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Mechanism of Action

RiaSTAP® is a lyophilized fibrinogen concentrate (coagulation factor I), made from human plasma, and administered intravenously. It has been used for years in several European countries under the name Haemocomplettan® P.

In patients with CFD, administered RiaSTAP® replaces absent or low fibrinogen. As such, RiaSTAP® serves as a physiological substrate of thrombin (factor IIa), which converts soluble fibrinogen to insoluble fibrin. Under the influence of factor XIIIa, fibrin strands are cross-linked to provide strength and stability to the blood clot—fulfilling an essential need for clot formation in patients with fibrinogen deficiency.

comparison of blood clots

Next: About RiaSTAP®—Product Attributes

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Important Safety Information

RiaSTAP®, Fibrinogen Concentrate (Human), is indicated for the treatment of acute bleeding episodes in patients with congenital fibrinogen deficiency, including afibrinogenemia and hypofibrinogenemia.

The effectiveness of RiaSTAP is based on maximum clot firmness (MCF), which measures the structural integrity of a clot, reflecting the underlying effectiveness of the fibrinogen present to form a fibrin clot. There are no controlled trials demonstrating a direct benefit on treatment of bleeding episodes with RiaSTAP.

RiaSTAP is not indicated for dysfibrinogenemia.

RiaSTAP is contraindicated in individuals who have manifested severe immediate hypersensitivity reactions, including anaphylaxis to RiaSTAP or its components. Monitor patients for early signs of allergic or hypersensitivity reactions and if necessary, discontinue administration and institute appropriate treatment. Thrombotic events have been reported in patients receiving RiaSTAP; weigh the benefits of administration versus the risks of thrombosis.

RiaSTAP is made from pooled human plasma. Products made from human plasma may contain infectious agents, eg, viruses and, theoretically, the Creutzfeldt-Jakob disease (CJD) agent.

The most serious adverse reactions that have been reported in subjects in clinical studies who received RiaSTAP are thromboembolic episodes, including myocardial infarction and pulmonary embolism, and allergic-anaphylactic reactions. The most common adverse reactions observed are allergic reactions, including chills, fever, nausea, and vomiting. Monitor patients for early signs of allergic or hypersensitivity reactions and if necessary, discontinue administration.

Please see full prescribing information for RiaSTAP.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.