Evidence map›Paper›PMID 39422843›Full record

ArticleBlood research2024

Real-world experience of emicizumab prophylaxis in Korean children with severe hemophilia A without inhibitors.

Sung Eun Kim, Ji Yoon Kim, Jeong A Park, Chuhl Joo Lyu, Seung Min Hahn, Jung Woo Han, Young Shil Park

Abstract read
In one paragraph

Article in Blood research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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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

7 authors.

Sung Eun KimDepartment of Pediatrics, Kyungpook National University Hospital, Kyungpook National University Chilgok Hospital, 807 Hoguk-Ro, Buk-Gu, Daegu, 41404, Republic of Korea.ORCID http://orcid.org/0000-0002-4036-0727
Ji Yoon KimDepartment of Pediatrics, Kyungpook National University Hospital, Kyungpook National University Chilgok Hospital, 807 Hoguk-Ro, Buk-Gu, Daegu, 41404, Republic of Korea.
Jeong A ParkDepartment of Pediatrics, Inha University Hospital, 27 Inhang-Ro, Jung-Gu, Incheon, 22332, Republic of Korea.
Chuhl Joo LyuDepartment of Pediatrics, Yonsei University Severance Children's Hospital, 50-1 Yonseiro, Seodaemun-Gu, Seoul, 03722, Republic of Korea.
Seung Min HahnDepartment of Pediatrics, Yonsei University Severance Children's Hospital, 50-1 Yonseiro, Seodaemun-Gu, Seoul, 03722, Republic of Korea.
Jung Woo HanDepartment of Pediatrics, Yonsei University Severance Children's Hospital, 50-1 Yonseiro, Seodaemun-Gu, Seoul, 03722, Republic of Korea.
Young Shil ParkDepartment of Pediatrics, Kyung Hee University Hospital at Gangdong, 892 Dongnam-Ro, Gangdong-Gu, Seoul, 05278, Republic of Korea. pysped@khu.ac.kr.ORCID http://orcid.org/0000-0002-6643-4245

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHemophilia A is a genetic disorder characterized by a lack of factor VIII (FVIII). Emicizumab, a recombinant humanized bispecific monoclonal antibody, mimics the function of FVIII. In this article, we present data on an initial real-world evaluation of emicizumab use in Korean children with severe hemophilia A without inhibitors.

methodsThis study was conducted from June 2020 to March 2024 at 4 centers in Korea. The participants were pediatric patients with severe hemophilia A without inhibitors who had received emicizumab treatment for over 6 months. The mean and median annualized bleeding rates (ABRs) and mean and median annual joint bleeding rates (AJBRs) were compared.

resultsEach of the 21 patients in the study received an emicizumab loading regimen of 3 mg/kg weekly for 4 weeks, followed by a modified maintenance regimen of which 2 patients (9.5%) received a 1.5 mg/kg weekly dose, 3 patients (14.3%) received a 6 mg/kg dose every 4 weeks, and the remaining 16 patients (76.2%) received a 3 mg/kg dose every 2 weeks. Before emicizumab prophylaxis initiation, the mean and median ABRs for all patients were 7.04 (SD ± 5.83) and 6.52 (range 0-21.74), respectively. After receiving emicizumab treatment, the mean and mediam ABRs decreased to 0.41 and zero, respectively. Additionally, 85.7% of the patients achieved no bleeding events within 6 months of starting the treatment.

conclusionThese first real-world data in Korea indicate that emicizumab is effective and safe for pediatric patients with severe hemophilia A without inhibitors.

Indexed as

EmicizumabHemophilia APediatricProphylaxisReal-world data

Identifiers

PMID39422843
PMCPMC11489370

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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.