IgG-Fc Fusion Proteins and Immunomodulation: What Does the Science Tell Us?
Introduction/Overview
Biology of Immunoglobulin G
Fc Fused-FVIII: Immunomodulation and Tolerogenics
rFVIIIFc: Reduced Immunogenicity and Induction of Tolerance in Hemophilia A Mice
Fc Fusion Proteins and Neonatal Exposure
Fc Fusion of FVIII and Half-Life Prolongation
PEGylation of FVIII and Half-Life Prolongation
PEGylated FVIII: Immunomodulation and Tolerogenics
rVIII-SingleChain (CSL627) and Half-Life Prolongation
The Impact of Modified Pharmacokinetics of EHL Agents on Clinical Practice
Safety/Efficacy Data Supporting the Benefits of EHL Agents in Hem-A
FVIII Fc Fusion Protein (rFVIIIFc): A-LONG Study Design
FVIII Activity vs Time Profile for EHL rFVIIIFc and Standard rFVIII: A-LONG
FVIII Fc Fusion Protein (rFVIIIFc): Kids A-LONG Trial Methods and Results
Safety and Efficacy of BAY 94-9027: Study Design of PROTECT VIII
PROTECT VIII Summary Results: Bleeding and Dosing
Interim Analysis of Pathfinder™3 Trial
rVIII-SingleChain (CSL627): AFFINITY Study Design
AFFINITY Results: Treatment Regimens Prior to Study Entry and at Study End
Case Study 1: Previously Untreated Patient
Case Study 2: Switching a Previously Treated Patient From Standard rFVIII to EHL rFVIIIFc
Case Study 2: FVIII Activity in Prophylactically Treated Patient Switched to rFVIIIFc Fusion Protein
Factors to Consider When Personalizing Prophylaxis
Case Study 3: Patient With Inhibitors, Rescue ITI With rFVIIIFc
Case Study 3: Patient With Inhibitors, Rescue ITI With rFVIIIFc (cont’d)
Application of EHL rFVIII Replacement Agents for ITI
Summary and Conclusions
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