Evidence map›Paper›PMID 40674256›Full record

Trial reportHaemophilia : the official journal of the World Federation of Hemophilia2025

Safety and Use of Eptacog Beta 225 µg/kg in Patients With Haemophilia A or B With Inhibitors.

Manuel Carcao, Cédric Hermans, Adam Giermasz, Craig Kessler, Wolfgang Miesbach, Doris Quon, Jerzy Windyga, Johnny Mahlangu

3 registry-linked trialsAbstract readClinical Trial, Phase IClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Haemophilia : the official journal of the World Federation of Hemophilia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT01708564 phase1completednot on this map

A Phase 1b, Dose Escalation Study to Assess the Safety, Pharmacokinetics and Pharmacodynamics of Coagulation Factor VIIa (Recombinant) in Congenital Hemophilia A or B Patients

TypeinterventionalSponsorrEVO BiologicsRan2012 to 2013Enrolled15ConditionsHemophiliaArmsrhFVIIa
NCT02020369 phase3completednot on this map

A Phase III Study on the Safety, Pharmacokinetics and Efficacy of Coagulation Factor VIIa (Recombinant) in Congenital Hemophilia A or B Patients With Inhibitors to Factor VIII or IX

TypeinterventionalSponsorrEVO BiologicsRan2014 to 2015Enrolled27ConditionsHemophilia A With Inhibitors, Hemophilia B With InhibitorsArmsCoagulation Factor VIIa (Recombinant)
NCT02448680 phase3completednot on this map

A Phase III Study on the Safety, Pharmacokinetics, and Efficacy of Coagulation Factor VIIa (Recombinant) in Congenital Hemophilia A or B Pediatric Patients From Birth to <12 Years Old With Inhibitors to Factor VIII or IX: PerSept 2

TypeinterventionalSponsorLaboratoire français de Fractionnement et de BiotechnologiesRan2015 to 2017Enrolled25ConditionsHemophilia A With Inhibitors, Hemophilia B With InhibitorsArmsCoagulation FVIIa (Recombinant)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Safety and Use of Eptacog Beta 225 µg/kg in Patients With Haemophilia A or B With Inhibitors.Haemophilia : the official journal of the World Federation of Hemophilia · 2025
    Trial
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

8 authors.

Manuel CarcaoThe Hospital for Sick Children, Toronto, Canada.ORCID https://orcid.org/0000-0001-5350-1763
Cédric HermansCatholic University of Louvain, Hemophilia Center of the Saint-Luc University Hospital, Brussels, Belgium.ORCID https://orcid.org/0000-0001-5429-8437
Adam GiermaszUC Davis Medical Center, Sacramento, California, USA.
Craig KesslerLombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, USA.ORCID https://orcid.org/0000-0003-0599-5724
Wolfgang MiesbachGoethe University Hospital, Frankfurt, Germany.ORCID https://orcid.org/0000-0002-4506-0061
Doris QuonOrthopaedic Hemophilia Treatment Center, Los Angeles, USA.ORCID https://orcid.org/0000-0002-9148-3268
Jerzy WindygaInstitute of Hematology and Transfusion Medicine, Warsaw, Poland.ORCID https://orcid.org/0000-0001-7877-4784
Johnny MahlanguUniversity of the Witwatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0001-5781-7669

Funding

LFB
6 · The paper itself

Abstract

introductionEptacog beta is an activated recombinant human factor VII bypassing agent approved for treating bleeding episodes (BEs) in patients aged ≥12 years with haemophilia A or B with inhibitors. Two initial dose regimens (IDRs) of either 75 or 225 µg/kg, followed by 75 µg/kg, are approved. We examined the safety of eptacog beta 225 µg/kg across completed clinical trials.

methodsThis analysis included data from a Phase 1b trial of single doses of eptacog beta 25, 75 and 225 µg/kg in non-bleeding adults with haemophilia and pooled data from two Phase 3 trials of the 75 and 225 µg/kg IDRs for treating BEs in adolescents and adults (PERSEPT 1) and children (PERSEPT 2).

resultsIn the Phase 1b trial, 10 patients received a single eptacog beta infusion at each dose level. In the Phase 3 trials, 48 patients received the 75 µg/kg IDR (median 20.5 infusions/patient, range 1-137 infusions) and 50 patients received the 225 µg/kg IDR (median 14.5 infusions/patient, range 1-117 infusions). There was a similar incidence of treatment-emergent adverse events (TEAEs) across all doses (225, 75 and 25 µg/kg) in the Phase 1b trial (0.8 vs. 1.0 vs. 2.1 events per infusion, respectively) and with the 225 versus 75 µg/kg IDR in the Phase 3 studies (0.046 vs. 0.029 events per infusion, respectively). No treatment-related serious TEAEs, thromboembolic events, hypersensitivity reactions, deaths attributed to eptacog beta or neutralising antibodies were detected.

conclusionsThese findings demonstrate favourable safety and tolerability regarding the use of the 225 µg/kg IDR.

trial registrationClinicalTrials.gov identifier: NCT01708564, NCT02020369, NCT02448680.

Indexed as

Factor VIIaHemophilia AHemophilia BAdolescentAdultChildFemaleHumansMaleMiddle AgedRecombinant ProteinsYoung AdultFactor VIIaRecombinant Proteinsactivated recombinant human factor VIIeptacog betahaemophiliainhibitorsafety

Identifiers

PMID40674256
PMCPMC12462549

What OpenQuestion holds

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LicenceCC BY-NC
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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.