Recombinant activated factor VII in the treatment of bleeding episodes in patients with inherited and acquired bleeding disorders

Transfus Med Rev. 1993 Apr;7(2):78-83. doi: 10.1016/s0887-7963(93)70126-1.

Abstract

The FVIII/FIX by-passing agent, rFVIIa, offers an alternative approach to the treatment of hemophilia patients as well as nonhemophiliacs with antibodies against FVIII/FIX. Such treatment can be administered regardless of the inhibitor titer in these patients, and rFVIIa is active hemostatically in hemophilia B patients also. It is easy to administer but seems to need repeated dosing at 2 to 3-hour intervals, at least initially, in patients with severe bleeding, with a dose of 70 to 100 micrograms/kg body weight required to induce hemostasis. Depending on the severity of the bleeding the dose intervals may be prolonged to every 3 hours for 1 to 2 days or until clinical improvement is observed. Thereafter, the dosage interval can be increased to every 4 hours if continued therapy is required.

Publication types

  • Review

MeSH terms

  • Blood Coagulation Disorders / complications
  • Blood Coagulation Disorders / drug therapy*
  • Factor VIIa / administration & dosage
  • Factor VIIa / adverse effects
  • Factor VIIa / therapeutic use*
  • Hemophilia A / complications
  • Hemophilia A / drug therapy
  • Hemorrhage / drug therapy
  • Hemorrhage / etiology
  • Humans
  • Recombinant Proteins / administration & dosage
  • Recombinant Proteins / adverse effects
  • Recombinant Proteins / therapeutic use

Substances

  • Recombinant Proteins
  • Factor VIIa