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<titleStmt>
<title xml:lang="en">Efficacy and safety of rVIII-SingleChain: results of a phase 1/3 multicenter clinical trial in severe hemophilia A</title>
<author>
<name sortKey="Mahlangu, Johnny" sort="Mahlangu, Johnny" uniqKey="Mahlangu J" first="Johnny" last="Mahlangu">Johnny Mahlangu</name>
<affiliation>
<nlm:aff id="aff1">Department of Molecular Medicine and Haematology, Faculty of Health Sciences, University of the Witwatersrand, National Health Laboratory Service, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kuliczkowski, Kazimierz" sort="Kuliczkowski, Kazimierz" uniqKey="Kuliczkowski K" first="Kazimierz" last="Kuliczkowski">Kazimierz Kuliczkowski</name>
<affiliation>
<nlm:aff id="aff2">Department of Hematology, Blood Neoplasms and Bone Marrow Transplantation, Wroclaw Medical University, Wroclaw, Poland;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Karim, Faraizah Abdul" sort="Karim, Faraizah Abdul" uniqKey="Karim F" first="Faraizah Abdul" last="Karim">Faraizah Abdul Karim</name>
<affiliation>
<nlm:aff id="aff3">Hemophilia Clinic, National Blood Centre, Kuala Lumpur, Malaysia;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Stasyshyn, Oleksandra" sort="Stasyshyn, Oleksandra" uniqKey="Stasyshyn O" first="Oleksandra" last="Stasyshyn">Oleksandra Stasyshyn</name>
<affiliation>
<nlm:aff id="aff4">Institute of Blood Pathology and Transfusion Medicine, National Academy of Medical Sciences of Ukraine, Lviv, Ukraine;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kosinova, Marina V" sort="Kosinova, Marina V" uniqKey="Kosinova M" first="Marina V." last="Kosinova">Marina V. Kosinova</name>
<affiliation>
<nlm:aff id="aff5">Kemerovo Regional Clinical Hospital, Kemerovo, Russia;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Lepatan, Lynda Mae" sort="Lepatan, Lynda Mae" uniqKey="Lepatan L" first="Lynda Mae" last="Lepatan">Lynda Mae Lepatan</name>
<affiliation>
<nlm:aff id="aff6">Perpetual Succour Hospital, Cebu, Philippines;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Skotnicki, Aleksander" sort="Skotnicki, Aleksander" uniqKey="Skotnicki A" first="Aleksander" last="Skotnicki">Aleksander Skotnicki</name>
<affiliation>
<nlm:aff id="aff7">Krakow Medical Centre, Krakow, Poland;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Boggio, Lisa N" sort="Boggio, Lisa N" uniqKey="Boggio L" first="Lisa N." last="Boggio">Lisa N. Boggio</name>
<affiliation>
<nlm:aff id="aff8">Hemophilia and Thrombophilia Center, Rush University Medical Center, Chicago, IL;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Klamroth, Robert" sort="Klamroth, Robert" uniqKey="Klamroth R" first="Robert" last="Klamroth">Robert Klamroth</name>
<affiliation>
<nlm:aff id="aff9">Vivantes Clinic Friedrichshain, Berlin, Germany;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Oldenburg, Johannes" sort="Oldenburg, Johannes" uniqKey="Oldenburg J" first="Johannes" last="Oldenburg">Johannes Oldenburg</name>
<affiliation>
<nlm:aff id="aff10">Institute of Experimental Haematology and Transfusion Medicine, University Clinic Bonn, Bonn, Germany;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hellmann, Andrzej" sort="Hellmann, Andrzej" uniqKey="Hellmann A" first="Andrzej" last="Hellmann">Andrzej Hellmann</name>
<affiliation>
<nlm:aff id="aff11">Department of Hematology and Transplantation, Medical University of Gdansk, Gdansk, Poland;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Santagostino, Elena" sort="Santagostino, Elena" uniqKey="Santagostino E" first="Elena" last="Santagostino">Elena Santagostino</name>
<affiliation>
<nlm:aff id="aff12">A. Bianchi Bonomi Hemophilia and Thrombosis Center, IRCCS Ca’ Granda Foundation, Maggiore Hospital Policlinico, Milan, Italy;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Baker, Ross I" sort="Baker, Ross I" uniqKey="Baker R" first="Ross I." last="Baker">Ross I. Baker</name>
<affiliation>
<nlm:aff id="aff13">Western Australian Centre for Thrombosis and Haemostasis, Murdoch University, Perth, Australia;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Fischer, Kathelijn" sort="Fischer, Kathelijn" uniqKey="Fischer K" first="Kathelijn" last="Fischer">Kathelijn Fischer</name>
<affiliation>
<nlm:aff id="aff14">Van Creveldkliniek, University Medical Center Utrecht, Utrecht, The Netherlands;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gill, Joan C" sort="Gill, Joan C" uniqKey="Gill J" first="Joan C." last="Gill">Joan C. Gill</name>
<affiliation>
<nlm:aff id="aff15">Blood Center of Wisconsin and Medical College of Wisconsin, Milwaukee, WI;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="P G, Stephanie" sort="P G, Stephanie" uniqKey="P G S" first="Stephanie" last="P G">Stephanie P G</name>
<affiliation>
<nlm:aff id="aff16">Royal Perth Hospital, Perth, Australia;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Chowdary, Pratima" sort="Chowdary, Pratima" uniqKey="Chowdary P" first="Pratima" last="Chowdary">Pratima Chowdary</name>
<affiliation>
<nlm:aff id="aff17">Katharine Dormandy Haemophilia Centre and Thrombosis Unit, Royal Free Hospital, London, United Kingdom;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Escobar, Miguel A" sort="Escobar, Miguel A" uniqKey="Escobar M" first="Miguel A." last="Escobar">Miguel A. Escobar</name>
<affiliation>
<nlm:aff id="aff18">University of Texas Health Science Center and The Gulf States Hemophilia and Thrombophilia Center, Houston, TX;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Khayat, Claudia Djambas" sort="Khayat, Claudia Djambas" uniqKey="Khayat C" first="Claudia Djambas" last="Khayat">Claudia Djambas Khayat</name>
<affiliation>
<nlm:aff id="aff19">Lebanon Department of Pediatrics, Hotel Dieu de France Hospital, Beirut, Lebanon;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rusen, Luminita" sort="Rusen, Luminita" uniqKey="Rusen L" first="Luminita" last="Rusen">Luminita Rusen</name>
<affiliation>
<nlm:aff id="aff20">Sanador SRL, Bucharest, Romania;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bensen Kennedy, Debra" sort="Bensen Kennedy, Debra" uniqKey="Bensen Kennedy D" first="Debra" last="Bensen-Kennedy">Debra Bensen-Kennedy</name>
<affiliation>
<nlm:aff id="aff21">Clinical Research and Development, CSL Behring, King of Prussia, PA;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Blackman, Nicole" sort="Blackman, Nicole" uniqKey="Blackman N" first="Nicole" last="Blackman">Nicole Blackman</name>
<affiliation>
<nlm:aff id="aff21">Clinical Research and Development, CSL Behring, King of Prussia, PA;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Limsakun, Tharin" sort="Limsakun, Tharin" uniqKey="Limsakun T" first="Tharin" last="Limsakun">Tharin Limsakun</name>
<affiliation>
<nlm:aff id="aff21">Clinical Research and Development, CSL Behring, King of Prussia, PA;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Veldman, Alex" sort="Veldman, Alex" uniqKey="Veldman A" first="Alex" last="Veldman">Alex Veldman</name>
<affiliation>
<nlm:aff wicri:cut="; and" id="aff22">Clinical Research and Development, CSL Behring, Marburg, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="St Ledger, Katie" sort="St Ledger, Katie" uniqKey="St Ledger K" first="Katie" last="St. Ledger">Katie St. Ledger</name>
<affiliation>
<nlm:aff id="aff21">Clinical Research and Development, CSL Behring, King of Prussia, PA;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pabinger, Ingrid" sort="Pabinger, Ingrid" uniqKey="Pabinger I" first="Ingrid" last="Pabinger">Ingrid Pabinger</name>
<affiliation>
<nlm:aff id="aff23">Clinical Division of Haematology and Haemostaseology, Medical Clinic I, Medical University Vienna, Vienna, Austria</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">27330001</idno>
<idno type="pmc">4974198</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4974198</idno>
<idno type="RBID">PMC:4974198</idno>
<idno type="doi">10.1182/blood-2016-01-687434</idno>
<date when="2016">2016</date>
<idno type="wicri:Area/Pmc/Corpus">001809</idno>
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<analytic>
<title xml:lang="en" level="a" type="main">Efficacy and safety of rVIII-SingleChain: results of a phase 1/3 multicenter clinical trial in severe hemophilia A</title>
<author>
<name sortKey="Mahlangu, Johnny" sort="Mahlangu, Johnny" uniqKey="Mahlangu J" first="Johnny" last="Mahlangu">Johnny Mahlangu</name>
<affiliation>
<nlm:aff id="aff1">Department of Molecular Medicine and Haematology, Faculty of Health Sciences, University of the Witwatersrand, National Health Laboratory Service, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kuliczkowski, Kazimierz" sort="Kuliczkowski, Kazimierz" uniqKey="Kuliczkowski K" first="Kazimierz" last="Kuliczkowski">Kazimierz Kuliczkowski</name>
<affiliation>
<nlm:aff id="aff2">Department of Hematology, Blood Neoplasms and Bone Marrow Transplantation, Wroclaw Medical University, Wroclaw, Poland;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Karim, Faraizah Abdul" sort="Karim, Faraizah Abdul" uniqKey="Karim F" first="Faraizah Abdul" last="Karim">Faraizah Abdul Karim</name>
<affiliation>
<nlm:aff id="aff3">Hemophilia Clinic, National Blood Centre, Kuala Lumpur, Malaysia;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Stasyshyn, Oleksandra" sort="Stasyshyn, Oleksandra" uniqKey="Stasyshyn O" first="Oleksandra" last="Stasyshyn">Oleksandra Stasyshyn</name>
<affiliation>
<nlm:aff id="aff4">Institute of Blood Pathology and Transfusion Medicine, National Academy of Medical Sciences of Ukraine, Lviv, Ukraine;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kosinova, Marina V" sort="Kosinova, Marina V" uniqKey="Kosinova M" first="Marina V." last="Kosinova">Marina V. Kosinova</name>
<affiliation>
<nlm:aff id="aff5">Kemerovo Regional Clinical Hospital, Kemerovo, Russia;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Lepatan, Lynda Mae" sort="Lepatan, Lynda Mae" uniqKey="Lepatan L" first="Lynda Mae" last="Lepatan">Lynda Mae Lepatan</name>
<affiliation>
<nlm:aff id="aff6">Perpetual Succour Hospital, Cebu, Philippines;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Skotnicki, Aleksander" sort="Skotnicki, Aleksander" uniqKey="Skotnicki A" first="Aleksander" last="Skotnicki">Aleksander Skotnicki</name>
<affiliation>
<nlm:aff id="aff7">Krakow Medical Centre, Krakow, Poland;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Boggio, Lisa N" sort="Boggio, Lisa N" uniqKey="Boggio L" first="Lisa N." last="Boggio">Lisa N. Boggio</name>
<affiliation>
<nlm:aff id="aff8">Hemophilia and Thrombophilia Center, Rush University Medical Center, Chicago, IL;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Klamroth, Robert" sort="Klamroth, Robert" uniqKey="Klamroth R" first="Robert" last="Klamroth">Robert Klamroth</name>
<affiliation>
<nlm:aff id="aff9">Vivantes Clinic Friedrichshain, Berlin, Germany;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Oldenburg, Johannes" sort="Oldenburg, Johannes" uniqKey="Oldenburg J" first="Johannes" last="Oldenburg">Johannes Oldenburg</name>
<affiliation>
<nlm:aff id="aff10">Institute of Experimental Haematology and Transfusion Medicine, University Clinic Bonn, Bonn, Germany;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hellmann, Andrzej" sort="Hellmann, Andrzej" uniqKey="Hellmann A" first="Andrzej" last="Hellmann">Andrzej Hellmann</name>
<affiliation>
<nlm:aff id="aff11">Department of Hematology and Transplantation, Medical University of Gdansk, Gdansk, Poland;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Santagostino, Elena" sort="Santagostino, Elena" uniqKey="Santagostino E" first="Elena" last="Santagostino">Elena Santagostino</name>
<affiliation>
<nlm:aff id="aff12">A. Bianchi Bonomi Hemophilia and Thrombosis Center, IRCCS Ca’ Granda Foundation, Maggiore Hospital Policlinico, Milan, Italy;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Baker, Ross I" sort="Baker, Ross I" uniqKey="Baker R" first="Ross I." last="Baker">Ross I. Baker</name>
<affiliation>
<nlm:aff id="aff13">Western Australian Centre for Thrombosis and Haemostasis, Murdoch University, Perth, Australia;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Fischer, Kathelijn" sort="Fischer, Kathelijn" uniqKey="Fischer K" first="Kathelijn" last="Fischer">Kathelijn Fischer</name>
<affiliation>
<nlm:aff id="aff14">Van Creveldkliniek, University Medical Center Utrecht, Utrecht, The Netherlands;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gill, Joan C" sort="Gill, Joan C" uniqKey="Gill J" first="Joan C." last="Gill">Joan C. Gill</name>
<affiliation>
<nlm:aff id="aff15">Blood Center of Wisconsin and Medical College of Wisconsin, Milwaukee, WI;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="P G, Stephanie" sort="P G, Stephanie" uniqKey="P G S" first="Stephanie" last="P G">Stephanie P G</name>
<affiliation>
<nlm:aff id="aff16">Royal Perth Hospital, Perth, Australia;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Chowdary, Pratima" sort="Chowdary, Pratima" uniqKey="Chowdary P" first="Pratima" last="Chowdary">Pratima Chowdary</name>
<affiliation>
<nlm:aff id="aff17">Katharine Dormandy Haemophilia Centre and Thrombosis Unit, Royal Free Hospital, London, United Kingdom;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Escobar, Miguel A" sort="Escobar, Miguel A" uniqKey="Escobar M" first="Miguel A." last="Escobar">Miguel A. Escobar</name>
<affiliation>
<nlm:aff id="aff18">University of Texas Health Science Center and The Gulf States Hemophilia and Thrombophilia Center, Houston, TX;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Khayat, Claudia Djambas" sort="Khayat, Claudia Djambas" uniqKey="Khayat C" first="Claudia Djambas" last="Khayat">Claudia Djambas Khayat</name>
<affiliation>
<nlm:aff id="aff19">Lebanon Department of Pediatrics, Hotel Dieu de France Hospital, Beirut, Lebanon;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rusen, Luminita" sort="Rusen, Luminita" uniqKey="Rusen L" first="Luminita" last="Rusen">Luminita Rusen</name>
<affiliation>
<nlm:aff id="aff20">Sanador SRL, Bucharest, Romania;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bensen Kennedy, Debra" sort="Bensen Kennedy, Debra" uniqKey="Bensen Kennedy D" first="Debra" last="Bensen-Kennedy">Debra Bensen-Kennedy</name>
<affiliation>
<nlm:aff id="aff21">Clinical Research and Development, CSL Behring, King of Prussia, PA;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Blackman, Nicole" sort="Blackman, Nicole" uniqKey="Blackman N" first="Nicole" last="Blackman">Nicole Blackman</name>
<affiliation>
<nlm:aff id="aff21">Clinical Research and Development, CSL Behring, King of Prussia, PA;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Limsakun, Tharin" sort="Limsakun, Tharin" uniqKey="Limsakun T" first="Tharin" last="Limsakun">Tharin Limsakun</name>
<affiliation>
<nlm:aff id="aff21">Clinical Research and Development, CSL Behring, King of Prussia, PA;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Veldman, Alex" sort="Veldman, Alex" uniqKey="Veldman A" first="Alex" last="Veldman">Alex Veldman</name>
<affiliation>
<nlm:aff wicri:cut="; and" id="aff22">Clinical Research and Development, CSL Behring, Marburg, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="St Ledger, Katie" sort="St Ledger, Katie" uniqKey="St Ledger K" first="Katie" last="St. Ledger">Katie St. Ledger</name>
<affiliation>
<nlm:aff id="aff21">Clinical Research and Development, CSL Behring, King of Prussia, PA;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pabinger, Ingrid" sort="Pabinger, Ingrid" uniqKey="Pabinger I" first="Ingrid" last="Pabinger">Ingrid Pabinger</name>
<affiliation>
<nlm:aff id="aff23">Clinical Division of Haematology and Haemostaseology, Medical Clinic I, Medical University Vienna, Vienna, Austria</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Blood</title>
<idno type="ISSN">0006-4971</idno>
<idno type="eISSN">1528-0020</idno>
<imprint>
<date when="2016">2016</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<title>Key Points</title>
<p>
<list list-type="bullet">
<list-item>
<p>rVIII-SingleChain is a novel rFVIII, designed to have high stability and high binding affinity for VWF.</p>
</list-item>
<list-item>
<p>In severe hemophilia A patients, rVIII-SingleChain was well tolerated and resulted in low bleeding rates, when dosed twice per week.</p>
</list-item>
</list>
</p>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Blood</journal-id>
<journal-id journal-id-type="iso-abbrev">Blood</journal-id>
<journal-id journal-id-type="hwp">bloodjournal</journal-id>
<journal-id journal-id-type="pmc">blood</journal-id>
<journal-id journal-id-type="publisher-id">Blood</journal-id>
<journal-title-group>
<journal-title>Blood</journal-title>
</journal-title-group>
<issn pub-type="ppub">0006-4971</issn>
<issn pub-type="epub">1528-0020</issn>
<publisher>
<publisher-name>American Society of Hematology</publisher-name>
<publisher-loc>Washington, DC</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">27330001</article-id>
<article-id pub-id-type="pmc">4974198</article-id>
<article-id pub-id-type="publisher-id">2016/687434</article-id>
<article-id pub-id-type="doi">10.1182/blood-2016-01-687434</article-id>
<article-categories>
<subj-group subj-group-type="hwp-journal-coll">
<subject>29</subject>
<subject>8</subject>
<subject>37</subject>
</subj-group>
<subj-group subj-group-type="heading">
<subject>Clinical Trials and Observations</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Efficacy and safety of rVIII-SingleChain: results of a phase 1/3 multicenter clinical trial in severe hemophilia A</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Mahlangu</surname>
<given-names>Johnny</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kuliczkowski</surname>
<given-names>Kazimierz</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Karim</surname>
<given-names>Faraizah Abdul</given-names>
</name>
<xref ref-type="aff" rid="aff3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Stasyshyn</surname>
<given-names>Oleksandra</given-names>
</name>
<xref ref-type="aff" rid="aff4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kosinova</surname>
<given-names>Marina V.</given-names>
</name>
<xref ref-type="aff" rid="aff5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lepatan</surname>
<given-names>Lynda Mae</given-names>
</name>
<xref ref-type="aff" rid="aff6">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Skotnicki</surname>
<given-names>Aleksander</given-names>
</name>
<xref ref-type="aff" rid="aff7">7</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Boggio</surname>
<given-names>Lisa N.</given-names>
</name>
<xref ref-type="aff" rid="aff8">8</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Klamroth</surname>
<given-names>Robert</given-names>
</name>
<xref ref-type="aff" rid="aff9">9</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Oldenburg</surname>
<given-names>Johannes</given-names>
</name>
<xref ref-type="aff" rid="aff10">10</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hellmann</surname>
<given-names>Andrzej</given-names>
</name>
<xref ref-type="aff" rid="aff11">11</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Santagostino</surname>
<given-names>Elena</given-names>
</name>
<xref ref-type="aff" rid="aff12">12</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Baker</surname>
<given-names>Ross I.</given-names>
</name>
<xref ref-type="aff" rid="aff13">13</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fischer</surname>
<given-names>Kathelijn</given-names>
</name>
<xref ref-type="aff" rid="aff14">14</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gill</surname>
<given-names>Joan C.</given-names>
</name>
<xref ref-type="aff" rid="aff15">15</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>P’Ng</surname>
<given-names>Stephanie</given-names>
</name>
<xref ref-type="aff" rid="aff16">16</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chowdary</surname>
<given-names>Pratima</given-names>
</name>
<xref ref-type="aff" rid="aff17">17</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Escobar</surname>
<given-names>Miguel A.</given-names>
</name>
<xref ref-type="aff" rid="aff18">18</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Khayat</surname>
<given-names>Claudia Djambas</given-names>
</name>
<xref ref-type="aff" rid="aff19">19</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rusen</surname>
<given-names>Luminita</given-names>
</name>
<xref ref-type="aff" rid="aff20">20</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bensen-Kennedy</surname>
<given-names>Debra</given-names>
</name>
<xref ref-type="aff" rid="aff21">21</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Blackman</surname>
<given-names>Nicole</given-names>
</name>
<xref ref-type="aff" rid="aff21">21</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Limsakun</surname>
<given-names>Tharin</given-names>
</name>
<xref ref-type="aff" rid="aff21">21</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Veldman</surname>
<given-names>Alex</given-names>
</name>
<xref ref-type="aff" rid="aff22">22</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>St. Ledger</surname>
<given-names>Katie</given-names>
</name>
<xref ref-type="aff" rid="aff21">21</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Pabinger</surname>
<given-names>Ingrid</given-names>
</name>
<xref ref-type="aff" rid="aff23">23</xref>
</contrib>
<contrib contrib-type="author">
<collab>for the AFFINITY Investigators</collab>
</contrib>
<aff id="aff1">
<label>1</label>
Department of Molecular Medicine and Haematology, Faculty of Health Sciences, University of the Witwatersrand, National Health Laboratory Service, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa;</aff>
<aff id="aff2">
<label>2</label>
Department of Hematology, Blood Neoplasms and Bone Marrow Transplantation, Wroclaw Medical University, Wroclaw, Poland;</aff>
<aff id="aff3">
<label>3</label>
Hemophilia Clinic, National Blood Centre, Kuala Lumpur, Malaysia;</aff>
<aff id="aff4">
<label>4</label>
Institute of Blood Pathology and Transfusion Medicine, National Academy of Medical Sciences of Ukraine, Lviv, Ukraine;</aff>
<aff id="aff5">
<label>5</label>
Kemerovo Regional Clinical Hospital, Kemerovo, Russia;</aff>
<aff id="aff6">
<label>6</label>
Perpetual Succour Hospital, Cebu, Philippines;</aff>
<aff id="aff7">
<label>7</label>
Krakow Medical Centre, Krakow, Poland;</aff>
<aff id="aff8">
<label>8</label>
Hemophilia and Thrombophilia Center, Rush University Medical Center, Chicago, IL;</aff>
<aff id="aff9">
<label>9</label>
Vivantes Clinic Friedrichshain, Berlin, Germany;</aff>
<aff id="aff10">
<label>10</label>
Institute of Experimental Haematology and Transfusion Medicine, University Clinic Bonn, Bonn, Germany;</aff>
<aff id="aff11">
<label>11</label>
Department of Hematology and Transplantation, Medical University of Gdansk, Gdansk, Poland;</aff>
<aff id="aff12">
<label>12</label>
A. Bianchi Bonomi Hemophilia and Thrombosis Center, IRCCS Ca’ Granda Foundation, Maggiore Hospital Policlinico, Milan, Italy;</aff>
<aff id="aff13">
<label>13</label>
Western Australian Centre for Thrombosis and Haemostasis, Murdoch University, Perth, Australia;</aff>
<aff id="aff14">
<label>14</label>
Van Creveldkliniek, University Medical Center Utrecht, Utrecht, The Netherlands;</aff>
<aff id="aff15">
<label>15</label>
Blood Center of Wisconsin and Medical College of Wisconsin, Milwaukee, WI;</aff>
<aff id="aff16">
<label>16</label>
Royal Perth Hospital, Perth, Australia;</aff>
<aff id="aff17">
<label>17</label>
Katharine Dormandy Haemophilia Centre and Thrombosis Unit, Royal Free Hospital, London, United Kingdom;</aff>
<aff id="aff18">
<label>18</label>
University of Texas Health Science Center and The Gulf States Hemophilia and Thrombophilia Center, Houston, TX;</aff>
<aff id="aff19">
<label>19</label>
Lebanon Department of Pediatrics, Hotel Dieu de France Hospital, Beirut, Lebanon;</aff>
<aff id="aff20">
<label>20</label>
Sanador SRL, Bucharest, Romania;</aff>
<aff id="aff21">
<label>21</label>
Clinical Research and Development, CSL Behring, King of Prussia, PA;</aff>
<aff id="aff22">
<label>22</label>
Clinical Research and Development, CSL Behring, Marburg, Germany; and</aff>
<aff id="aff23">
<label>23</label>
Clinical Division of Haematology and Haemostaseology, Medical Clinic I, Medical University Vienna, Vienna, Austria</aff>
</contrib-group>
<pub-date pub-type="ppub">
<day>4</day>
<month>8</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epreprint">
<day>21</day>
<month>6</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>4</day>
<month>8</month>
<year>2016</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on the . </pmc-comment>
<volume>128</volume>
<issue>5</issue>
<fpage>630</fpage>
<lpage>637</lpage>
<history>
<date date-type="received">
<day>05</day>
<month>1</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>02</day>
<month>6</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>© 2016 by The American Society of Hematology</copyright-statement>
<copyright-year>2016</copyright-year>
</permissions>
<self-uri xlink:title="pdf" xlink:type="simple" xlink:href="630.pdf"></self-uri>
<abstract abstract-type="executive-summary">
<title>Key Points</title>
<p>
<list list-type="bullet">
<list-item>
<p>rVIII-SingleChain is a novel rFVIII, designed to have high stability and high binding affinity for VWF.</p>
</list-item>
<list-item>
<p>In severe hemophilia A patients, rVIII-SingleChain was well tolerated and resulted in low bleeding rates, when dosed twice per week.</p>
</list-item>
</list>
</p>
</abstract>
<abstract>
<p>Recombinant VIII (rVIII)-SingleChain is a novel B-domain–truncated recombinant factor VIII (rFVIII), comprised of covalently bonded factor VIII (FVIII) heavy and light chains. It was designed to have a higher binding affinity for von Willebrand factor (VWF). This phase 1/3 study investigated the efficacy and safety of rVIII-SingleChain in the treatment of bleeding episodes, routine prophylaxis, and surgical prophylaxis. Participants were ≥12 years of age, with severe hemophilia A (endogenous FVIII <1%). The participants were allocated by the investigator to receive rVIII-SingleChain in either an on-demand or prophylaxis regimen. Of the 175 patients meeting study eligibility criteria, 173 were treated with rVIII-SingleChain, prophylactically (N = 146) or on-demand (N = 27). The total cumulative exposure was 14 306 exposure days (EDs), with 120 participants reaching ≥50 EDs and 52 participants having ≥100 EDs. Hemostatic efficacy was rated by the investigator as excellent or good in 93.8% of the 835 bleeds treated and assessed. Across all prophylaxis regimens, the median annualized spontaneous bleeding rate was 0.00 (Q1, Q3: 0.0, 2.4) and the median overall annualized bleeding rate (ABR) was 1.14 (Q1, Q3: 0.0, 4.2). Surgical hemostasis was rated as excellent/good in 100% of major surgeries by the investigator. No participant developed FVIII inhibitors. In conclusion, rVIII-SingleChain is a novel rFVIII molecule showing excellent hemostatic efficacy in surgery and in the control of bleeding events, low ABR in patients on prophylaxis, and a favorable safety profile in this large clinical study. This trial was registered at
<ext-link ext-link-type="uri" xlink:href="http://www.clinicaltrials.gov">www.clinicaltrials.gov</ext-link>
as #NCT01486927.</p>
</abstract>
<counts>
<page-count count="8"></page-count>
</counts>
<custom-meta-group>
<custom-meta>
<meta-name>access</meta-name>
<meta-value>free</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>

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