- |||||||||| Hemlibra (emicizumab-kxwh) / Roche, concizumab (NN7415) / Novo Nordisk, fitusiran (ALN-AT3) / Sanofi, Alnylam
Review, Journal: The Implication of New Developments in Hemophilia Treatment on Its Laboratory Evaluation. (Pubmed Central) - Nov 18, 2022 For measuring modified long-acting coagulation factors, chromogenic assays will be probably more suitable than one-stage clotting assays. Novel drugs that are not based on coagulation factors, such as emicizumab, fitusiran, or concizumab, will require alternative methods.
- |||||||||| SUBCUTANEOUS TREATMENT MODALITIES IN HEMOPHILIA CARE IN 2022 () - Oct 16, 2022 - Abstract #EHOC2022EHOC_55;
These therapies are all designed to be given subcutaneously and at relatively infrequent intervals and thus reducing the treatment burden. The aim of our presentation is to shed the light on different families of "non-factor therapies": bispecific monoclonal antibody like emicizumab (approved and available to clinicians for the subcutaneous treatment of hemophilia A) and MIM8 (under investigation), rebalancing agents like fitusiran (an antithrombin inhibitor) and the anti-TFPI (Tissue Factor Pathway Inhibitor) antibodies, as marstacimab or concizumab.
- |||||||||| Hemlibra (emicizumab-kxwh) / Roche, concizumab (NN7415) / Novo Nordisk, fitusiran (ALN-AT3) / Sanofi, Alnylam
Review, Journal: Non-factor therapies for bleeding disorders: A primer for the general haematologist. (Pubmed Central) - Sep 3, 2022 We review the available trial data, unanswered questions and challenges associated with these new treatment modalities. Finally, we provide practical management algorithms to aid the general haematologist when faced with a patient receiving emicizumab who requires surgery or may develop bleeding.
- |||||||||| Hemlibra (emicizumab-kxwh) / Roche, concizumab (NN7415) / Novo Nordisk, fitusiran (ALN-AT3) / Sanofi, Alnylam
Review, Journal: Progress of Non-Factor Products in Hemophilia Treatment--Review (Pubmed Central) - Aug 28, 2022 The emergence of non-factor therapy brings new hope for the treatment of patients with inhibitor. Non-factor products mainly achieve therapeutic purpose by imitating the function of coagulation factor Ⅷ, inhibiting the function of anti-tissue factor pathway inhibitors, the expression of antithrombin mRNA, and the function of activated protein C. This paper reviews the latest research progress of non-factor products in the treatment of hemophilia.
- |||||||||| Review, Journal, IO biomarker: The Vascular Endothelium and Coagulation: Homeostasis, Disease, and Treatment, with a Focus on the Von Willebrand Factor and Factors VIII and V. (Pubmed Central) - Aug 22, 2022
Monoclonal-antibody-based anti-vWF immunotherapy (caplacizumab) is used in the context of severe thrombophilia, regardless of the cause of the disorder. In cases of disseminated intravascular coagulation, the treatment of choice consists in administration of antifibrinolytics, all-trans-retinoic acid, and recombinant soluble human thrombomodulin.
- |||||||||| Review, Journal: Current and future therapies for haemophilia-Beyond factor replacement therapies. (Pubmed Central) - Jul 27, 2022
Furthermore, monitoring of the haemostatic function of these products with concomitant therapy is also required in clinical practice. These products have promising haemostatic efficiency, but wider clinical experience is needed to provide optimal therapeutic strategies in the future.
- |||||||||| Hemlibra (emicizumab-kxwh) / Roche, concizumab (NN7415) / Novo Nordisk
Review, Journal: Thrombin generation for monitoring hemostatic therapy in hemophilia A: a narrative review. (Pubmed Central) - Apr 23, 2022 In addition, TGAs offer the opportunity to determine the response to bypassing agents (BPAs) and treatment with non-factor replacement therapy, where FVIII activity assays are not suitable for monitoring. This review summarizes the current knowledge about monitoring different HA treatment modalities by TGA, as single treatment option and when used in a concomitant fashion.
- |||||||||| Hemlibra (emicizumab-kxwh) / Roche, concizumab (NN7415) / Novo Nordisk, fitusiran (ALN-AT3) / Sanofi, Alnylam
Journal: Monitoring of new therapies for hemophilia. (Pubmed Central) - Feb 4, 2022 So far, laboratory monitorization has not been an obligate condition for the use of these novel therapies, though in some cases like their combination with bypassing agents to control breakthrough/surgical bleeds may seek for laboratory assays to ensure a well tolerated and effective utilization withing these special scenarios. In the next pages, application of global coagulation assays, for example, thrombinography or rotational thrombelastography will be referred looking to the works of some groups from around the world including our own experience.
- |||||||||| concizumab (NN7415) / Novo Nordisk
MINOR SURGERIES IN PATIENTS RECEIVING PROPHYLAXIS WITH CONCIZUMAB: EXPERIENCE IN OUR CENTER ([VIRTUAL]) - Jan 28, 2022 - Abstract #EAHAD2022EAHAD_282; P2, P3 Rurioctocog alfa pegol (Adynovate®) 20 IU/kg was administered one hour before surgery and was repeated at 24 and 48 hours, maintaining the daily prophylaxis with concizumab. Our data indicate that concizumab combined with low-dose FVIII is effective and offers a good safety profile for controlling bleeding in patients with severe HA subjected to prophylaxis with concizumab and undergoing minor surgery.
- |||||||||| Hemlibra (emicizumab-kxwh) / Roche, concizumab (NN7415) / Novo Nordisk, fitusiran (ALN-AT3) / Sanofi, Alnylam
THROMBOSIS AND THE NOVEL HAEMOPHILIA THERAPIES ([VIRTUAL]) - Jan 28, 2022 - Abstract #EAHAD2022EAHAD_100; These events remind us that there is not currently a solid conceptual framework for predicting such events, or understanding how to use the novel products in concert with other agents. I will highlight potential mechanisms of thrombosis in these settings and areas where additional research is needed.
- |||||||||| Hemlibra (emicizumab-kxwh) / Roche, concizumab (NN7415) / Novo Nordisk, fitusiran (ALN-AT3) / Sanofi, Alnylam
Review, Journal: Advances in the management of haemophilia: emerging treatments and their mechanisms. (Pubmed Central) - Nov 24, 2021 These therapies carry the potential of revolutionising haemophilia treatment by alleviating the current challenges presented by mainstay factor replacement. This review will provide an overview of the key trial findings related to novel therapies based on the mechanisms described above.
- |||||||||| Hemlibra (emicizumab-kxwh) / Roche, concizumab (NN7415) / Novo Nordisk
Review, Journal, Adverse events: Post-authorization pharmacovigilance for hemophilia in Europe and the USA: Independence and transparency are keys. (Pubmed Central) - Nov 21, 2021 This challenge is relevant for hemophilia drugs, after recent advances offered innovative replacement and non-replacement medicines that warrant monitoring due to the occurrence of predicted but also unexpected and rare ADRs. This article contains an overview of pharmacovigilance systems in the European Union and USA, describing the main ADRs related to traditional and recently available hemophilia medications and suggests how to involve stakeholders other than marketing authorization holders for an independent and transparent pharmacovigilance targeted to detect not only early ADRs but also those emerging post-marketing.
- |||||||||| Hemlibra (emicizumab-kxwh) / Roche, concizumab (NN7415) / Novo Nordisk, fitusiran (ALN-AT3) / Sanofi, Alnylam
Journal: Thrombosis and novel hemophilia therapies: the fine line between clotting and bleeding. (Pubmed Central) - Nov 4, 2021 It is not only the total amount of active thrombin produced that determines the effectiveness of hemostasis but also how thrombin generation is regulated. Therefore, it is currently difficult to predict how these new agents will interact with other perturbations or therapeutic manipulations of the coagulation system.
- |||||||||| concizumab (NN7415) / Novo Nordisk, befovacimab (BAY 1093884) / Bayer, marstacimab (PF-06741086) / Pfizer
Review, Journal: Progress in the Development of Anti-tissue Factor Pathway Inhibitors for Haemophilia Management. (Pubmed Central) - May 25, 2021 The anti-TFPIs have several advantages, including their bioavailability when administered subcutaneously, their stable pharmacokinetics and their ability to prevent bleeds in haemophilia A or B patients with and without inhibitors. Whether these advantages can be realized will depend on the outcome of the currently ongoing studies.
- |||||||||| concizumab (NN7415) / Novo Nordisk
Journal: Concizumab: a novel anti-TFPI therapeutic for hemophilia. (Pubmed Central) - May 15, 2021 On the basis of phase 2 results, the US Food and Drug Administration granted concizumab Breakthrough Therapy designation for hemophilia B with inhibitor patients, a rare and vulnerable patient subgroup that currently has the highest unmet medical need. In the ongoing concizumab phase 3 trials, an optimized dosing regimen will be administered in patients with hemophilia A or B with and without inhibitors.
|