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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