Evidence map›Paper›PMID 40608864›Full record

Trial reportBlood2025

Marstacimab prophylaxis in hemophilia A/B without inhibitors: results from the phase 3 BASIS trial.

Davide Matino, Andrew Palladino, Carrie Turich Taylor, Eunhee Hwang, Sangeeta Raje, Satyaprakash Nayak, Regina McDonald, Suchitra S Acharya, Johnny Mahlangu, Victor Jiménez-Yuste and 9 more

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Blood, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03938792 (An Open-Label Study in Adolescent and Adult Severe), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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.

NCT03938792 phase3completednot on this map

An Open-Label Study in Adolescent and Adult Severe (Coagulation Factor Activity <1%) Hemophilia A Participants With or Without Inhibitors or Moderately Severe to Severe Hemophilia B Participants (Coagulation Factor Activity ≤2%) With or Without Inhibitors Comparing Standard Treatment to PF-06741086 Prophylaxis

TypeinterventionalSponsorPfizerRan2020 to 2025Enrolled188ConditionsHemophilia A, Hemophilia BArmsPF-06741086
3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Current perspectives on non-factor therapies for hemophilia.International journal of hematology · 2026
    Review
  8. Laboratory Challenges in the Era of Novel Haemophilia Therapies.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2026
    Review
  9. 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
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Transforming Hemophilia Treatment With Novel Rebalancing Agents: Clinical Studies and Practical Perspectives.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Review
  18. Pharmacokinetic Variability in Anti-TFPI Therapies: Why Absolute Metrics Matter for Plasma Monitoring.Haemophilia : the official journal of the World Federation of Hemophilia
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Davide MatinoThrombosis and Atherosclerosis Research Institute, McMaster University, Hamilton, ON, Canada.
Andrew PalladinoPfizer Inc, Collegeville, PA.
Carrie Turich TaylorPfizer Inc, New York, NY.
Eunhee HwangPfizer Inc, Collegeville, PA.
Sangeeta RajePfizer Inc, Collegeville, PA.
Satyaprakash NayakPfizer Inc, Cambridge, MA.
Regina McDonaldPfizer Inc, New York, NY.
Suchitra S AcharyaCohen Children's Medical Center, Northwell Hemostasis and Thrombosis Center, Northwell Health, New Hyde Park, NY.
Johnny MahlanguDepartment of Molecular Medicine and Haematology, University of the Witwatersrand, National Health Laboratory Service, Johannesburg, South Africa.ORCID 0000-0001-5781-7669
Victor Jiménez-YusteLa Paz University Hospital, Instituto de Investigación Hospital Universitario La Paz, Autónoma University, Madrid, Spain.
Nirmalkumar ChorariaNirmal Hospital Pvt Ltd, Surat, India.ORCID 0000-0002-8336-666X
Renchi YangInstitute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin, China.
Chi-Kong LiDepartment of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China.ORCID 0000-0002-2810-5758
Murtadha Al-KhaboriUniversity Medical City, Muscat, Oman.
Yasser WaliUniversity Medical City, Muscat, Oman.
Javier Morales AdriánCentro Multidisciplinario para el Desarrollo Especializado de la Investigación Clínica en Yucatán, S.C.P., Fraccionamiento Mérida, Yucatán, México.
Young-Shil ParkDepartment of Pediatrics, Kyung Hee University College of Medicine, Kyung Hee University, Seoul, Korea.ORCID 0000-0002-6643-4245
O Bülent ZülfikarIstanbul University Oncology Institute, Istanbul, Turkey.ORCID 0000-0002-7586-6939
John TeeterPfizer Inc, Groton, CT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractMarstacimab targets the tissue factor pathway inhibitor to rebalance hemostasis. Previous phase 1 and 2 trials established marstacimab safety and efficacy in adults with severe hemophilia A (HA) or B (HB). BASIS is an open-label, marstacimab phase 3 trial in males aged 12 to 74 years with severe HA (factor VIII <1%) or moderately severe to severe HB (factor IX ≤2%). Participants without inhibitors received on-demand (OD) or routine prophylaxis (RP) therapy during a 6-month observational phase (OP) before receiving once-weekly subcutaneous 150 mg marstacimab during a 12-month active treatment phase (ATP). Primary end points were annualized bleeding rate (ABR) for treated bleeds vs previous OD or RP during the OP, and safety. Of 128 participants enrolled in the OP, 116 received marstacimab in the ATP. In the OD group (n = 33), mean ABR decreased from 39.86 (95% confidence interval [CI], 33.05-48.07) in the OP to 3.20 (95% CI, 2.10-4.88) in the ATP, demonstrating superiority of marstacimab (estimated ABR ratio, 0.080 [95% CI, 0.057-0.113]; P < .0001). In the RP group (n = 83), mean ABR decreased from 7.90 (95% CI, 5.14-10.66) in the OP to 5.09 (95% CI, 3.40-6.78) in the ATP, demonstrating noninferiority and superiority of marstacimab (estimated ABR difference, -2.81 [95% CI, -5.42 to -0.20]; P = .0349). There were no deaths or thromboembolic events. Weekly subcutaneous marstacimab reduced ABR vs OD or RP therapy in the OP in individuals with severe HA or moderately severe to severe HB without inhibitors. Marstacimab was safe and well tolerated with no unanticipated side effects. This trial was registered at www.clinicaltrials.gov as #NCT03938792.

Indexed as

Antibodies, BispecificAntibodies, Monoclonal, HumanizedHemophilia AHemophilia BHemorrhageAdolescentAdultAgedChildFactor VIIIHumansMaleMiddle AgedYoung AdultAntibodies, BispecificAntibodies, Monoclonal, HumanizedFactor VIII

Identifiers

PMID40608864
PMCPMC12824696

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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.