guidelines on the treatment of hemophilia (2025)].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2025
    Guideline
  3. Pooled it
  4. Pooled it
  5. Outcomes of Emicizumab in Acquired Hemophilia Patients: A Systematic Review.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
  6. Trial
  7. Review
  8. Article
  9. Observational
  10. Non-Factor Therapies in Haemophilia: The Era of Factor VIII Mimetics and Targeted Rebalancing Agents.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2026
    Review
  11. When and How to Start Prophylaxis in Children with Hemophilia.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2026
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 13 institutions in 9 countries.

Steven W PipeUniversity of Michigan, Ann Arbor, MI.ORCID 0000-0003-2558-2089
Peter CollinsSchool of Medicine, Cardiff University, Cardiff, United Kingdom.
Christophe DhalluinF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Gili KenetSheba Medical Center, Ramat Gan, Israel.
Christophe SchmittF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Muriel BuriF. Hoffmann-La Roche Ltd, Basel, Switzerland.ORCID 0000-0001-7432-4874
Víctor Jiménez-YusteLa Paz University Hospital-IdiPaz, Autónoma University, Madrid, Spain.ORCID 0000-0003-3937-3499
Flora PeyvandiFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Angelo Bianchi Bonomi Hemophilia and Thrombosis Center, Milan, Italy.ORCID 0000-0001-7423-9864
Guy YoungChildren's Hospital Los Angeles, Los Angeles, CA.ORCID 0000-0001-6013-1254
Johannes OldenburgInstitute of Experimental Hematology and Transfusion Medicine, University Hospital Bonn, Medical Faculty, University of Bonn, Bonn, Germany.ORCID 0000-0002-1585-4100
Maria Elisa MancusoIRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.ORCID 0000-0002-7113-4028
Kaan KavakliEge University Children's Hospital Department of Hematology, Bornova, İzmir, Turkey.
Anna KiialainenF. Hoffmann-La Roche Ltd, Basel, Switzerland.ORCID 0000-0002-3273-9649
Sonia DebGenentech, Inc, South San Francisco, CA.
Markus NiggliF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Tiffany ChangSpark Therapeutics, Inc, San Francisco, CA.
Michaela LehleF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Karin FijnvandraatUniversity of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0003-0904-4360
Roche (Switzerland) · CHAmgen (United States) · USCardiff University · GBEge University · TRHospital Universitario La Paz · ESHumanitas University · ITSpark Therapeutics (United States) · USTel Aviv University · ILUniversity of Amsterdam · NLUniversity of Bonn · DEUniversity of Michigan · USUniversity of Milan · ITUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractSubcutaneous emicizumab enables prophylaxis for people with hemophilia A (HA) from birth, potentially reducing risk of bleeding and intracranial hemorrhage (ICH). HAVEN 7 (NCT04431726) is the first clinical trial of emicizumab dedicated to infants, designed to investigate the efficacy, safety, pharmacokinetics, and pharmacodynamics of emicizumab in those aged ≤12 months with severe HA without factor VIII (FVIII) inhibitors. Participants in this phase 3b trial received emicizumab 3 mg/kg maintenance dose every 2 weeks for 52 weeks and are continuing emicizumab during the 7-year long-term follow-up. Efficacy end points included annualized bleed rate (ABR): treated, all, treated spontaneous, and treated joint bleeds. Safety end points included adverse events (AEs), thromboembolic events (TEs), thrombotic microangiopathies (TMAs), and immunogenicity (anti-emicizumab antibodies [ADAs] and FVIII inhibitors). At primary analysis, 55 male participants had received emicizumab (median treatment duration: 100.3; range, 52-118 weeks). Median age at informed consent was 4.0 months (range, 9 days to 11 months 30 days). Model-based ABR for treated bleeds was 0.4 (95% confidence interval, 0.30-0.63), with 54.5% of participants (n = 30) having zero treated bleeds. No ICH occurred. All 42 treated bleeds in 25 participants (45.5%) were traumatic. Nine participants (16.4%) had ≥1 emicizumab-related AE (all grade 1 injection-site reactions). No AE led to treatment changes. No deaths, TEs, or TMAs occurred. No participant tested positive for ADAs. Two participants were confirmed positive for FVIII inhibitors. This primary analysis of HAVEN 7 indicates that emicizumab is efficacious and well tolerated in infants with severe HA without FVIII inhibitors.

Indexed as

Antibodies, BispecificAntibodies, Monoclonal, HumanizedHemophilia AThrombotic MicroangiopathiesFactor VIIIHemorrhageHumansInfantInfant, NewbornIntracranial HemorrhagesMaleAntibodies, BispecificAntibodies, Monoclonal, HumanizedemicizumabFactor VIII

Identifiers

PMID38127586
PMCPMC11033591
OpenAlexW4390047763

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.