A systematic overview of the first pasteurised VWF/FVIII medicinal product, Haemate P/ Humate -P: history and clinical performance.

Erik Berntorp, William Archey, Günter Auerswald, Augusto B. Federici, Massimo Franchini, Sigurd Knaub, Wolfhart Kreuz, Stefan Lethagen, Pier M. Mannucci, Hartmut Pollmann, Inge Scharrer, Keith Hoots

Research output: Contribution to journalArticle

Abstract

Patients with von Willebrand disease (VWD) and haemophilia A (HA) lack, to varying degrees, the von Willebrand factor (VWF) and coagulation factor VIII (FVIII) that are critical for normal haemostasis. These conditions in turn make patients prone to uncontrolled bleeding. Historically, patients with severe forms of VWD or HA were crippled before adulthood and their life expectancy was significantly reduced. Over the past decades, specific coagulation factor replacement therapies including Haemate P, have been developed to help patients achieve and maintain normal haemostasis. Haemate P is a human, plasma-derived VWF/FVIII medicinal product, which was first licensed in Germany in 1981 for the treatment of HA-associated bleeding. It has since then come to be accepted as the gold standard for both the treatment and prophylaxis of bleeding in VWD, especially in cases where desmopressin [1-deamino-8-D-arginine vasopressin (DDAVP)] has been ineffective. Haemate P was the first effectively virus-inactivated (pasteurisation: 60 degrees C for 10 h in aqueous solution) FVIII product, whereby the risk of potentially threatening infective complications of plasma-derived products was reduced. Haemate P was also shown to have a VWF multimer profile remarkably close to that of normal plasma. This bibliographic review presents previously unpublished clinical data of Haemate P, based upon internal clinical study reports of the proprietor, CSL Behring, in addition to data already presented in other publications. The data demonstrate a predictable and well-characterised pharmacokinetic profile, and a proven record of short- and long-term safety, while effectively correcting the haemostatic defects in VWD and HA. Recently available data have also shown Haemate P to be of haemostatic value in exceptional clinical circumstances including surgical interventions. By virtue of its plasma-derived combination of VWF and FVIII, in addition to its high VWF:FVIII content ratio (2.4:1), Haemate P is also associated with successful immune tolerance induction in those patients developing inhibitor antibodies. Although the theoretical risk of thromboembolic complications does exist while receiving Haemate P, as it does with any FVIII replacement therapy, the incidence of such complications has remained notably low. Given the robust data that have accumulated for the use of Haemate P, dosing recommendations are also described in this review; the recommendations are tailored to patient-specific contexts including baseline VWF and FVIII levels in plasma and the type of surgical intervention being undertaken. A wide variety of studies have also provided data on paediatric and geriatric populations, all of which have suggested that Haemate P can be safely and effectively used in a wide variety of clinical circumstances.

Original languageEnglish
Pages (from-to)3-35
Number of pages33
JournalEuropean Journal of Haematology, Supplement
Issue number70
Publication statusPublished - May 2008

Fingerprint

History
Hemophilia A
von Willebrand Diseases
Factor VIII
Deamino Arginine Vasopressin
von Willebrand Factor
Hemostatics
Hemorrhage
factor VIII, von Willebrand factor drug combination
human F8 protein
Hemostasis
Type 3 Von Willebrand's Disease
Pasteurization
Immune Tolerance
Blood Coagulation Factors
Therapeutics
Life Expectancy
Geriatrics
Germany
Pharmacokinetics

ASJC Scopus subject areas

  • Hematology

Cite this

Berntorp, E., Archey, W., Auerswald, G., Federici, A. B., Franchini, M., Knaub, S., ... Hoots, K. (2008). A systematic overview of the first pasteurised VWF/FVIII medicinal product, Haemate P/ Humate -P: history and clinical performance. European Journal of Haematology, Supplement, (70), 3-35.

A systematic overview of the first pasteurised VWF/FVIII medicinal product, Haemate P/ Humate -P : history and clinical performance. / Berntorp, Erik; Archey, William; Auerswald, Günter; Federici, Augusto B.; Franchini, Massimo; Knaub, Sigurd; Kreuz, Wolfhart; Lethagen, Stefan; Mannucci, Pier M.; Pollmann, Hartmut; Scharrer, Inge; Hoots, Keith.

In: European Journal of Haematology, Supplement, No. 70, 05.2008, p. 3-35.

Research output: Contribution to journalArticle

Berntorp, E, Archey, W, Auerswald, G, Federici, AB, Franchini, M, Knaub, S, Kreuz, W, Lethagen, S, Mannucci, PM, Pollmann, H, Scharrer, I & Hoots, K 2008, 'A systematic overview of the first pasteurised VWF/FVIII medicinal product, Haemate P/ Humate -P: history and clinical performance.', European Journal of Haematology, Supplement, no. 70, pp. 3-35.
Berntorp, Erik ; Archey, William ; Auerswald, Günter ; Federici, Augusto B. ; Franchini, Massimo ; Knaub, Sigurd ; Kreuz, Wolfhart ; Lethagen, Stefan ; Mannucci, Pier M. ; Pollmann, Hartmut ; Scharrer, Inge ; Hoots, Keith. / A systematic overview of the first pasteurised VWF/FVIII medicinal product, Haemate P/ Humate -P : history and clinical performance. In: European Journal of Haematology, Supplement. 2008 ; No. 70. pp. 3-35.
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