New Treatment Modalities in Hemophilia

Hemophilia is a single gene disorder and as a genetical coagulation system problem it is a life-long bleeding disorder. Even though routine treatment modalities as plasma-derived and then recombinant factor concentrates available for last 50 years, unmet needs is continuing for hemophilia therapy....

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Main Author: Kaan Kavaklı
Format: Article
Language:English
Published: Aydın Pediatric Society 2022-03-01
Series:Trends in Pediatrics
Subjects:
Online Access:https://trendspediatrics.com/article/view/42
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author Kaan Kavaklı
author_facet Kaan Kavaklı
author_sort Kaan Kavaklı
collection DOAJ
description Hemophilia is a single gene disorder and as a genetical coagulation system problem it is a life-long bleeding disorder. Even though routine treatment modalities as plasma-derived and then recombinant factor concentrates available for last 50 years, unmet needs is continuing for hemophilia therapy. Gold standart treatment is regularly prophylactic FVIII/FIX infusions. However, life-long and frequent intra-venous infusions become medical burden for patients and families. New agents as enhanced half-life (EHL) factor concentrates and non-factor therapies which are able to be used subcutaneously are very hopeful. In this review, EHL factor concentrates, FVIII mimetic agents and re-balancing therapies will be discussed. Although celluler gene therapy is very hopeful and successful phase-3 studies are reported, gene therapy for hemophilia will not be mentioned in this review.
format Article
id doaj-art-87f68f58d9f74d6fb9822e1cb8c0a203
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issn 2792-0429
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publishDate 2022-03-01
publisher Aydın Pediatric Society
record_format Article
series Trends in Pediatrics
spelling doaj-art-87f68f58d9f74d6fb9822e1cb8c0a2032025-08-20T03:12:24ZengAydın Pediatric SocietyTrends in Pediatrics2792-04292022-03-013110.4274/TP.2022.03521New Treatment Modalities in HemophiliaKaan Kavaklı0https://orcid.org/0000-0003-1174-1958Ege University Children Hospital, Clinic of Hematology, İzmir, Turkey Hemophilia is a single gene disorder and as a genetical coagulation system problem it is a life-long bleeding disorder. Even though routine treatment modalities as plasma-derived and then recombinant factor concentrates available for last 50 years, unmet needs is continuing for hemophilia therapy. Gold standart treatment is regularly prophylactic FVIII/FIX infusions. However, life-long and frequent intra-venous infusions become medical burden for patients and families. New agents as enhanced half-life (EHL) factor concentrates and non-factor therapies which are able to be used subcutaneously are very hopeful. In this review, EHL factor concentrates, FVIII mimetic agents and re-balancing therapies will be discussed. Although celluler gene therapy is very hopeful and successful phase-3 studies are reported, gene therapy for hemophilia will not be mentioned in this review. https://trendspediatrics.com/article/view/42HemophiliaFVIIIFIXEHL-productsemicizumabfitusuran
spellingShingle Kaan Kavaklı
New Treatment Modalities in Hemophilia
Trends in Pediatrics
Hemophilia
FVIII
FIX
EHL-products
emicizumab
fitusuran
title New Treatment Modalities in Hemophilia
title_full New Treatment Modalities in Hemophilia
title_fullStr New Treatment Modalities in Hemophilia
title_full_unstemmed New Treatment Modalities in Hemophilia
title_short New Treatment Modalities in Hemophilia
title_sort new treatment modalities in hemophilia
topic Hemophilia
FVIII
FIX
EHL-products
emicizumab
fitusuran
url https://trendspediatrics.com/article/view/42
work_keys_str_mv AT kaankavaklı newtreatmentmodalitiesinhemophilia