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Cited by 240

The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.

Safety and prolonged activity of recombinant factor VIII Fc fusion protein in hemophilia A patients

Open access
Powell, Jerry S., Josephson, Neil C., Quon, Doris, Ragni, Margaret V., Cheng, Gregory, Li, Ella, Jiang, Haiyan, Li, Lian, Dumont, Jennifer A., Goyal, Jaya, Zhang, Xin, Sommer, Jurg, McCue, Justin, Barbetti, Margaret, Luk, Alvin, Pierce, Glenn F.·2012·Blood

Abstract

Current factor VIII (FVIII) products display a half-life (t1/2) of ∼ 8-12 hours, requiring frequent intravenous injections for prophylaxis and treatment of patients with hemophilia A. rFVIIIFc is a recombinant fusion protein composed of a single molecule of FVIII covalently linked to the Fc domain of human IgG1 to extend circulating rFVIII t1/2. This first-in-human study in previously treated subjects with severe hemophilia A investigated safety and pharmacokinetics of rFVIIIFc. Sixteen subjects received a single dose of rFVIII at 25 or 65 IU/kg followed by an equal dose of rFVIIIFc. Most adverse events were unrelated to study drug. None of the study subjects developed anti-rFVIIIFc antibodies or inhibitors. Across dose levels, compared with rFVIII, rFVIIIFc showed 1.54- to 1.70-fold longer elimination t1/2, 1.49- to 1.56-fold lower clearance, and 1.48- to 1.56-fold higher total systemic exposure. rFVIII and rFVIIIFc had comparable dose-dependent peak plasma concentrations and recoveries. Time to 1% FVIII activity above baseline was ∼ 1.53- to 1.68-fold longer than rFVIII across dose levels. Each subject showed prolonged exposure to rFVIIIFc relative to rFVIII. Thus, rFVIIIFc may offer a viable therapeutic approach to achieve prolonged hemostatic protection and less frequent dosing in patients with hemophilia A. This trial was registered at www.clinicaltrials.gov as NCT01027377.

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Citations

Cites

  • FcRn: the neonatal Fc receptor comes of age

    Roopenian, D. C., & Akilesh, S. (2007) · Nature Reviews Immunology · doi:10.1038/nri2155 · Cited by 2,346

  • Prophylaxis versus episodic treatment to prevent joint disease in boys with severe hemophilia

    Manco-Johnson, M. J., Abshire, T. C., Shapiro, A. D., Riske, B., Hacker, M. R., Kilcoyne, R., Ingram, J. D., Manco-Johnson, M. L., Funk, S., Jacobson, L., et al. (2007) · New England Journal of Medicine · doi:10.1056/nejmoa067659 · Cited by 1,950 · cited 2×

    “on primary prophylaxis after their first joint bleed had significantly fewer bleeds and less joint damage than children treated on-demand.(3) Compared to on-demand treatment, prophylactic therapy also decreases disability, hospitalization rate, and time lost from school or work;(6,17) and improves quality of life for…”
    Background
  • The hemophilias--from royal genes to gene therapy

    Mannucci, P. M., & Tuddenham, E. G. D. (2001) · New England Journal of Medicine · doi:10.1056/nejm200106073442307 · Cited by 1,110 · cited 1×

    “3 Introduction Hemophilia A is an inherited bleeding disorder that results in frequent spontaneous and traumatic bleeding into the joints and soft tissues.(1) When inadequately treated, this bleeding leads to chronic arthropathy, disability, and increased risk of death.”
    Background

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Metadata

Authors
Powell, J. S., Josephson, N. C., Quon, D., Ragni, M. V., Cheng, G., Li, E., Jiang, H., Li, L., Dumont, J. A., Goyal, J., Zhang, X., Sommer, J., McCue, J., Barbetti, M., Luk, A., & Pierce, G. F.
Venue
Blood
Published
2012-03-29
Volume
119
Issue
13
Pages
3031-3037
ISSN
  • 0006-4971 (ISSN-L)
  • 1528-0020
OpenAlex
W1968800426
Cited by
240
References
3
FWCI
15.75
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Safety and prolonged activity of recombinant factor VIII Fc fusion protein in hemophilia A patients. https://app.cochat.ai/papers/10.1182/blood-2011-09-382846
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Powell, J. S., Josephson, N. C., Quon, D., Ragni, M. V., Cheng, G., Li, E., Jiang, H., Li, L., Dumont, J. A., Goyal, J., Zhang, X., Sommer, J., McCue, J., Barbetti, M., Luk, A., & Pierce, G. F. (2012). Safety and prolonged activity of recombinant factor VIII Fc fusion protein in hemophilia A patients. Blood. https://doi.org/10.1182/blood-2011-09-382846

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