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Emicizumab
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Emicizumab

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Emicizumab
Monoclonal antibody
Type Whole antibody
Source Humanized
Target Activated factor IX, factor X
Clinical data
Trade names Hemlibra
Other names ACE910, emicizumab-kxwh
AHFS/Drugs.com Monograph
License data
Pregnancy
category
  • AU: B2
Routes of
administration
Subcutaneous
ATC code
Legal status
Legal status
  • AU: S4 (Prescription only)
  • CA: Rx-only / Schedule D
  • US: ℞-only
  • EU: Rx-only
  • In general: ℞ (Prescription only)
Identifiers
CAS Number
DrugBank
ChemSpider
  • none
UNII
KEGG
Chemical and physical data
Formula C6434H9940N1724O2047S45
Molar mass 145639.02 g·mol−1

Emicizumab, sold under the brand name Hemlibra, is a humanized bispecific monoclonal antibody for the treatment of haemophilia A, developed by Genentech and Chugai (a subsidiary of Hoffmann-La Roche). A Phase I clinical trial found that it was well tolerated by healthy subjects.

In November 2017, it was approved in the United States for treatment of haemophilia A in those who had developed resistance to other treatments. It was subsequently approved by the US FDA in April 2018 under the breakthrough therapy designation for treatment of haemophila A in those who have not developed resistance to other treatments. The U.S. Food and Drug Administration (FDA) considers it to be a first-in-class medication.

Mechanism of action

Emicizumab binds to both the activated coagulation factor IX and to factor X, mediating the activation of the latter. This is normally the function of coagulation factor VIII, which is missing in haemophilia A patients.

See also

External links

  • "Emicizumab". Drug Information Portal. U.S. National Library of Medicine.



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