Alhemo (concizumab-mtci) — Medica
Hemophilia A without Factor VIII inhibitors
Initial criteria
- age ≥ 12 years
- using Alhemo for routine prophylaxis to prevent or reduce the frequency of bleeding episodes
- moderately severe to severe hemophilia A with baseline Factor VIII level ≤ 2%
- EITHER (Factor VIII inhibitor titer testing performed within 30 days AND no positive test ≥ 1.0 Bethesda units/mL) OR (no prior Factor VIII therapy)
- prophylactic use of Factor VIII products will be discontinued before the initial Alhemo dose (use for breakthrough bleeding permitted)
- prescribed by or in consultation with a hemophilia specialist
Reauthorization criteria
- using Alhemo for routine prophylaxis to prevent or reduce the frequency of bleeding episodes
- prophylactic use of Factor VIII products will not occur while receiving Alhemo (use for breakthrough bleeding permitted)
- experienced a beneficial response to therapy (e.g., reduction in bleeding events, severity, or spontaneous bleeds)
- prescribed by or in consultation with a hemophilia specialist
Approval duration
1 year