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Treatment of Congenital Fibrinogen Deficiency

Congenital fibrinogen deficiency is typically treated with replacement therapy. Historical treatment options have included fresh frozen plasma (FFP), 24-hour plasma, or cryoprecipitate, with cryoprecipitate being the most widely used. These products have several disadvantages:

  • They do not go through a virus inactivation/removal process.
  • They contain unnecessary proteins, increasing the risk of allergic reactions or adverse events.1
  • They must be thawed, prolonging time before infusion.

RiaSTAP™ is the first and only fibrinogen concentrate available in the US.

RiaSTAP™ is a fibrinogen concentrate that has undergone specific virus inactivation/removal to reduce the risk of exposure to infectious agents.

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1. Acharya SS, Coughlin A, DiMichele M, and the North American Rare Bleeding Disorder Study Group. Rare Bleeding Disorder Registry: deficiencies of factors II, V, VII, X, XIII, fibrinogen and dysfibrinogenemias. J Thromb Haemost. 2:248-256.

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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. RiaSTAP™ is not indicated for dysfibrinogenemia.

RiaSTAP™ was approved using maximum clot firmness (MCF) as a surrogate marker likely to predict clinical benefit. Thus, the hemostatic efficacy of RiaSTAP™ in acute bleeding episodes has not been established. A post-marketing study is being conducted to verify clinical endpoints.

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, e.g., 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.

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RiaSTAP™ is a trademark of CSL Behring GmbH