GENETICALLY DETERMINED DEFICIENCY OF CLOTTING FACTORS AND OPPORTUNITIES OF MODERN SUBSTITUTIONAL THERAPY

DOI: https://doi.org/10.29296/25877305-2021-07-02
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Issue: 
7
Year: 
2021

Professor V. Delyagin, MD Dmitry Rogachev National Medical Research Center for Pediatric
Hematology, Oncology and Immunology, Moscow

Hemophilia A – deficiency of factor (F) VIII, hemophilia B – deficiency of FIX are the most clinically significant and common genetically determined disorders of blood coagulation. Diagnosis is based on the history, nature, location and duration of bleeding and, mainly, on laboratory studies. Typical lengthening of the activated partial thromboplastin time, absence or decrease in the concentration of FVIII for hemophilia A and FIX for hemophilia B. The optimal choice of therapy is the use of recombinant coagulation factors. Domestic recombinant factors Octofactor (rFVIII) and Innonafactor (rFIX) are not inferior to foreign analogues, are characterized by high therapeutic efficacy and low immunogenicity.

Keywords: 
hemophilia
prevalence
clinical picture
diagnosis
treatment



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References: 
  1. Laffan M., Manning R. Investigation of Hemostasis. In: Bain B., Bates I., Laffan M. (Eds.) Dacie and Lewis Practical Haematology. 12th Ed. Elsivier, 2017; r. 366–409.
  2. Scott P., Flood V. Hereditary Clotting Factor Deficiencies (Bleeding Disorders). In: Kliegman R., Geme J., Blum N., Shah S., Tasker R., Wilson K. (Eds.) Nelson Textbook of Pediatrics. 21st. Ed. 2020; r. 2594–9.e2
  3. Plug I., Mauser-Bunschoten E., Bröcker-Vriends A. et al. Bleeding in carriers of hemophilia. Blood. 2006; 108 (1): 52–6. DOI: 10.1182/blood-2005-09-3879
  4. Chitur M., Ozgonal B., Kulkarni D. Hemophilia and Related Conditions. In: Kellerman R., Rakel D. (Eds.) Conn’s Current Therapy. 2021; r. 426–34.
  5. Abdulsalam A., Al-Rahal N., Ghiath Y. Inherited Bleeding Disorders in Pediatric Patients; experience of the national referral center in Iraq. Indian J Hematol Blood Transfus. 2021; 37 (1): 96–100. DOI: 10.1007/s12288-020-01306-8
  6. Rathor B. Hemophilia. In: Ferri F. (Ed.) Ferri’s Clinical Adviser. 2022; r. 728.e4–728.e7.
  7. Hayward C. Clinical Approach to the Patient with Bleeding or Brusing. In: Hoffman R., Silberstein L., Heslop H., Wietz J., Anastasi J. et al. (Eds.) Hematology: Basic Principles and Practice. 7th Ed. 2018; r. 1912–21.
  8. Carcao M., Moorehead P., Lillicarp D. Hemophilia A and B. In: Hoffan R., Benz E., Silberstein L., Heslop J., Weitz J., Anastasi J. et al. (Eds.) Hematology: Basic Principles and Practice. 7th Ed. 2018; r. 2001–22.
  9. Paola J., Montgomery R., Gill J. et al. Hemophilia and von Willebrand Disease. In: Orkin St., Fisher D., Ginsburg D., Look Th., Lux S., Nathan D. (Eds.) Nathan and Oski’s Hematology and Oncology of Infancy and Childhood. 8th Ed. 2018; r. 1028–54.e9
  10. Ragni M., Lusher J., Koerper M. et al. Safety and immunogenicity of subcutaneous hepatitis A vaccine in children with haemophilia. Haemophilia. 2000; 6 (2): 98–103. DOI: 10.1046/j.1365-2516.2000.00386.x
  11. Kuznik B.I., Sturov V.G., Levshin N.Ju. i dr. Gemorragicheskie i tromboticheskie zabolevanija i sindromy u detej i podrostkov: Patogenez, klinika, diagnostika, terapija i profilaktika. Novosibirsk: Nauka, 2018; 524 s. [Kuznik B.I., Sturov V.G., Levshin N.Yu. et al. Gemorragicheskie i tromboticheskie zabolevaniya i sindromy u detei i podrostkov: Patogenez, klinika, diagnostika, terapiya i profilaktika. Novosibirsk: Nauka, 2018; 524 s. (in Russ.)].
  12. Gritsenko T.A., Kosjakova Ju.A., Davydkin I.L. i dr. Bolezni krovi v ambulatornoj praktike. Pod red. I.L. Davydkina. M.: GEOTAR-Media, 2020; 272 s. [Gritsenko T.A., Kosyakova Yu.A., Davydkin I.L. et al. Bolezni krovi v ambulatornoi praktike. Pod red. I.L. Davydkina. M.: GEOTAR-Media, 2020; 272 s. (in Russ.)]. DOI: 10/33029/9704-5916-4-NEM-2020-1-272
  13. Kudlaj D.A. Razrabotka i primenenie otechestvennyh rekombinantnyh preparatov faktorov svertyvanija krovi VII, VIII, IX u detej s gemofiliej A i B. Pediatrija im G.N. Speranskogo. 2019; 98 (1): 9–17 [Kudlay D.A.. Development and use of Russian recombinant blood coagulation factor VII, VIII, IX drugs in children with hemophilia A and B. Pediatria. Journal named after G.N. Speransky. 2019; 98 (1): 9–17 (in Russ.)]. DOI: 10.24110/0031-403X-2019-98-1-9-17
  14. Zorenko V.Ju., Mishin G.V., Severova T.V. i dr. Farmakokineticheskie svojstva, bezopasnost' i perenosimost' preparata Oktofaktor (rezul'taty I fazy klinicheskogo issledovanija u bol'nyh gemofiliej A). Voprosy gematologii/onkologii i immunopatologii v pediatrii. 2013; 12 (2): 30–7 [Zorenko V.Yu., Mishin G.V., Severova T.V. et al. Pharmacokinetics, safety, and tolerability of Octofactor in patients with hemophilia A: Results of phase I clinical study. Pediatric Hematology/Oncology and Immunopathology. 2013; 12 (2): 30–7 (in Russ.)].
  15. Davydkin O.L., Andreeva T.A., Zorenko V.Ju. i dr. Effektivnost' i bezopasnost' preparata Oktofaktor pri profilakticheskom lechenii bol'nyh s tjazheloj i srednetjazheloj formoj gemofilii A (rezul'taty 1-j chasti klinicheskogo issledovanija II–III fazy). Voprosy gematologii/onkologii i immunopatologii v pediatrii. 2013; 12 (3): 29–37 [Davydkin I.L., Andreeva T.A., Zorenko V.Yu., Konstantinova V.N., Zalepukhina O.E., Klimova N.I. et al. Efficiency and safety of Octofactor in prevention of bleeding episodes in patients with severe and moderate hemophilia A: Results of part 1 of phase II–III clinical trial. Pediatric Hematology/Oncology and Immunopathology. 2013; 12 (3): 29–37 (in Russ.)].
  16. Vdovin V.V., Andreeva T.A., Davydkin I.L. i dr. Effektivnost' i bezopasnost' preparata Oktofaktor pri profilakticheskom lechenii podrostkov s tjazheloj gemofiliej A. Rossijskij zhurnal detskoj gematologii i onkologii. 2017; 4 (1): 61–70 [Vdovin V.V., Andreeva T.A., Davydkin I.L. et al. The efficacy and safety of the drug Octofactor in prophylactic treatment of adolescents with severe hemophilia A. Russian Journal of Pediatric Hematology and Oncology. 2017; 4 (1): 61–70 (in Russ.)]. DOI: 10.17650/2311-1267-2017-4-1-61-70
  17. Zozulja N.I., Jastrubinetskaja O.I., Beljaeva S.S. i dr. Rezul'taty primenenija preparata Oktofaktor u patsientov so srednetjazheloj i tjazheloj formami gemofilii A (dannye prospektivnogo, mnogotsentrovogo, otkrytogo, nabljudatel'nogo issledovanija). Rossijskij zhurnal detskoj gematologii i onkologii. 2019; 6 (2): 30–47 [Zozulya N.I., Yastrubinetskaya O.I., Belyaeva S.S. et al. The results of the use of Octofactor in patients with moderate and severe hemophilia A (data from a prospective, multicenter, open-label, observational study). Russian Journal of Pediatric Hematology and Oncology. 2019; 6 (2): 30–47 (in Russ.)]. DOI: 10.21682/2311-1267-2019-6-2-30-47
  18. Zorenko V.Ju., Mishin G.F., Severova T.V. i dr. Farmakokineticheskie svojstva, bezopasnost' i perenosimost' preparata Innonafaktor (rezul'taty I fazy klinicheskogo issledovanija u bol'nyh s tjazheloj i srednetjazheloj formoj gemofilii B). Voprosy gematologii/onkologii i immunopatologii v pediatrii. 2014; 13 (4): 39–49 [Zorenko V.Yu., Mishin G.V., Severova T.V. et al. Pharmacokinetics, safety, and tolerability of Innonafactor: Results of phase I clinical study in patients with severe and moderate hemophilia B. Pediatric Hematology/Oncology and Immunopathology. 2014; 13 (4): 39–49 (in Russ.)].
  19. Shiller E., Petrov V., Svirin P. et al. Prophylactic Treatment with New Recombinant Factor IX Innonafactor (Russia) in Adolescent and Adult Patients with Hemophilia B. Blood. 2017; 130 (Suppl. 1): 4895.
  20. Davydkin I.L., Zorenko V.Ju., Andreeva T.A. i dr. Effektivnost' i bezopasnost' preparata Innonafaktor v lechenii bol'nyh s tjazheloj i srednetjazheloj formoj gemofilii B (rezul'taty 2-j chasti klinicheskogo issledovanija II–III fazy). Voprosy gematologii/onkologii i immunopatologii v pediatrii. 2015; 14 (2): 50–8 [Davydkin I.L., Zorenko V.Yu, Andreeva T.A. et al. Efficacy and safety of Innonafactor in on-demand treatment of patients with severe and moderate hemophilia B: Results of part 2 of phase II–III clinical trial. Pediatric Hematology/Oncology and Immunopathology. 2015; 14 (2): 50–8 (in Russ.)].