NOVOMEDLINK™

Viral Safety

NovoSeven® RT—The Only Recombinant Bypassing Agent

NovoSeven® RT contains no human plasma-derived components, so there is no risk of human viral transmission. Although plasma-derived products undergo a stringent cleaning process, they are able to ensure protection against only known viruses. Because it is recombinant, NovoSeven® RT ensures safety from pathogens that can be transmitted through human blood.

The Medical and Scientific Advisory Council (MASAC) of the NHF, in their Recommendation #169, recommends recombinant products as the standard of care for various bleeding disorders. According to MASAC #169:
''[T]he recombinant Factor VIIa product NovoSeven is potentially the safest Factor VII product available with respect to pathogen transmission and should be considered the treatment of choice for individuals with congenital Factor VII deficiency. In all patients, including patients with inhibitors, the issue of pathogen transmission must be weighed against the issue of efficacy."72

Emerging Pathogens

There are more than 1,400 known pathogens that can infect and sicken humans69 and new pathogens are being discovered—38 new pathogens since 1980.69 Emerging pathogens create constant and serious concern, especially for people with bleeding disorders, as there is no way to screen blood or plasma for unknown pathogens.

Examples of pathogens that have emerged or reemerged in the past decades include:

  • West Nile virus
  • Severe Acute Respiratory Syndrome (SARS)
  • Monkeypox virus
  • Ebola virus
  • Avian flu
  • Nipah virus
  • Variant Creutzfeldt-Jakob disease (vCJD) prions

Physiological and environmental forces invite the rapid growth and spread of new pathogens.

  • Cells are constantly mutating
  • Population growth into uninhabited areas introduces new pathogens and alters biological systems
  • Modern travel circulates pathogens rapidly

As a recombinant therapy made without any human blood or plasma, NovoSeven® RT poses no risk of passing human viruses.

Previously Infected Patients

Approximately 18,000 people have hemophilia in the United States.94 Of those, an estimated 10% to 15% are infected with HIV as a result of contaminated blood or blood products.71

The goal is to keep people with a suppressed immune system who are already living with one infection from getting another infection, called co-infection. Co-infection further weakens the immune system, leaving people susceptible to pathogens that are harmless to those with healthy immune systems. Additionally, medications used to treat HIV and hepatitis are known to suppress the immune system which can further complicate care.

  1. NovoSeven® RT Coagulation Factor VIIa (Recombinant) Room Temperature Stable Indications and Usage

    NovoSeven® RT is indicated for the treatment of bleeding episodes in hemophilia A or B patients with inhibitors to FVIII or FIX and in patients with acquired hemophilia; prevention of bleeding in surgical interventions or invasive procedures in hemophilia A or B patients with inhibitors to FVIII or FIX and in patients with acquired hemophilia; treatment of bleeding episodes in patients with congenital Factor VII deficiency and prevention of bleeding in surgical interventions or invasive procedures in patients with congenital FVII deficiency.

    NovoSeven® RT Important Safety Information

    • Most common adverse events: pyrexia, hemorrhage, injection site reaction, arthralgia, headache, hypertension, hypotension, nausea, vomiting, pain, edema, and rash.
    • Patients with disseminated intravascular coagulation (DIC), advanced atherosclerotic disease, crush injury, septicemia, or concomitant treatment with activated or nonactivated prothrombin complex concentrates (aPCCs/PCCs) may have a potential risk of developing thrombotic events in association with NovoSeven® treatment.
    • Use with caution in patients with known hypersensitivity to NovoSeven®, its components, or mouse, hamster, or bovine proteins.
    • Serious adverse events that may or may not have been related to the use of NovoSeven® in acquired hemophilia (10 of 139 patients in the compassionate use program, HTRS registry, and the published literature) included thrombotic serious adverse events and death.
    • Serious adverse events that may or may not have been related to the use of NovoSeven® occurred in 14 of 298 patients with hemophilia A or B with inhibitors in the initial clinical program.
    • Development of antibodies against FVII has been reported in FVII-deficient patients after treatment with NovoSeven®. These patients had previously been treated with human plasma and/or plasma-derived FVII.
    • Concomitant use of NovoSeven® RT with other formulations of NovoSeven® is not recommended due to potential dosing errors based on different concentrations.
    • The effect of prolonged post-hemostatic dosing of NovoSeven® RT has not been extensively studied in a clinical setting.

    Please see Prescribing Information.

  2. NovoSeven® Coagulation Factor VIIa (Recombinant) Indications and Usage

    For the treatment of bleeding episodes in hemophilia A or B patients with inhibitors to FVIII or FIX and in patients with acquired hemophilia; prevention of bleeding in surgical interventions or invasive procedures in hemophilia A or B patients with inhibitors to FVIII or FIX and in patients with acquired hemophilia; treatment of bleeding episodes in patients with congenital Factor VII deficiency and prevention of bleeding in surgical interventions or invasive procedures in patients with congenital FVII deficiency.

    (Acquired only) For the treatment of bleeding episodes in patients with acquired hemophilia. For the prevention of bleeding in surgical interventions or invasive procedures in patients with acquired hemophilia.

    NovoSeven® Important Safety Information

    • Most common adverse events: pyrexia, hemorrhage, injection site reaction, arthralgia, headache, hypertension, hypotension, nausea, vomiting, pain, edema, and rash.
    • Patients with disseminated intravascular coagulation (DIC), advanced atherosclerotic disease, crush injury, septicemia, or concomitant treatment with activated or nonactivated prothrombin complex concentrates (aPCCs/PCCs) may have a potential risk of developing thrombotic events in association with NovoSeven treatment.
    • Contraindicated in patients with known hypersensitivity to NovoSeven, its components, or mouse, hamster, or bovine proteins.
    • Serious adverse events that may or may not have been related to the use of NovoSeven in acquired hemophilia (10 of 139 patients in the compassionate use program, HTRS registry, and the published literature) may include thrombotic serious adverse events and death.
    • Serious adverse events that may or may not have been related to the use of NovoSeven occurred in 14 of 298 patients with hemophilia A or B with inhibitors in the initial clinical program.
    • Development of antibodies against FVII has been reported in FVII deficient patients after treatment with NovoSeven. These patients had previously been treated with human plasma and/or plasma-derived FVII.

    Please see Prescribing Information.