Afstyla (antihemophilic factor VIII recomb,single-chn,B-dom truncated)
Antihemophilic Products Intravenous Vial (Ea)
Last reviewed · Source: First Databank (FDB) drug data
Overview
Antihemophilic factor (recombinant), single chain is a recombinant preparation of blood coagulation factor VIII consisting of a single polypeptide chain with a truncated B-domain with covalent linkage between factor VIII heavy and light chains.
Antihemophilic factor (recombinant), single chain is a recombinant preparation of blood coagulation factor VIII consisting of a single polypeptide chain with a truncated B-domain with covalent linkage between factor VIII heavy and light chains. Covalent linkage between the heavy and light chains maintains a single-chain structure that enhances molecular stability and von Willebrand factor (VWF) affinity. With the exception of a novel N-glycosylation site at the heavy-light chain junction, post-translational modifications are comparable to those of endogenous factor VIII.
Antihemophilic factor (recombinant), single chain is produced by recombinant DNA technology in Chinese hamster ovary (CHO) cells and undergoes a series of purification and viral reduction processes. No human- or animal-derived proteins are used in the purification or formulation processes. Compared with plasma-derived antihemophilic factor preparations, recombinant preparations of antihemophilic factor are associated with a substantially reduced risk of transmission of bloodborne human viruses (e.g., human immunodeficiency virus (HIV), hepatitis A virus (HAV), hepatitis B virus (HBV), hepatitis C virus (HCV)).
Following administration of the first 50-unit/kg dose of antihemophilic factor (recombinant), single chain given as an IV injection in previously treated adults and adolescents, the half-life of the drug was 14.2 hours in adults and 14.3 hours in adolescents (>=12 to <18 years of age). The pharmacokinetic profile obtained 3-6 months after the initial assessment was comparable with the pharmacokinetic profile obtained after the first dose. In previously treated children >=6 to <12 years of age and children 0 to <6 years of age, the half-life of the drug was 10.2 hours, and 10.4 hours, respectively, following administration of a single 50-unit/kg dose of drug.
USES: This medication is used to control and prevent bleeding episodes in people with low levels of factor VIII (hemophilia A). It is also used in these patients before surgery to prevent bleeding. People with low factor VIII levels are at risk for bleeding longer after an injury/surgery and for bleeding inside the body (especially into the joints and muscles).
This product contains a man-made form of factor VIII, also called antihemophilic factor. This product is used to temporarily replace the missing factor VIII, a protein (clotting factor) that is normally in the blood, so that the blood can clot and the bleeding can stop. This medication should not be used to treat von Willebrand disease.
Generic name: antihemophilic factor VIII recomb,single-chn,B-dom truncated
Pronunciation: (AN-tye-HEE-moe-FIL-ik FAK-tor, ree-KOM-bi-nant)
Drug class: Antihemophilic Products
Therapeutic class: Hematological Agents
Reference product & biosimilars
No reference, biosimilar or interchangeable associated with this drug.
Today’s intelligence on Afstyla
Indications
The following indications are listed for Afstyla:
- Bleeding Episode In Hemophilia A
- Bleeding Prevention In Hereditary Factor Viii Deficiency
- Hemophilia A
Also known as: Bleeding Prevention In Classic Hemophilia, Bleeding Prevention In Congenital Factor Viii Deficiency, Bleeding Prevention In Hemophilia A, Bleeding Prophylaxis In Hemophilia A, Congenital Factor Viii Deficiency Disease, Hemorrhage Prophylaxis In Hemophilia A, Hemorrhaging In Hemophilia A, Prevention Of Bleeding Episode In Hemophilia A.
Dosing
No dosing information is available for this tab.
No dosing information is available for this tab.
No dosing information is available for this tab.
No dosing information is available for this tab.
Drug interactions
There is no enhanced messaging for this drug.
There are no contraindication interactions for this drug.
There are no severe interactions for this drug.
There are no moderate interactions for this drug.
Contraindications
*Life-threatening hypersensitivity reactions, including anaphylaxis to antihemophilic factor (recombinant), single chain or its excipients, or hamster proteins.
There are no contraindication contraindications for this drug.
There are no severe contraindications for this drug.
- No disease contraindications
Adverse reactions
The most common adverse reactions (>0.5%) reported with antihemophilic factor (recombinant), single chain in clinical studies were factor VIII inhibition in PUPs, dizziness, and hypersensitivity.
Less Frequent
- Allergic dermatitis
- Anaphylaxis
- Angioedema
- Dyspnea
- Erythema
- Fibrinogen excess
- Skin rash
- Thrombotic disorder
- Urticaria
Rare or Very Rare
- Acute myocardial infarction
- Cerebrovascular accident
- Chest tightness
- Disseminated intravascular coagulation
- Hemolytic anemia
- Hypersensitivity drug reaction
- Hypertension
- Injection site infection
- Pulmonary thromboembolism
- Thromboembolic disorder
- Wheezing
More Frequent
- Dizziness
- Fever
- Headache disorder
- Injection site sequelae
- Nausea
Less Frequent
- Chest discomfort
- Chills
- Drowsy
- Dyspepsia
- Flushing
- Insomnia
- Lethargy
- Pruritus of skin
- Upper respiratory infection
- Vomiting
Rare or Very Rare
- Acute abdominal pain
- Cough
- Diarrhea
- Dysgeusia
- Fatigue
- Hypotension
- Paresthesia
- Sensation of warmth
- Tachycardia
Precautions
No enhanced messaging available.
Safety and efficacy have been evaluated in 98 PTPs <18 years of age and in 24 PUPs <=5 years of age receiving antihemophilic factor (recombinant), single chain. Studies included 14 patients 12 to 18 years of age. A separate pediatric safety and efficacy study enrolled 35 patients 0 to <6 years of age and 49 patients >=6 to <12 years of age.
Clearance (based on per kg body weight) has been shown to be higher in the pediatric population (0 to <12 years of age); therefore, more frequent or higher doses of antihemophilic factor (recombinant), single chain based on body weight may be needed.
There are no adequate data regarding use of antihemophilic factor (recombinant), single chain in pregnant women.
It is not known whether antihemophilic factor (recombinant), single chain is distributed into human milk, or if the drug has any effects on the breastfed infant or on milk production.
Clinical studies of antihemophilic factor (recombinant), single chain did not include patients over 65 years of age to determine whether or not they respond differently from younger patients.
ICD codes
| Code | Type | Description |
|---|---|---|
| Bleeding episode in hemophilia A | ||
| D66 | ICD10CM | Hereditary factor VIII deficiency |
| Z14.02 | ICD10CM | Symptomatic hemophilia A carrier |
| Bleeding prevention in hereditary factor VIII deficiency | ||
| D66 | ICD10CM | Hereditary factor VIII deficiency |
| Hemophilia A | ||
| D66 | ICD10CM | Hereditary factor VIII deficiency |
| Z14.02 | ICD10CM | Symptomatic hemophilia A carrier |
ICD code information from First Databank (FDB).
Formulary status
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Last reviewed · Source: First Databank (FDB) drug data
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