Malmö Centre for Thrombosis and Haemostasis, Malmö University Hospital, Sweden.
Thromb Res. 2009 Nov;124 Suppl 1:S11-4. doi: 10.1016/S0049-3848(09)70152-5.
Haemate P/Humate-P, the first plasma-derived von Willebrand factor (VWF)/factor VIII (FVIII)-containing concentrate that was pasteurized to reduce the risk of virus infection, was developed in the 1970s and approved for use in Germany in 1981. Today, Haemate P is marketed in over 35 countries worldwide for on-demand treatment and long-term prophylaxis in patients with von Willebrand disease (VWD) or haemophilia A. With more than 25 years of clinical experience, Haemate P has demonstrated predictable pharmacokinetics, consistent haemostatic efficacy, and an excellent safety profile in paediatric and adult populations. Its VWF composition is quantitatively and qualitatively similar to that of normal plasma. The risk of virus transmission has been minimized, and treatment-related adverse events are rare. Only a very low incidence of thromboembolic events has been reported. Guidelines for dosing have been developed; optimal dosing depends on the goals of therapy, clinical setting, VWD type and severity, and other patient-related factors. Based on the extensive clinical experience with Haemate P, it has become the gold standard for replacement therapy in patients with VWD. Further studies will continue to explore its use in other clinical settings, including as immune tolerance induction therapy for patients with haemophilia A.
海脉素 P/Humate-P 是上世纪 70 年代开发的第一种经巴氏消毒以降低病毒感染风险的血浆源性血管性血友病因子 (VWF)/VIII 因子 (FVIII) 浓缩物,于 1981 年在德国获得批准使用。如今,海脉素 P 在全球 35 多个国家被用于按需治疗和长期预防血友病 A 或血管性血友病患者的出血。经过 25 多年的临床经验,海脉素 P 已在儿科和成年人群中表现出可预测的药代动力学、一致的止血疗效和极佳的安全性。其 VWF 组成在数量和质量上与正常血浆相似。病毒传播的风险已降至最低,且与治疗相关的不良事件罕见。仅报告了非常低的血栓栓塞事件发生率。已经制定了剂量指南;最佳剂量取决于治疗目标、临床环境、VWD 类型和严重程度以及其他与患者相关的因素。基于海脉素 P 的广泛临床经验,它已成为 VWD 患者替代治疗的金标准。进一步的研究将继续探索其在其他临床环境中的应用,包括作为血友病 A 患者免疫耐受诱导治疗的应用。