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Optimising prophylaxis in haemophilia A : The ups and downs of treatment

Berntorp, Erik (author)
Lund University,Lunds universitet,Klinisk koagulationsmedicin, Malmö,Forskargrupper vid Lunds universitet,Clinical Coagulation, Malmö,Lund University Research Groups
Hermans, Cédric (author)
Catholic University of Louvain
Solms, Alexander (author)
Bayer Pharma AG
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Poulsen, Lone (author)
Aarhus University Hospital
Mancuso, Maria Elisa (author)
Humanitas Research Hospital
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 (creator_code:org_t)
Elsevier BV, 2021
2021
English.
In: Blood Reviews. - : Elsevier BV. - 0268-960X. ; 50
  • Research review (peer-reviewed)
Abstract Subject headings
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  • The classical goals of haemophilia A treatment are to prevent bleeds, minimise the risk of long-term complications associated with joint damage, and improve quality of life by maintaining appropriate factor VIII [FVIII] levels. The dose and frequency of FVIII replacement therapies required to reduce bleeds is now known to vary amongst individuals, and may change for the same individual over time, meaning that a standardised dose and regimen may not provide optimal protection to all patients. Here we review the evolving treatment landscape for haemophilia A, and discuss how an increased understanding of the pharmacology and pharmacokinetics underlying FVIII replacement and non-factor replacement therapies could improve patient outcomes. We also review the strengths and weaknesses of current treatments and explore the benefits of personalised therapy and review how this may best be achieved with current treatment options. The key points of our review are summarised in this accompanying short video.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Hematologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Hematology (hsv//eng)

Keyword

Extended half-life factor VIII replacement therapy
Haemophilia A
Non-factor replacement therapy
Pharmacokinetics
Prophylaxis

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By the author/editor
Berntorp, Erik
Hermans, Cédric
Solms, Alexander
Poulsen, Lone
Mancuso, Maria E ...
About the subject
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Hematology
Articles in the publication
Blood Reviews
By the university
Lund University

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