Eptacog beta for the management of patients with haemophilia A and B with inhibitors : A European perspective

© 2024 The Authors. Haemophilia published by John Wiley & Sons Ltd..

Eptacog beta (activated), a recombinant human factor VIIa (rFVIIa), was approved by the US Food and Drug Administration (FDA) in 2020 (SEVENFACT®, LFB & HEMA Biologics) and the European Medicines Agency (EMA) in 2022 (CEVENFACTA®, LFB). In Europe, eptacog beta is indicated for the treatment of bleeds and the prevention of bleeds during surgery or invasive procedures in adults and adolescents (≥12 years old) with congenital haemophilia A or B with high-titre inhibitors (≥5 BU) or with low-titre inhibitors who are expected to have a high anamnestic response to factor VIII or factor IX, or to be refractory to increased dosing of these factors. The efficacy and safety of eptacog beta were evaluated in three Phase III clinical studies, PERSEPT 1, 2 and 3. For the EMA filing dossier, the analysis of data from PERSEPT 1 and 2 differed from the analysis used to support the filing in the US. In this review, we summarise current data regarding the mode of action, clinical efficacy and safety of eptacog beta for the management of haemophilia A and B in patients with inhibitors from a European perspective. In addition to providing a valuable summary of the analyses of the clinical data for eptacog beta conducted for the EMA, our review summarises the potential differentiators for eptacog beta compared with other current bypassing agents.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:30

Enthalten in:

Haemophilia : the official journal of the World Federation of Hemophilia - 30(2024), 2 vom: 15. März, Seite 257-266

Sprache:

Englisch

Beteiligte Personen:

Miesbach, Wolfgang [VerfasserIn]
Carcao, Manuel [VerfasserIn]
Mahlangu, Johnny [VerfasserIn]
Dargaud, Yesim [VerfasserIn]
Jimenez-Yuste, Victor [VerfasserIn]
Hermans, Cédric [VerfasserIn]

Links:

Volltext

Themen:

AC71R787OV
EC 3.4.21.21
Eptacog alfa
Eptacog beta
Factor VIIa
Haemophilia A
Haemophilia B
Journal Article
Recombinant FVIIa
Recombinant Proteins
Review

Anmerkungen:

Date Completed 14.03.2024

Date Revised 14.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/hae.14944

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36806705X