Qfitlia (fitusiran) — Medica
Hemophilia A with Factor VIII inhibitors
Initial criteria
- age ≥ 12 years
- using Qfitlia for routine prophylaxis to prevent or reduce the frequency of bleeding episodes
- Factor VIII inhibitor titer testing performed within past 30 days and positive test for Factor VIII inhibitors ≥ 0.6 Bethesda units/mL
- prescriber will discontinue prophylactic use of bypassing agents no later than 7 days following the initial Qfitlia dose (use for breakthrough bleeding is permitted)
- not undergoing immune tolerance induction therapy
- prescribed by or in consultation with a hemophilia specialist
Reauthorization criteria
- using Qfitlia for routine prophylaxis to prevent or reduce the frequency of bleeding episodes
- prophylactic use of bypassing agents will not occur while receiving Qfitlia (use for breakthrough bleeding is permitted)
- not undergoing immune tolerance induction therapy
- prescribed by or in consultation with a hemophilia specialist
- beneficial response to therapy (e.g., reduction in bleeding events or severity, fewer bleeds requiring treatment, and/or fewer spontaneous bleeds)
Approval duration
1 year