Antihemophilic Factor VIII, recombinant (Kovaltry)


FDA Approved Indications:
  • Indicated for use in adults and children with hemophilia A (congenital Factor VIII deficiency) for:
    • On-demand treatment and control of bleeding episodes
    • Perioperative management of bleeding
    • Routine prophylaxis to reduce the frequency of bleeding episodes
Patients must meet the following criteria for the indications above:
  • On-demand treatment, perioperative management or routine prophylaxis for patients with hemophilia A
  • Patient does not have a known hypersensitivity to mouse or hamster proteins
  • Control of bleeding episodes and perioperative management:
    • Required dose (IU) = body weight (kg) x desired Factor VIII rise (% of normal or IU/dL) x reciprocal of expected/observed recovery (e.g., 0.5 for a recovery of 2 IU/dL per IU/kg)
    • Estimated Increment of Factor VIII (IU/dL or % of normal) = [Total Dose (IU)/body weight (kg) x 2 (IU/dL per IU/kg)
  • Routine prophylaxis:
    • Adults and adolescents: 20-40 IU/kg 2 or 3 times per week
    • Children less than or equal to 12 years old: 25-50 IU/kg 2 times per week, 3 times per week, or every other day
  • 1 year

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