Evidence map›Paper›PMID 40699276›Full record

ArticleAdvances in therapy2025

Real-World Prophylaxis Outcomes with rIX-FP and rFIXFc for Males with Hemophilia B: Pooled Analysis of Medical Chart Data from Germany and Italy.

Johannes Oldenburg, Martin Olivieri, Songkai Yan, Ying Yang, Radovan Tomic, Xiang Zhang, Douglass Drelich, Natalie Jakobs, Mariasanta Napolitano

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Article in Advances in therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Johannes OldenburgInstitute of Experimental Hematology and Transfusion Medicine, University Hospital Bonn, Medical Faculty, University of Bonn, Bonn, Germany.ORCID http://orcid.org/0000-0002-1585-4100
Martin OlivieriPaediatric Thrombosis and Haemostasis Unit, Dr. Von Hauner Children's Hospital LMU Munich, Munich, Germany.ORCID http://orcid.org/0000-0001-6434-6244
Songkai YanCSL Behring, King of Prussia, PA, USA. songkai.yan@cslbehring.com.ORCID http://orcid.org/0000-0002-1677-3839
Ying YangAdivo Associates LLC, San Francisco, CA, USA.ORCID http://orcid.org/0000-0001-7079-5927
Radovan TomicCSL Behring, Milan, Italy.
Xiang ZhangCSL Behring, King of Prussia, PA, USA.
Douglass DrelichCSL Behring, King of Prussia, PA, USA.ORCID http://orcid.org/0009-0004-7388-2013
Natalie JakobsAdivo Associates LLC, San Francisco, CA, USA.
Mariasanta NapolitanoPROMISE Department, University of Palermo, Palermo, Italy.ORCID http://orcid.org/0000-0001-8934-2936

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe current standard of care for people with severe hemophilia B is prophylaxis with factor IX (FIX) products. This analysis assessed the effectiveness of prophylaxis for people with hemophilia B (PwHB) receiving rIX-FP or rFIXFc prophylaxis in Germany and Italy.

methodsA retrospective, de-identified chart review included PwHB ≥ 12 years with severe/moderate hemophilia B from Germany or Italy, receiving prophylaxis with rIX-FP or rFIXFc for ≥ 12 months. The primary outcome was FIX consumption; the secondary outcomes were dosing interval, annualized bleeding rate (ABR), annualized spontaneous bleeding rate (AsBR), and annualized joint bleeding rate (AjBR). These outcomes were also explored in PwHB with pre- and post-rIX-FP switch data.

resultsOf 194 PwHB, 107 and 87 received rIX-FP and rFIXFc prophylaxis, respectively. The mean FIX consumption of rIX-FP was significantly lower compared to rFIXFc (42.4 vs. 65.2 IU/kg/week, p = 0.0001), with mean dosing intervals of 9.5 days (rIX-FP) and 7.9 days (rFIXFc). The mean bleeding rates for rIX-FP versus rFIXFc, respectively, were: ABR 0.7 versus 1.1 (p = 0.6704), AsBR 0.1 versus 0.3 (p = 0.3427), and AjBR 0.3 versus 0.4 (p = 0.5296). Subgroup analyses for PwHB with severe and moderate hemophilia B separately showed similar numerical patterns when comparing these outcomes. In the 18 patients with switch data, a significant reduction in FIX consumption was observed (median 51.7 to 33.3 IU/kg/week, p = 0.0069), and the mean dosing interval was extended (7.2-9.5 days). The ABR (median 1.6-0.0, p = 0.0172; n = 18) and AjBR (median 0.6-0.0, p = 0.0200; n = 14) decreased significantly, while the AsBR decreased but not significantly (median 0.2-0.0, p = 0.1460; n = 14).

conclusionrIX-FP prophylaxis was associated with reduced FIX consumption versus rFIXFc and offered equally effective or potentially improved bleed protection. Additionally, PwHB who switched to rIX-FP achieved significant decreases in FIX consumption, ABR, and AjBR compared with their prior FIX product.

Indexed as

Factor IXHemophilia BHemorrhageRecombinant Fusion ProteinsAdolescentAdultChildGermanyHumansImmunoglobulin Fc FragmentsItalyMaleMiddle AgedRetrospective StudiesTreatment OutcomeYoung AdultFactor IXfactor IX Fc fusion proteinImmunoglobulin Fc FragmentsRecombinant Fusion ProteinsAnnualized bleeding ratesDosing intervalFactor consumptionHemophilia BJoint bleeding ratesProphylaxisReal worldrFIXFcrIX-FPSpontaneous bleeding rates

Identifiers

PMID40699276
PMCPMC12394387

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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.