Evidence map›Paper›PMID 39618509›Full record

ArticleTherapeutic advances in hematology2024

Efficacy of emicizumab in patients with severe haemophilia A without factor VIII inhibitors in Germany: evaluation of real-life data documented by the smart medication eDiary.

Carmen Escuriola Ettingshausen, Wolfgang Eberl, Hermann Eichler, Ronald Fischer, Christina Hart, Katharina Holstein, Ralf Knöfler, Jürgen Kreutz, Caspar David Kühnöl, Wolfgang A Miesbach and 5 more

Abstract read
In one paragraph

Article in Therapeutic advances in hematology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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

15 authors.

Carmen Escuriola EttingshausenHZRM Haemophilia Centre Rhine, Main, Stresemannallee, D-60596 Frankfurt, Germany.ORCID https://orcid.org/0000-0003-0802-5280
Wolfgang EberlDepartment of Pediatrics, Klinikum Braunschweig, Braunschweig, Germany.
Hermann EichlerInstitute of Clinical Haemostaseology and Transfusion Medicine, Saarland University and Saarland University Hospital, Homburg, Germany.
Ronald FischerHemophilia Center and Coagulation Clinic at Kurpfalz Hospital, Heidelberg, Germany.
Christina HartDepartment of Haematology and Oncology, University Hospital Regensburg, Regensburg, Germany.
Katharina HolsteinII. Medical Department, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID https://orcid.org/0000-0003-3753-0972
Ralf KnöflerDepartment of Pediatric Hemostaseology, University Hospital Dresden of Technical University Dresden, Dresden, Germany.
Jürgen KreutzChugai Pharma Germany GmbH, Frankfurt am Main, Germany.
Caspar David KühnölDepartment of Pediatrics, University Hospital Halle, Halle (Saale), Germany.
Wolfgang A MiesbachMedical Clinic 2, University Hospital Frankfurt, Frankfurt am Main, Germany.
Christian PfrepperDivision of Hemostaseology, University Hospital Leipzig, Leipzig, Germany.
Andreas RöschSmart Medication eHealth Solutions GmbH, Frankfurt am Main, Germany.
Ulrich J SachsDepartment of Haemostasis and Thrombosis, Giessen University Hospital, Giessen, Germany.
Karolin Trautmann-GrillMedical Department, University Hospital Dresden of Technical University Dresden, Dresden, Germany.
Wolfgang MondorfHaemostas-Frankfurt, Frankfurt am Main, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Systematically documented data on real-world use of emicizumab, a bispecific antibody factor (F)VIII mimetic, are still lacking in people with severe haemophilia A (PwSHA). Smart medication, a real-time, online platform, monitors treatment administration and outcomes for people with haemophilia A in Germany. Objective: To evaluate annualised bleeding rates (ABRs) and annualised joint bleeding rates (AJBRs), using data documented in the smart medication eDiary, for PwSHA receiving emicizumab. Design: Data for 97 PwSHA without FVIII inhibitors who started emicizumab treatment between 1 January 2018 and 31 March 2023, with >24 weeks of documentation after switching from FVIII replacement, were collected in the smart medication eDiary. Those with ⩾24 weeks of pre-emicizumab data were included for analysis 24 weeks before and after switching. Methods: The primary objective was to evaluate ABR and AJBR for treated bleeds. The proportion of bleed-free participants was calculated and administration frequency for FVIII and emicizumab were collected. The mean dosing frequencies for FVIII replacement and emicizumab were also evaluated. Results: The mean calculated ABR and AJBR were 0.64 and 0.39, respectively, after initiating emicizumab. For those with documentation before starting emicizumab ( Conclusion: Real-world data collected using the smart medication eDiary provide insights into efficacy outcomes after switching from FVIII replacement to emicizumab prophylaxis. Bleeds, including joint bleeds, decreased after switching.

Indexed as

emicizumabhaemophilia Aprophylaxisreal-world

Identifiers

PMID39618509
PMCPMC11607772

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.