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Prophylaxis in Hemophilia - Blood CME Center

Prophylaxis in Hemophilia - Blood CME Center

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Dose Tailor<strong>in</strong>g <strong>in</strong> <strong>Prophylaxis</strong> (cont)<br />

• Current methods for obta<strong>in</strong><strong>in</strong>g PK data are cumbersome—<br />

emerg<strong>in</strong>g data suggest that “limited blood sampl<strong>in</strong>g” may<br />

be sufficient for dose tailor<strong>in</strong>g 1,2<br />

This must be better def<strong>in</strong>ed and validated for rout<strong>in</strong>e cl<strong>in</strong>ical<br />

practice, especially pediatrics 3,4<br />

• Optimal dose tailor<strong>in</strong>g must <strong>in</strong>corporate cl<strong>in</strong>ical outcomes<br />

(eg, bleed<strong>in</strong>g frequency, jo<strong>in</strong>t status, quality of life)<br />

1. Björkman S. Haemophilia. 2010;16:597-605; 2. Björkman S, et al. J Thromb Haemost.<br />

2010;8:730-736; 3. Björkman S. Haemophilia. 2003;9(suppl 1):101-110; 4. Coll<strong>in</strong>s PW, et al.<br />

J Thromb Haemost. 2010;8:269-275. 28

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