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Factor IX products for hemophilia B: Half-lives and volumes of distribution

Factor IX products for hemophilia B: Half-lives and volumes of distribution
Product Half-life and volume of distribution (VD)* based on patient age
<6 years 6 to 12 years >12 years
Standard half-life products
AlphaNine SD (plasma-derived, S/D treated) N/A N/A

Half-life: 21 hours (≥16 years)

VD: 1

BeneFIX (recombinant)

Half-life: 16 hours (<2 years), 17 hours (2 to 6 years)

VD: 1.4

Half-life: 16 hours

VD: 1.4

Half-life: 23 hours

VD: 1.3

Ixinity (recombinant)

Half-life: 16 hours

VD: 1.27

Half-life: 17 hours

VD: 1.27

Half-life: 24 hours

VD: 1

Rixubis (recombinant)

Half-life: 28 hours

VD: 1.4

Half-life: 23 hours

VD: 1.4

Half-life: 26 hours

VD: 1.1

Longer lasting products
Alprolix (recombinant, Fc fusion)

Half-life: 68 hours

VD: 1.7

Half-life: 72 hours

VD: 1.35

Half-life: 80 to 94 hours (12 to 17 years), 86 to 97 hours (≥18 years)

VD: 1

Idelvion (recombinant, albumin fusion)

Half-life: 90 hours

VD: 1

Half-life: 93 hours

VD: 1

Half-life: 87 hours (12 to 17 years), 104 hours (≥18 years)

VD: 0.77

Rebinyn (recombinant, glycoPEGylated)

Half-life: 70 hours (<7 years)

VD: 0.66 (≤6 years)

Half-life: 76 hours (7 to 12 years)

VD: 0.63 (7 to 12 years)

Half-life: 89 hours (≥18 years), 83 hours (13 to 17 years)

VD: 0.43 (≥18 years), 0.51 (13 to 17 years)

This table is intended as a rapid summary of product characteristics. Refer to the product information and UpToDate for details of hemophilia management and clotting factor administration.

Non-factor products are also available for individuals with hemophilia B (fitusiran, marstacimab); refer to UpToDate for details.

Fc: constant regions of immunoglobulin heavy chain (fragment, crystallizable); SD: solvent/detergent treated; VD: volume of distribution.

* These values are approximate. Actual half-life, which determines dosing interval, and actual VD, which determines dose level, should be determined for each individual patient.

  • Half-life – Half-lives are generally shorter for children than adults when assessed in pharmacokinetic studies. Half-lives in this table are based on single-dose pharmacokinetic studies.
  • VD – VDs listed in this table are the reciprocal of observed recovery values reported in United States prescribing information. Refer to product information and institutional guidelines for additional dosing and monitoring information.

¶ Adults only.

Data from: US Food and Drug Administration (FDA) approved product information. US National Library of Medicine. https://www.dailymed.nlm.nih.gov/dailymed/index.cfm (Accessed on July 24, 2024).
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