What is the role of an extended half-life product in immune tolerance induction in a patient with severe hemophilia A and high-titer inhibitors?

Author:

Janbain Maissaa1,Pipe Steven2

Affiliation:

1. Section of Hematology and Medical Oncology, Department of Internal Medicine, Tulane School of Medicine, New Orleans, LA;

2. Division of Pediatric Hematology and Oncology, University of Michigan, Ann Arbor, MI

Abstract

Abstract A 10-year-old boy presents with a history of severe hemophilia A and high-titer inhibitor that had failed high-dose immune tolerance induction (ITI) with a recombinant factor VIII (rFVIII) product and a plasma-derived FVIII product. You are asked by his mother whether he should be tried on ITI with an extended half-life product, in particular, consideration of a rFVIIIFc concentrate.

Publisher

American Society of Hematology

Subject

Hematology

Reference12 articles.

1. Kasper CK . Diagnosis and management of inhibitors to factors VIII and IX. An introductory discussion for physicians. Montréal, Québec: World Federation of Hemophilia, September 2004. Treatment of Hemophilia Monograph Series. No. 34. Available at: http://www1.wfh.org/publication/files/pdf-1178.pdf. Accessed 27 September 2016.

2. ITI choice for the optimal management of inhibitor patients - from a clinical and pharmacoeconomic perspective;Oldenburg;Haemophilia,2014

3. New predictive approaches for ITI treatment;Minno;Haemophilia,2014

4. Immunogenicity of long-lasting recombinant factor VIII products;Ing;Cell Immunol,2016

5. Effect of von Willebrand factor on inhibitor eradication in patients with severe haemophilia A: a systematic review;van Velzen;Br J Haematol,2014

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