The U.S. Food and Drug Administration yesterday approved Obizur
[Antihemophilic Factor (Recombinant), Porcine Sequence] for the
treatment of bleeding episodes in adults with acquired hemophilia A
(acquired Factor VIII [FVIII] deficiency).
Acquired hemophilia A
is a rare, but potentially life threatening, bleeding disorder caused by
the development of antibodies (immune system proteins) directed against
the body’s own FVIII, a protein important for blood clotting. When
FVIII is inactivated by these autoantibodies, a person’s blood doesn’t
clot normally, resulting in excessive bleeding that can occur
spontaneously or following an event such as injury or surgery.
Unlike
inherited hemophilia, acquired hemophilia A is not a genetic disorder
and affects both males and females. The development of acquired
hemophilia A has been related to other medical conditions or health
states, such as pregnancy, cancer, or the use of certain medications.
However, in about half of the cases, no underlying cause can be found.
Diagnosis of this condition can be difficult and the severity of the
bleeding can make treatment challenging.
Obizur contains a recombinant analogue of porcine (pig) FVIII.
Porcine FVIII is used because it is similar enough to human FVIII to be
effective in blood clotting, but is less likely to be affected by the
antibodies against human FVIII that are present in people with acquired
hemophilia A.
The safety and efficacy of Obizur was evaluated in a
clinical trial of 29 adults with acquired hemophilia A who received
Obizur to treat a serious bleeding episode. The trial demonstrated the
effectiveness of Obizur in the treatment of bleeding episodes. No safety
concerns were identified in the trial.
Obizur received orphan
drug designation by the FDA because the drug is intended for use in
treatment of a rare disease or condition.
Obizur is manufactured by Baxter Healthcare Corporation, Westlake Village, California.
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