Antihemophilic Factor VIII, recombinant (Kovaltry)
OFFICE ADMINISTRATION
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
Dosing:
- 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
Approval:
- 1 year