Indication
XYNTHA(TM) Antihemophilic Factor (Recombinant), Plasma/Albumin-Free is indicated for the control and prevention of bleeding episodes in patients with hemophilia A and for surgical prophylaxis in patients with hemophilia A (congenital factor VIII deficiency or classic hemophilia).
XYNTHA does not contain von Willebrand factor and, therefore, is not
indicated in von Willebrand's disease.
Important Safety Information
-- Allergic type hypersensitivity reactions are possible. Patients should
be informed of the early signs or symptoms of hypersensitivity
reactions (including hives (rash with itching), generalized urticaria,
tightness of the chest, wheezing, and hypotension) and anaphylaxis.
Patients should be advised to discontinue use of the product and
contact their physicians if these symptoms occur.
-- Inhibitors have been detected in patients receiving factor VIII-
containing products. In a pivotal phase 3 study, two of 89 patients
(2.2 percent) who completed greater than or equal to 50 exposure days
developed factor VIII inhibitor. These results were consistent with
the pre-specified endpoint of the study. Patients using coagulation
factor VIII products, including XYNTHA, should be monitored for the
development of factor VIII inhibitors. If expected factor VIII
activity plasma levels are not attained, or if bleeding is not
controlled with an appropriate dose, an assay should be performed to
determine if
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