Table 2.

CFCs licensed in the US to treat HA and HB

Brand (nonproprietary name)TechnologyManufacturer-recommended starting dose for prophylaxis use*
Factor VIII products 
 Kogenate FS® (octocog alfa) Second generation: full-length recombinant Adults: 25 IU/kg 3 times weekly; children: 25 IU/kg every other day 
 Advate® (octocog alfa) Third generation: full-length recombinant 20-40 IU/kg every other day 
 Kovaltry® (octocog alfa) Third generation: full-length recombinant Adults/adolescents: 20-40 IU/kg 2-3 times weekly; children ≤12 years: 25-50 IU/kg 2 times weekly, 3 times weekly, or every other day 
 NovoEight® (turoctocog alfa) Third generation: B-domain truncated Adults/adolescents: 20-50 IU/kg 3 times weekly or 20-40 IU/kg every other day; children <12 years: 25-60 IU/kg 3 times weekly or 25-50 IU/kg every other day 
 Xyntha®/ReFacto AF® (moroctocog alfa) Third generation: B-domain deleted Adults/adolescents: 30 IU/kg 3 times weekly; children <12 years: 25 IU/kg every other day 
 Nuwiq® (simoctocog alfa) Fourth generation: B-domain deleted Adults/adolescents: 30-40 IU/kg every other day; children <12 years: 30-50 IU/kg every other day or 3 times weekly 
 Hemofil M® Plasma-derived immunoaffinity-purified FVIII Not provided 
 Koate® Plasma-derived containing FVIII and von Willebrand factor Not provided 
 Humate-P® Plasma-derived containing FVIII and von Willebrand factor Not provided 
 Alphanate® Plasma-derived containing FVIII and von Willebrand factor Not provided 
Factor IX products 
 BeneFIX® (nonacog alfa) Recombinant FIX Age ≥16 years: 100 IU/kg weekly 
 Ixinity® (trenonacog alfa) Recombinant FIX Adults: 40-70 IU/kg twice weekly 
 Rixubis® (nonacog gamma) Recombinant FIX Age ≥12 years: 40-60 IU/kg twice weekly; children <12 years: 60-80 IU/kg twice weekly 
 Alphanine Plasma derived Not provided 
Brand (nonproprietary name)TechnologyManufacturer-recommended starting dose for prophylaxis use*
Factor VIII products 
 Kogenate FS® (octocog alfa) Second generation: full-length recombinant Adults: 25 IU/kg 3 times weekly; children: 25 IU/kg every other day 
 Advate® (octocog alfa) Third generation: full-length recombinant 20-40 IU/kg every other day 
 Kovaltry® (octocog alfa) Third generation: full-length recombinant Adults/adolescents: 20-40 IU/kg 2-3 times weekly; children ≤12 years: 25-50 IU/kg 2 times weekly, 3 times weekly, or every other day 
 NovoEight® (turoctocog alfa) Third generation: B-domain truncated Adults/adolescents: 20-50 IU/kg 3 times weekly or 20-40 IU/kg every other day; children <12 years: 25-60 IU/kg 3 times weekly or 25-50 IU/kg every other day 
 Xyntha®/ReFacto AF® (moroctocog alfa) Third generation: B-domain deleted Adults/adolescents: 30 IU/kg 3 times weekly; children <12 years: 25 IU/kg every other day 
 Nuwiq® (simoctocog alfa) Fourth generation: B-domain deleted Adults/adolescents: 30-40 IU/kg every other day; children <12 years: 30-50 IU/kg every other day or 3 times weekly 
 Hemofil M® Plasma-derived immunoaffinity-purified FVIII Not provided 
 Koate® Plasma-derived containing FVIII and von Willebrand factor Not provided 
 Humate-P® Plasma-derived containing FVIII and von Willebrand factor Not provided 
 Alphanate® Plasma-derived containing FVIII and von Willebrand factor Not provided 
Factor IX products 
 BeneFIX® (nonacog alfa) Recombinant FIX Age ≥16 years: 100 IU/kg weekly 
 Ixinity® (trenonacog alfa) Recombinant FIX Adults: 40-70 IU/kg twice weekly 
 Rixubis® (nonacog gamma) Recombinant FIX Age ≥12 years: 40-60 IU/kg twice weekly; children <12 years: 60-80 IU/kg twice weekly 
 Alphanine Plasma derived Not provided 
*

Recommended doses based on US package insert.

In the US, BeneFIX® is approved for prophylaxis use in those aged ≥16 years only, whereas in the EU it is approved for prophylaxis use at all ages.

In the US, Ixinity® is approved for prophylaxis use in adults only. It is not approved in the EU.

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