Background: Efanesoctocog alfa provides high sustained factor VIII activity by overcoming the von Willebrand factor-imposed half-life ceiling. The efficacy, safety, and pharmacokinetics of efanesoctocog alfa for prophylaxis and treatment of bleeding episodes in previously treated patients with severe hemophilia A are unclear.
Summary: We love GLP-1 agonists. However, a limiting factor for many patients is the prospect of injections. Presently, only semaglutide is available in an oral formulation, and this has proven less effective than its injectable version at effecting weight loss. Orforglipron is a once-daily oral nonpeptide GLP-1 receptor agonist. It has a half-life of 29 to 49 hours, which supports once-daily administration. In a trial recently published in NEJM, investigators evaluated the efficacy and safety of orforglipron in patients with obesity or overweight plus one weight-related condition (hypertension, dyslipidemia, cardiovascular disease, or obstructive sleep apnea). Patients with diabetes were excluded.
Altuviiio safely and effectively increased FVIII activity in trial participants, with a three to four times longer half-life than Advate, meaning it lasted longer in the bloodstream. It also was well tolerated and no allergic reactions or clinically significant side effects were observed.
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