Evidence map›Paper›PMID 39099801›Full record

ArticleResearch and practice in thrombosis and haemostasis2024

Concizumab prophylaxis in persons with hemophilia A or B with inhibitors: patient-reported outcome results from the phase 3 explorer7 study.

Huyen Tran, Sylvia von Mackensen, Aby Abraham, Giancarlo Castaman, Kingsley Hampton, Paul Knoebl, Silvia Linari, Jan Odgaard-Jensen, Jesper Skov Neergaard, Oleksandra Stasyshyn and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04083781 (Efficacy and Safety of Concizumab Prophylaxis in Patients With Haemophilia A or B With Inhibitors), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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.

NCT04083781 phase3active not recruitingnot on this map

Efficacy and Safety of Concizumab Prophylaxis in Patients With Haemophilia A or B With Inhibitors

TypeinterventionalSponsorNovo Nordisk A/SRan2019 to 2027Enrolled134ConditionsHaemophilia A With Inhibitors, Haemophilia B With InhibitorsArmsConcizumab
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Review
  4. Haemophilia Prophylaxis in the Age of Innovation: Exploring Opportunities for Personalized Treatment.Haemophilia : the official journal of the World Federation of Hemophilia · 2025
    Review
  5. Review
  6. Article
  7. Article
  8. 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

13 authors.

Huyen TranRonald Sawers Haemophilia Centre, The Alfred Hospital, Melbourne, Victoria, Australia.
Sylvia von MackensenDepartment of Medical Psychology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Aby AbrahamDepartment of Hematology, Christian Medical College, Vellore, India.
Giancarlo CastamanCenter for Bleeding Disorders and Coagulation, Department of Oncology, Careggi University Hospital, Florence, Italy.
Kingsley HamptonDepartment of Haematology, Royal Hallamshire Hospital, Sheffield, UK.
Paul KnoeblDivision of Hematology and Hemostasis, Department of Medicine 1, Medical University of Vienna, Vienna, Austria.
Silvia LinariCenter for Bleeding Disorders and Coagulation, Department of Oncology, Careggi University Hospital, Florence, Italy.
Jan Odgaard-JensenBiostatistics HTA, Novo Nordisk A/S, Søborg, Denmark.
Jesper Skov NeergaardSafety Surveillance CVD I, Novo Nordisk A/S, Søborg, Denmark.
Oleksandra StasyshynInstitute of Blood Pathology and Transfusion Medicine, Lviv, Ukraine.
Jay Jay Thaung ZawMedical & Science Rare Bleeding Disorders, Novo Nordisk A/S, Søborg, Denmark.
Bulent ZulfikarDivision of Pediatric Hematology-Oncology, Istanbul University Oncology Institute, Istanbul, Turkey.
Amy ShapiroIndiana Hemophilia and Thrombosis Center, Indianapolis, Indiana, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patient-reported outcomes (PROs) reflect patient perceptions of disease and treatment and are important for evaluating new therapies. Objectives: Evaluate the effects of once-daily concizumab prophylaxis on health-related quality of life (HRQoL), treatment burden, and treatment preference in males aged ≥12 years with hemophilia A/B with inhibitors. Methods: Patients enrolled in the multicenter, open-label explorer7 phase 3 study (ClinicalTrials.gov identifier: NCT04083781) were randomized to receive no prophylaxis (arm 1) or concizumab prophylaxis (arm 2) or were nonrandomly allocated to concizumab prophylaxis (arms 3 and 4). The study included questionnaires to assess patients' perception of HRQoL (Haemophilia Quality of Life Questionnaire for Adults), treatment burden (Hemophilia Treatment Experience Measure), and treatment preference (Haemophilia Patient Preference Questionnaire). Results: The estimated treatment difference between patients receiving concizumab prophylaxis vs no prophylaxis at week 24 for Haemophilia Quality of Life Questionnaire for Adults "total score" was -22.6 points (95% CI, -42.5; -2.7), directionally favoring patients receiving concizumab prophylaxis. For Hemophilia Treatment Experience Measure "total score," the estimated treatment difference was -19.9 points (95% CI, -34.3, -5.6) in favor of concizumab vs no prophylaxis. The majority of patients receiving concizumab expressed a preference for concizumab over their previous treatment, the main reasons being "fewer bleeds," "require less time," and "less painful to inject." Across all PROs, there were less responses collected than anticipated, limiting interpretations. Conclusion: PROs collected during the explorer7 study showed improvements in some domains of HRQoL, treatment burden, and patient treatment preference in persons with hemophilia A or B with inhibitors receiving concizumab prophylaxis compared with no prophylaxis.

Indexed as

concizumabhealth-related quality of lifehemophilia Ahemophilia Bpatient preferencepatient-reported outcomes

Identifiers

PMID39099801
PMCPMC11295565

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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.