Japanese Journal of Thrombosis and Hemostasis
Online ISSN : 1880-8808
Print ISSN : 0915-7441
ISSN-L : 0915-7441
Volume 29, Issue 3
Displaying 1-12 of 12 articles from this issue
Reviews: Current basic and clinic aspects of autoimmune disorders in thrombosis and hemostasis
Original article
  • Azusa NAGAO, Kagehiro AMANO, Haruna KATAYAMA, Ryosuke HOSOKAI, Takeshi ...
    2018Volume 29Issue 3 Pages 307-314
    Published: 2018
    Released on J-STAGE: June 15, 2018
    JOURNAL FREE ACCESS

    Fc-fusion recombinant factor VIII product (rFVIIIFc), an extended half-life product, lowers an antigenicity against coagulation factor protein by increasing the regulatory T cell and indicates the tolerance is induced and promoted in animal models. Therefore, immune tolerance induction (ITI) is expecting its efficacy for haemophilia patients with inhibitor. It has been reported that some cases who underwent the ITI using rFVIIIFc showed a shorter duration than the use of conventional product until their inhibitors disappeared. We experienced three cases of haemophilia patients with inhibitor performed ITI using rFVIIIFc. Two of 3 cases developed on severe type of haemophilia A and the rest one did on mild type. ITI was performed in one patients as primary and two had as rescue ITI. The inhibitors in two patients disappeared in 77 weeks and 61 weeks, respectively, of which one disappeared in 9 weeks after changing to rFVIIIFc. The successful time courses were as same as previous ITI reports with conventional products. Whereas prophylactic use of bypass agents during ITI was performed in all cases, no severe bleedings and adverse reactions were observed. These results suggest that rFVIIIFc may be an effective option for both primary and rescue ITI.

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