Evidence map›Paper›PMID 41486550›Full record

Trial reportEuropean journal of haematology2026

Safety and Efficacy of Damoctocog Alfa Pegol in Previously Treated Children Aged 7 to < 12 Years With Severe Haemophilia A in the Phase 3, Open Label Alfa-PROTECT Main Study.

Margareth C Ozelo, Matteo Luciani, Heidi Glosli, Kaan Kavakli, Nasrin Samji, Gregory C Makris, Claudia Tueckmantel, Monika Maas Enriquez, Luciana C Oliveira, Shveta Gupta and 4 more

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

Trial report in European journal of haematology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 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.

NCT01775618 phase3completednot on this map

A Multi-center, Phase III, Non-controlled, Open-label Trial to Evaluate the Pharmacokinetics, Safety, and Efficacy of BAY94-9027 for Prophylaxis and Treatment of Bleeding in Previously Treated Children (Age <12 Years) With Severe Hemophilia A

TypeinterventionalSponsorBayerRan2013 to 2020Enrolled73ConditionsHemophilia AArmsBAY94-9027
NCT05147662 phase3completednot on this map

A Phase 3, Single Group Treatment, Open-label, Study to Evaluate the Safety of BAY 94-9027 Infusions for Prophylaxis and Treatment of Bleeding in Previously Treated Children Aged 7 to <12 Years With Severe Hemophilia A

TypeinterventionalSponsorBayerRan2022 to 2025Enrolled36ConditionsTreatment of Bleeding, Prophylaxis of Bleeding, Hemophilia A, ChildrenArmsDamoctocog alfa pegol (Jivi, BAY94-9027)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

14 authors.

Margareth C OzeloUniversity of Campinas, Hemocentro UNICAMP, Campinas, São Paulo, Brazil.ORCID https://orcid.org/0000-0001-5938-0675
Matteo LucianiBambino Gesù Children's Hospital, Rome, Italy.ORCID https://orcid.org/0000-0002-6939-3047
Heidi GlosliNational Center for Rare Disorders and Department of Paediatric Research, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0003-1153-4131
Kaan KavakliDepartment of Pediatrics, Ege University Faculty of Medicine, Bornova, Turkey.ORCID https://orcid.org/0000-0002-4910-2142
Nasrin SamjiDepartment of Pediatrics, McMaster Centre for Transfusion Research, McMaster Children's Hospital/McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0002-6754-1261
Gregory C MakrisBayer AG, London, UK.ORCID https://orcid.org/0000-0003-3437-621X
Claudia TueckmantelBayer AG, Wuppertal, Germany.
Monika Maas EnriquezBayer AG, Wuppertal, Germany.ORCID https://orcid.org/0009-0000-4320-6349
Luciana C OliveiraHemocentro de Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-9845-0864
Shveta Gupta *Arnold Palmer Hospital for Children, Orlando, Florida, USA.
Mario Guillermo ArbesúArbesú Hematología, Mendoza, Argentina.ORCID https://orcid.org/0009-0001-2166-6587
Mauro DavoliFundación de la Hemofilia, Rosario, Santa Fe, Argentina.ORCID https://orcid.org/0000-0003-0584-1901
Anthony K C ChanDepartment of Pediatrics, McMaster Centre for Transfusion Research, McMaster Children's Hospital/McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0003-1551-3995
Maria E MancusoCenter for Thrombosis and Haemorrhagic Diseases, IRCCS Humanitas Research Hospital, Milan, Italy.ORCID https://orcid.org/0000-0002-7113-4028

Funding

Bayer
6 · The paper itself

Abstract

backgroundIn the earlier PROTECT VIII Kids study (NCT01775618), damoctocog alfa pegol was efficacious for prevention and treatment of bleeds in children aged < 12 years with severe haemophilia A.

objectiveAssess the safety of damoctocog alfa pegol, including hypersensitivity and loss of efficacy (LoE) due to an immune response to polyethylene glycol, in children aged 7 to < 12 years with severe haemophilia A.

methodsAlfa-PROTECT is a phase 3, multicentre, open-label, single-arm study (NCT05147662). Primary endpoint was the incidence of adverse events of special interest (AESI) leading to discontinuation during the first 4 exposure days.

resultsOverall, 35 children enrolled; 32 completed the 6-month study, 21 (60%) reported ≥ 1 AE. Median (range) treatment duration was 182 (172-198) days. All AEs were mild/moderate; 3/35 children (8.6%) had study drug-related AEs. One (2.9%) LoE event was considered an AESI, and led to temporary treatment interruption. No AEs resulted in study drug discontinuation. The probability of < 5% of patients experiencing an AESI was 92.2%. Bleed protection was maintained with damoctocog alfa pegol prophylaxis.

conclusionsThese data confirm the safety profile of damoctocog alfa pegol in children aged 7 to < 12 years with severe haemophilia A. Secondary endpoints indicate treatment was efficacious.

trial registrationThe Alfa-PROTECT trial is registered at ClinicalTrial.gov (NCT05147662).

Indexed as

Factor VIIIHemophilia APolyethylene GlycolsChildFemaleHemorrhageHumansMaleSeverity of Illness IndexTreatment OutcomeFactor VIIIPolyethylene Glycolschildrenfactor VIIIhaemophilia Apolyethylene glycolsafety

Identifiers

PMID41486550
PMCPMC12958795

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.