dc.creatorLentz S.R.
dc.creatorMisgav M.
dc.creatorOzelo M.
dc.creatorSalek S.Z.
dc.creatorVeljkovic D.
dc.creatorRecht M.
dc.creatorCerqueira M.
dc.creatorTiede A.
dc.creatorBrand B.
dc.creatorMancuso M.E.
dc.creatorSeremetis S.
dc.creatorLindblom A.
dc.creatorMartinowitz U.
dc.date2013
dc.date2015-06-25T19:18:32Z
dc.date2015-11-26T15:16:28Z
dc.date2015-06-25T19:18:32Z
dc.date2015-11-26T15:16:28Z
dc.date.accessioned2018-03-28T22:26:19Z
dc.date.available2018-03-28T22:26:19Z
dc.identifier
dc.identifierHaemophilia. , v. 19, n. 5, p. 691 - 697, 2013.
dc.identifier13518216
dc.identifier10.1111/hae.12159
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84883052880&partnerID=40&md5=47b07618d72b8e7c9df8e640f98aed3f
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/89758
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/89758
dc.identifier2-s2.0-84883052880
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1259262
dc.descriptionRecombinant factor VIII (rFVIII) products provide a safe and efficacious replacement therapy for prophylaxis and treatment of bleeding episodes in patients with severe haemophilia A. This multinational, open-label, non-controlled trial investigated the safety and efficacy of turoctocog alfa, a new rFVIII product. The primary objective was to evaluate safety. A total of 150 patients (24 adolescents and 126 adults) with severe haemophilia A (FVIII activity ≤1%), with at least 150 exposure days (EDs) to any FVIII product and no history of inhibitors were enrolled, and 146 patients (97%) completed the trial. All patients received prophylaxis with turoctocog alfa for approximately 6 months and had a mean of 85 EDs during the trial. None of the patients developed FVIII inhibitors, there were no indications of early FVIII inhibitor development and no safety concerns were identified. A total of 225 adverse events were reported in 100 (67%) patients, with the most common being events associated with dosing procedures, headaches, and nasopharyngitis. A total of 499 bleeding episodes were reported during the trial, the majority (89%) were controlled with 1-2 infusions of turoctocog alfa. Based on patient reports, the success rate (defined as 'excellent' or 'good' haemostatic response) for treatment of bleeding episodes was 81%. The overall median annualized bleeding rate was 3.7 (interquartile range: 8.7) bleeds/patient/year. In conclusion, turoctocog alfa provides a new, safe and effective alternative for prophylaxis and treatment of bleeding episodes in patients with haemophilia A. © 2013 John Wiley & Sons Ltd.
dc.description19
dc.description5
dc.description691
dc.description697
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dc.description(2011), EMA. Committee for medicinal products for human use (CHMP), guideline on the clinical investigation of recombinant and human plasma-derived factor VIII products, EMA/CHMP/BPWP/144533/2009(2010), WMA. Declaration of Helsinki - ethical principles for medical research involving human subjects(2010), ICH. Tripartite harmonised guideline: good clinical practice: consolidated guideline (E6)Giles, A.R., Verbruggen, B., Rivard, G.E., Teitel, J., Walker, I., A detailed comparison of the performance of the standard versus the Nijmegen modification of the Bethesda assay in detecting factor VIII:C inhibitors in the haemophilia A population of Canada. Association of Hemophilia Centre Directors of Canada. Factor VIII/IX Subcommittee of Scientific and Standardization Committee of International Society on Thrombosis and Haemostasis (1998) Thromb Haemost, 79, pp. 872-875
dc.descriptionVerbruggen, B., Novakova, I., Wessels, H., Boezeman, J., van den, B.M., Mauser-Bunschoten, E., The Nijmegen modification of the Bethesda assay for factor VIII:C inhibitors: improved specificity and reliability (1995) Thromb Haemost, 73, pp. 247-251
dc.descriptionKulkarni, R., Abdul Karim, F., Glamocanin, S., Results from a large multinational clinical trial (guardian 3) using prophylactic treatment with turoctocog alfa in paediatric patients with severe haemophilia A: safety, efficacy and pharmacokinetics (2013) Haemophilia, 19, pp. 698-705
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dc.descriptionLusher, J.M., Lee, C.A., Kessler, C.M., Bedrosian, C.L., The safety and efficacy of B-domain deleted recombinant factor VIII concentrate in patients with severe haemophilia A (2003) Haemophilia, 9, pp. 38-49
dc.descriptionRecht, M., Nemes, L., Matysiak, M., Clinical evaluation of moroctocog alfa (AF-CC), a new generation of B-domain deleted recombinant factor VIII (BDDrFVIII) for treatment of haemophilia A: demonstration of safety, efficacy, and pharmacokinetic equivalence to full-length recombinant factor VIII (2009) Haemophilia, 15, pp. 869-880
dc.descriptionSmith, M.P., Giangrande, P., Pollman, H., Littlewood, R., Kollmer, C., Feingold, J., A postmarketing surveillance study of the safety and efficacy of ReFacto (St Louis-derived active substance) in patients with haemophilia A (2005) Haemophilia, 11, pp. 444-451
dc.languageen
dc.publisher
dc.relationHaemophilia
dc.rightsfechado
dc.sourceScopus
dc.titleResults From A Large Multinational Clinical Trial (guardian™1) Using Prophylactic Treatment With Turoctocog Alfa In Adolescent And Adult Patients With Severe Haemophilia A: Safety And Efficacy
dc.typeArtículos de revistas


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