Perioperative dosing with ALPROLIX
Pediatric and adult/adolescent dosing targets for perioperative management | ||
Type of surgery | Target circulating factor IX (IU/dL or % of normal) | Dosing interval |
Minor (including uncomplicated dental extraction) | 50-80 | A single infusion may be sufficient. Repeat as needed after 24-48 hours until bleeding stops and healing is achieved |
Major (with or without anesthesia, includes any surgery where a major body cavity was penetrated and exposed, or a substantial impairment of physical or physiological functions was produced) | 60-100 |
Consider a repeat dose after 6-10 hours and then every 24 hours for the first 3 days. Due to the long half-life of ALPROLIX, the dose may be reduced, and the frequency of dosing in the postsurgical setting may be extended after Day 3 to every 48 hours or longer until bleeding stops and healing is achieved |
- Thirty-five major surgeries were performed in 22 patients during B-LONG and B-YOND1
- An additional 62 minor surgeries were performed in 37 patients during B-LONG, Kids B-LONG, and B-YOND1
Indication
References: 1. ALPROLIX [package insert]. Waltham, MA: Bioverativ Therapeutics Inc.