Human plasma-derived von Willebrand factor (contains factor VIII) Alphanate; Humate-P; Wilate
Antihemophilic Agent | Blood Product Derivative
- Indications and Usage:
- Humate-P is primarily indicated for the treatment of adult patients with classical hemophilia (Hemophilia A) and Von Willebrand Disease (VWD). It is essential for controlling and preventing bleeding episodes in these populations (Pharmacy Times).
- Administration Techniques:
- Administration of Humate-P should follow specific protocols to ensure effectiveness and safety. A sterile technique must be used during reconstitution and administration. It’s crucial to avoid shaking the vial, which can denature the proteins involved. Instead, gently swirl until dissolution is complete (Dosing and Administration | Humate-P).
- Humate-P should be administered as a loading dose 1 to 2 hours prior to the procedure to ensure adequate plasma levels of von Willebrand Factor (VWF) and Factor VIII (FVIII). This timing is crucial for achieving the desired therapeutic effect and preventing excessive bleeding during and after surgery.
- Storage Recommendations:
- Humate-P can be stored at room temperature, up to 25°C (77°F), and is stable for 36 months up to the expiration date on its label. This makes it a convenient choice for settings where refrigeration might not be available all the time (Humate-P Administration).
- Pharmacokinetics:
- The product exhibits a median half-life of 11.3 hours for von Willebrand factor Ristocetin Cofactor (vWF:RCoF) and 15.2 hours for von Willebrand factor Antigen (vWF:Ag) in patients with various types of Von Willebrand Disease, affecting dosing schedules and therapeutic planning (Pharmacokinetics, efficacy, and safety of Humate-P).
- Patient Monitoring and Adjustments:
- It is imperative to monitor patients for the development of Von Willebrand disease type 2B, as Humate-P can exacerbate this condition. Clinicians should perform regular assessments for VWF antigen levels and factor VIII activity to guide dosing and detect potential adverse effects promptly.
- Risk Mitigation in Surgical Settings:
- For patients undergoing surgery, careful calculation of dosing based on body weight and desired factor VIII levels is critical. Humate-P’s unique dosing calculator can assist in these calculations, ensuring that patients maintain adequate hemostasis throughout the perioperative period (Dosing and Administration | Humate-P).
References
[1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3827397/
[2] https://www.humate-p.com/hcp/about-humate-p/dosing
[3] https://labeling.cslbehring.com/PI/US/Humate-P/EN/Humate-P-Prescribing-Information.pdf
[4] https://www.drugs.com/dosage/humate-p.html
[5] https://labeling.cslbehring.com/PRODUCT-DOCUMENT/US/Humate-P/EN/Humate-P-Bleeding-Journal.pdf
[6] https://www.humate-p.com/hcp/resources-and-tools/dosing-calculator
[7] https://www.drugs.com/pro/humate-p.html
[8] https://www.humate-p.com/hcp/dosing-and-administration
[9] https://www.humate-p.com/taking-humate-p
[10] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6913501/
[11] https://reference.medscape.com/drug/alphanate-humate-p-antihemophilic-factor-von-willebrand-factor-complex-999866
[12] https://www.wolframalpha.com/input?input=factor+viii+concentrate+dosing+surgery
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