Summary
The current treatment of haemophilia with coagulation protein replacement therapy
is both effective and safe. Nevertheless, this therapy requires frequent, repeated
intravenous infusions and approximately 25% of treated haemo philia A patients develop
antibodies to the replacement protein. Furthermore, the cost and limited availability
of current concentrates has restricted access to therapy to less than 30% of the global
haemophilia population. With this background, efforts are now underway to develop
coagulation concentrates with enhanced biological properties that further improve
the quality of care for haemophiliacs. The specific areas of enhancement that are
being explored include improved biosynthetic processes, prolonging the circulating
half-life and reducing concentrate immuno -genicity. Coincident with these approaches,
it is hoped that there will be more widespread availability of these concentrates
and that their cost will be contained.
Keywords
Haemophilia - coagulation concentrates