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Thromb Haemost 2015; 113(01): 165-176
DOI: 10.1160/TH14-04-0332
New Technologies, Diagnostic Tools and Drugs
Schattauer GmbH

Half-life extension technologies for haemostatic agents

Pier Mannucci Mannuccio
1   Angelo Bianchi Bonomi Hemophilia and Thrombosis Center, IRCCS C� Grande Maggiore Policlinico Hospital Foundation, Milan, Italy
› Author Affiliations
Further Information

Publication History

Received: 11 April 2014

Accepted after minor revision: 27 August 2014

Publication Date:
27 November 2017 (online)

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Summary

The use of plasma-derived and recombinant coagulation factors for the treatment of haemophilia A and B is well established and permits patients to live a relatively normal life. In order to improve treatment options, several products are in development, which have a prolonged duration of action, thus enabling less frequent prophylactic dosing and aiming to reduce the burden of treatment. Several innovative approaches are being pursued to extend the half-life of factor VIIa, factor VIII and factor IX, utilising technologies such as Fc fusion, recombinant albumin fusion and addition of polyethyleneglycol (PEG) (PEG ylation). These methods prolong the time in the circulation by reducing degradation and elimination. This review summarises the technologies and products in development and their stages of development, and also discusses their pros and cons.

Keywords

Haemophilia - prolonged half-life - coagulation factors
 

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