Evidence map›Paper›PMID 39543979›Full record

SynthesisClinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis

Outcomes of Emicizumab in Acquired Hemophilia Patients: A Systematic Review.

Ghachem Ikbel, Baccouche Hela, Kaabar Mohamed Yassine, Khemiri Hamida, Ben Salem Kamel

Abstract readSystematic Review
In one paragraph

Synthesis in Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

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

9 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

5 authors.

Ghachem IkbelDepartment of Hematology, University El Manar Faculty of medecine of Tunis, Tunis, Tunisia.ORCID 0000-0003-3909-3868
Baccouche HelaDepartment of Hematology, University El Manar Faculty of medecine of Tunis, Tunis, Tunisia.
Kaabar Mohamed YassineLaboratory of Hematology, Taher Maamouri Hospital, Nabeul, Tunisia.
Khemiri HamidaInternal Medicine Department, Taher Maamouri Hospital, Nabeul, Tunisia.
Ben Salem KamelFaculty of Medecine of Monastir Tunisia, University of Monastir, Monastir, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmicizumab, a bispecific factor VIII mimetic antibody, was approved in 2018 for bleeding prophylaxis in congenital hemophilia A with or without inhibitors. Since then, several case reports and case series have described the off-label use of emicizumab in acquired hemophilia A (AHA), and data from two clinical trials were recently published (AGEHA, GTH-AHA-EMI).

objectivesTo describe the reported data on the outcomes of emicizumab, highlighting its benefit/risk profile in treatment.

methodsWe conducted a literature search in PubMed, Scopus, Cochrane, and Google Scholar up to August 2024, including all scientific articles reporting clinical outcomes of emicizumab use in patients with AHA.

resultsThirty-two studies were included in the final review, covering a total of 171 AHA patients. The majority started emicizumab for active bleeding management and prophylaxis with various regimens. Follow-up duration and remission criteria varied. Two clinical trials supported the use of emicizumab for bleeding prophylaxis with a new dosing regimen and completion criteria. Bleeding was well managed in all cases, with no major recurrent bleeds. Some adverse events were reported : 3 cases of deep venous thrombosis, 2 cases of stroke, and 2 cases of anti-emicizumab drug antibodies developing in patients with thromboembolic risk factors.

conclusionsBased on published data, emicizumab appears to be effective in bleeding management and prophylaxis in AHA patients, with a favorable benefit/risk profile.

Indexed as

Antibodies, BispecificAntibodies, Monoclonal, HumanizedHemophilia AHemorrhageHumansMaleTreatment OutcomeAntibodies, BispecificAntibodies, Monoclonal, Humanizedemicizumabacquired hemophiliableedingemicizumabreviewthrombosis

Identifiers

PMID39543979
PMCPMC11565686

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.