For Hemophilia A
Synthetic factor VIII made using recombinant DNA technology. First-line for Hemophilia A. Brands include Advate, Kogenate, Eloctate (extended half-life).
For Hemophilia B
Synthetic factor IX product. Preferred in Hemophilia B. Extended half-life versions (e.g., Alprolix, Idelvion) reduce infusion frequency.
Alternative for Hemophilia A or B
Made from donated human plasma. May carry a small risk of viral transmission. Includes von Willebrand factor in some formulations.
For Hemophilia A (with or without inhibitors)
A bispecific monoclonal antibody that mimics factor VIII function. Administered subcutaneously, typically weekly or every 2–4 weeks. Reduces bleeding episodes significantly.
For Hemophilia A or B with inhibitors
Promotes clot formation independently of factor VIII or IX. Used for acute bleeding or surgery. Brand: NovoSeven.
For Hemophilia A or B with inhibitors
Contains activated clotting factors that bypass the need for factor VIII/IX. Used in on-demand or prophylactic regimens. Brand: FEIBA.
For mild Hemophilia A
Stimulates release of stored factor VIII and von Willebrand factor. Administered IV or intranasally. Not useful for Hemophilia B or severe cases.
Supportive
Prevents breakdown of clots. Useful in mucosal bleeding, dental procedures, or menorrhagia. Often used alongside other therapies.
For Hemophilia B
FDA-approved gene therapy delivering a functional copy of the factor IX gene via an AAV vector. One-time IV infusion. May reduce/eliminate need for further factor therapy.
For Hemophilia A
Experimental gene therapy using an AAV5 vector to deliver factor VIII gene. Demonstrates long-term FVIII expression in some patients.
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