Evidence map›Paper›PMID 41050637›Full record

ArticleResearch and practice in thrombosis and haemostasis2025

Emicizumab utilization, safety, and outcomes in people with severe hemophilia and no inhibitors: 3-year follow-up. A report from the UK Haemophilia Centre Doctors' Organisation.

Caroline Wall, Hua Xiang, Ben Palmer, Pratima Chowdary, Peter W Collins, Richard Gorman, Mary Matthias, Charles Percy, Paul Sartain, Susan Shapiro and 4 more

Abstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Observational
  4. Article
  5. Observational
  6. More real-world evidence on the impact of emicizumab.Research and practice in thrombosis and haemostasis · 2025
    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

14 authors.

Caroline WallDepartment of Haematology, Manchester Royal Infirmary, Manchester, United Kingdom.
Hua XiangNational Haemophilia Database, Manchester, United Kingdom.
Ben PalmerNational Haemophilia Database, Manchester, United Kingdom.
Pratima ChowdaryDepartment of Haematology, Royal Free Hospital, London, United Kingdom.
Peter W CollinsDepartment of Haematology, School of Medicine, Cardiff University, Cardiff, United Kingdom.
Richard GormanBrighton and Sussex Medical School, Brighton, United Kingdom.
Mary MatthiasDepartment of Haematology, Great Ormond Street Hospital, London, United Kingdom.
Charles PercyDepartment of Haematology, Queen Elizabeth Hospital Birmingham, Birmingham, United Kingdom.
Paul SartainPatient representative.
Susan ShapiroDepartment of Haematology, Oxford University Hospitals, United Kingdom.
David StephensenDepartment of Haematology, Canterbury Christ Church University, Canterbury, United Kingdom.
Kate TalksDepartment of Haematology, Newcastle upon Tyne Hospitals National Health Service Trust, Newcastle upon Tyne, United Kingdom.
Charles R M HayDepartment of Haematology, Manchester Royal Infirmary, Manchester, United Kingdom.
UK Haemophilia Centre Doctors’ Organisation (UKHCDO)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Emicizumab prophylaxis is restricted to severe hemophilia A in the UK. Treatment choice and safety remain a matter of debate. Objectives: This study was conducted to investigate factors influencing treatment choice, continued use, safety, and clinical outcomes associated with emicizumab in a national cohort of persons with severe hemophilia A without current inhibitors. Methods: A 3-year study was conducted in 618 persons with severe hemophilia A who switched to emicizumab and 413 who continued factor (F)VIII prophylaxis. Outcome measures included annualized bleed rates (ABRs), the Hemophilia Joint Health Score, and health-related quality of life. Results: Switchers and nonswitchers had a similar median age (26 and 28 years, respectively). Switchers had a significantly higher median (IQR) ABR than those continuing FVIII prophylaxis, but a significantly lower proportion had an inhibitor history (13.6% vs 20.5%; Conclusions: Emicizumab selection was influenced by ABR and inhibitor history but not age. Emicizumab was generally well tolerated, with only 2.3% discontinuing the drug. A significant within-person improvement in all bleeding outcomes was observed with emicizumab.

Indexed as

efficacyemicizumabhemophilia Anon-inhibitorsafety

Identifiers

PMID41050637
PMCPMC12494912

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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.