J 2021

Prophylaxis in children with haemophilia in an evolving treatment landscape

MANCUSO, M. E., C. MALE, G. KENET, K. KAVAKLI, C. KONIGS et. al.

Základní údaje

Originální název

Prophylaxis in children with haemophilia in an evolving treatment landscape

Autoři

MANCUSO, M. E., C. MALE, G. KENET, K. KAVAKLI, C. KONIGS, Jan BLATNÝ (203 Česká republika, domácí) a K. FIJNVANDRAAT (garant)

Vydání

Haemophilia, Hoboken, Wiley-Blackwell, 2021, 1351-8216

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30205 Hematology

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 4.263

Kód RIV

RIV/00216224:14110/21:00124153

Organizační jednotka

Lékařská fakulta

UT WoS

000697516900001

Klíčová slova anglicky

arthropathy; children; EHL factor concentrate; haemophilia; non-replacement therapy; prophylaxis

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 15. 2. 2022 09:51, Mgr. Tereza Miškechová

Anotace

V originále

Introduction For children with haemophilia, early initiation of prophylaxis is crucial to prevent life-threatening bleeds and maintain joint health throughout life. Options for prophylaxis have recently increased from replacement therapy with standard or extended half-life coagulation factor products to include other haemostasis products, such as the non-replacement therapy emicizumab. Aim To review key factors that determine the choice of prophylaxis in young children. Methods Key clinical questions on the implementation of prophylaxis for haemophilia in children were identified and PubMed was searched for evidence supporting guidance on the implementation of prophylaxis. Results The results of the literature search and the practical experience of the authors were used to build consensus on when to start prophylaxis, the pros and cons of the products available to guide the choice of product, and practical aspects of starting prophylaxis to guide the choice of regimen. Conclusions In this era of increasing therapeutic choices, available information about the range of treatment options must be considered when initiating prophylaxis in young children. Parents or care givers must be sufficiently informed to allow informed shared decision making. Although plentiful data and clinical experience have been gathered on prophylaxis with clotting factor replacement therapy, its use in young children brings practical challenges, such as the need for intravenous administration. In contrast, our relatively brief experience and limited data with subcutaneously administered non-replacement therapy (i.e., emicizumab) in this patient group imply that starting emicizumab prophylaxis in young children requires careful consideration, despite the more convenient route of administration.