
Sufferers with hemophilia A or B with inhibitors have a decrease annualized bleeding charge with concizumab than with no prophylaxis, in response to a section 3 examine revealed on-line Aug. 31 within the New England Journal of Medication.
Tadashi Matsushita, M.D., Ph.D., from Nagoya College Hospital in Japan, and colleagues evaluated the security and efficacy of concizumab in sufferers with hemophilia A or B with inhibitors. As a part of the explorer7 section 3 trial, individuals have been randomly assigned to obtain no prophylaxis for a minimum of 24 weeks (group 1; 19 sufferers) or to obtain concizumab prophylaxis for a minimum of 32 weeks (group 2; 33 sufferers), or they have been nonrandomly assigned to obtain concizumab prophylaxis for a minimum of 24 weeks (teams 3 and 4; 81 sufferers).
The researchers discovered that the estimated imply annualized bleeding charge in group 1 was 11.8 episodes versus 1.7 episodes in group 2 (charge ratio, 0.14; P < 0.001). For sufferers receiving concizumab (teams 2, 3, and 4), the general median annualized bleeding charge was zero episodes. After concizumab remedy was restarted, no thromboembolic occasions have been reported. Plasma concentrations of concizumab have been secure over time.
“Concizumab represents a novel, subcutaneous therapy possibility in sufferers with hemophilia A or B with inhibitors that may probably enhance long-term outcomes,” the authors write.
Extra data:
Tadashi Matsushita et al, Section 3 Trial of Concizumab in Hemophilia with Inhibitors, New England Journal of Medication (2023). DOI: 10.1056/NEJMoa2216455
H. Marijke van den Berg et al, Hemostasis—A Balancing Act, New England Journal of Medication (2023). DOI: 10.1056/NEJMe2304535
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