View the data for Esperoct® (antihemophilic factor [recombinant], glycopegylated-exei). View online
Important Safety Information  |  Prescribing Information
esperoct® antihemophilic factor (recombinant), glycopegylated-exei
Esperoct® is indicated for on-demand treatment and control of bleeding episodes, perioperative bleed management, and routine prophylaxis in adults and children with hemophilia A.
Imagine your severe hemophilia A patients at mild levels.
Adolescents and adults with severe hemophilia A treated prophylactically with 50 IU/kg of Esperoct® every 3 to 4 days may be able to achieve factor levels associated with mild hemophilia A approximately 95% of the time based on PK modeling data.b
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aThe World Federation of Hemophilia defines the percentage of normal factor activity in blood in mild hemophilia as 5% - 40%; in moderate hemophilia as 1% - 5%; and of severe hemophilia as >1%.
bBased on PK modeling from PK assessments that were obtained from 8 previously treated patients (PTPs) aged ≥18 years with severe hemophilia A who participated in a Phase 1 open-label study, 23 PTPs aged ≥12 years with severe hemophilia A who participated in a Phase 3 open-label study, and 18 PTPs aged ≥18 years with severe hemophilia A who participated in a Phase 1 double-blind study; all received routine prophylaxis (50 IU/kg every 4 days). All PK assessments were based on a 50 IU/kg dose.1
Keep scrolling for pharmacokinetic (PK) predictions for children <12.
Selected Important Safety Information
Contraindications
  • Do not use in patients who have known hypersensitivity to Esperoct® or its components, including hamster proteins
Warnings and Precautions
  • Hypersensitivity reactions, including anaphylaxis, may occur. Should hypersensitivity reactions occur, discontinue Esperoct® and administer appropriate treatment
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What if your pediatric patients could achieve moderate levels?
Children ages 0-11 years with severe hemophilia A treated prophylactically with ~60 IU/kg of Esperoct® every 3 to 4
days may be able to achieve factor levels associated
with moderate hemophilia A ~98% of the time.c
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cBased on PK modeling from PK assessments that were obtained from 24 previously treated children (13 aged 0-5 years and 11 aged 6-11 years) with severe hemophilia A who participated in a Phase 3, open-label study; all received an average dose of approximately 60 IU/kg twice weekly. All PK assessments were based on a 50 IU/kg dose.
 
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Indications and Usage
Esperoct® [antihemophilic factor (recombinant), glycopegylated-exei] is indicated for use in adults and children with hemophilia A for on-demand treatment and control of bleeding episodes, perioperative management of bleeding, and routine prophylaxis to reduce the frequency of bleeding episodes
  • Esperoct® is not indicated for the treatment of von Willebrand disease
Important Safety Information (cont’d)
Warnings and Precautions
  • Development of neutralizing antibodies (inhibitors) has occurred. Perform an assay that measures Factor VIII inhibitor concentration if bleeding is not controlled with the recommended dose of Esperoct® or if the expected plasma Factor VIII activity levels are not attained
Adverse Reactions
  • The most frequently reported adverse reactions in clinical trials (≥1%) were rash, redness, itching (pruritus), and injection site reactions
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References
  1. Chowdary P, Carcao M, Holme P, et al. Fixed doses of N8-GP prophylaxis maintain moderate-to-mild Factor VIII levels in the majority of patients with severe hemophilia A. Res Pract Thromb Haemost. 2019;00:1-13.
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