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October, 2026
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Wolfgang Miesbach: 5-Year CBDR Data Confirms Emicizumab Safety and Efficacy in Hemophilia A
Oct 16, 2026, 12:49

Wolfgang Miesbach: 5-Year CBDR Data Confirms Emicizumab Safety and Efficacy in Hemophilia A

Wolfgang Miesbach, Head of Hemostasis/Hemophilia Center at Medical Clinic 2 at University Hospital Frankfurt, shared a post on LinkedIn:

“Five years of real-world emicizumab data, and a question that goes well beyond emicizumab.

Long-term data from the Canadian Bleeding Disorders Registry: 710 people with haemophilia A, followed for up to five years:

  • Mean ABR fell from 1.00 to 0.47
  • 61.8% had no recorded bleed
  • Two thrombotic events, no TMA, no new safety signal
  • These results are reassuring and consistent with HAVEN.

But the baseline matters: most patients started from an ABR of 1.0 on FVIII prophylaxis.

As Cedric Hermans argues in the accompanying commentary, ABR is approaching its floor.

Halving a rate that is already close to zero tells us less and less about how one effective therapy differs from another.

Congratulations to the CBDR team and Alfonso Iorio.”

Title: Long-term experience with emicizumab in people with hemophilia A in the Canadian Bleeding Disorders Registry

Authors: Alfonso Iorio, Federico Germini, Quazi Ibrahim, Arun Keepanasseril, Davide Matino, Emma Iserman, Adrienne Lee, Letizia Polito, Katya Moreno,
Michelle Santos, Man-Chiu Poon

Wolfgang Miesbach

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