Esperoct (antihemophilic factor (recombinant), glycopegylated-exei) / Novo Nordisk - LARVOL DELTA

Evaluating Costs and Efficacy of rFVIII Prophylaxis Using Matching-Adjusted Indirect Comparisons in Hemophilia A. (PubMed, TH Open) - "Methods Matching-adjusted indirect comparisons (MAICs) were performed to compare simoctocog alfa with efanesoctocog alfa (ALTUVIIIO) and turoctocog alfa pegol (Esperoct), and results were integrated with a previously published MAIC comparing simoctocog alfa with efmoroctocog alfa (ELOCTATE), damoctocog alfa pegol (JIVI), and rurioctocog alfa pegol (ADYNOVATE). In comparison with efanesoctocog alfa (Group A), no significant differences were observed in the proportion of individuals with zero bleeds, whereas treated total annualized bleeding rate (ABR) and treated spontaneous ABR favored efanesoctocog alfa. Conclusion This indirect comparison suggests that personalized prophylaxis with simoctocog alfa may offer economic advantages versus EHL rFVIII products in individuals with severe hemophilia A. Clinical outcomes were broadly comparable across comparators, although treated total and spontaneous ABRs were significantly lower with efanesoctocog alfa (Group A)."

Journal • Hematological Disorders • Hemophilia • Hemophilia A • Rare Diseases

AFSTYLA® (rVIII-SingleChain) demonstrates high adherence, effective bleed control,and superior weight-adjusted cost efficiency in prophylaxis for hemophilia A in realworldclinical practice (ISTH 2026) - "Methods A retrospective analysis was conducted in 29 patients with moderate or severe hemophilia A receiving prophylactic treatment with AFSTYLA, ADYNOVI, ELOCTA, ESPEROCT, REFACTO, or NUWIQ. Conclusions In real-world clinical practice, AFSTYLA® shows excellent adherence, effective bleed control, and the best weight-adjusted cost–efficiency profile among the evaluated FVIII products. These findings support AFSTYLA as a solid, effective, and sustainable long-term prophylactic option for patients with hemophilia A. Table or Figure Upload (1) No Table or Figure Upload (2) No DOI*10.1016/j.rpth.2026.105746"

Adherence • Clinical • Real-world • Real-world evidence • Hematological Disorders • Hemophilia • Hemophilia A • Rare Diseases

Hemophilia Treatment in ArgentinaExtended Half-Life Factors: The Path to Personalized MedicineAccess Strategies in ArgentinaAuthor: Pharmacist Claudia Josefina Castro Technical Director, Hemophilia Foundation of Tucumán (ISTH 2026) - "Methods • Retrospective analysis of the evolution of access to Recombinant Factor EHL (Turoctocog Alfa Pegol) in the period 2019–2025.Age group: 0 to 26 years...Communication must be fluid between the multidisciplinary team caring for the patient and the healthcare payers, as this is the fundamental resource for achieving ACCESS to innovative therapies. Living with a "hemophilia - free mind" – The new ambition of hemophilia care Complete liberation from the emotional, mental, and social restrictions imposed by hemophilia Table or Figure Upload (1) Page 2 Table or Figure Upload (2) DOI*10.1016/j.rpth.2026.104914"

Hematological Disorders • Hemophilia • Rare Diseases

Comparison of Coagulation and Chromogeic Methods in Pharmacokinetics with Extended Half-life Factor VIII (ISTH 2026) - "Chromogenic substrate assays (CSA) with Coamatic FactorVIII Results A sufficient number to compare results between methods was reached only for the pharmacokinetics with 4 concentrates: 3 FVIII-EHL (Efmoroctocog Alfa (Elocta) - Turoctocog Alfa (Esperoct) - Damoctocog Alfa Pegol (Jivi), all B domain deleted) and a single-chain FVIII (Lonoctocog Alfa (Afstyla). Table or Figure Upload (2) Figure2. DOI*10.1016/j.rpth.2026.104886"

PK/PD data • Hematological Disorders • Hemophilia • Hemophilia A • Rare Diseases

Pharmacokinetic Comparison of Efanesoctocog Alfa vs Other EHL-rFVIII Products in Participants With Severe Haemophilia A (clinicaltrials.gov) - P1 | N=24 | Completed | Sponsor: Swedish Orphan Biovitrum | Recruiting ➔ Completed

Trial completion • Hematological Disorders • Hemophilia • Hemophilia A • Rare Diseases

Pharmacokinetic Comparison of Efanesoctocog Alfa vs Other EHL-rFVIII Products in Participants With Severe Haemophilia A (clinicaltrials.gov) - P1 | N=24 | Recruiting | Sponsor: Swedish Orphan Biovitrum | Trial completion date: Oct 2025 ➔ May 2026 | Trial primary completion date: Sep 2025 ➔ Apr 2026

Trial completion date • Trial primary completion date • Hematological Disorders • Hemophilia • Hemophilia A • Rare Diseases

Indirect Comparison of the Efficacy and Therapy-Related Costs of a Pharmacokinetic and Individualized Prophylaxis Regimen with Simoctocog Alfa Versus Other Extended-Half Life Factor VIII Concentrates (ASH 2024) - "For comparison, aggregated data was obtained from the following trials with EHL concentrates : pathfinder2 (turoctocog alfa pegol, N = 175), A-LONG (efmoroctocog alfa, N = 117), PROTECT FVIII (damoctocog alfa pegol, N = 110), PROPEL (rurioctocog alfa pegol 1–3% and 8–12%; N = 57 and 58), and XTEND-1 (efanesoctocog alfa, Group A, N = 133). Conclusion : Albeit at a generally higher weekly dose, a PK-guided, individualized prophylaxis regimen with simoctocog alfa offered comparable or significantly improved zero bleed rates and significantly lower or comparable ABRs than prophylactic regimens with EHL rFVIII concentrates. Nevertheless, the estimated annual cost of a simoctocog alfa-based regimen is 20–55% lower than with the other concentrates."

Clinical • PK/PD data • Hematological Disorders • Hemophilia • Hemophilia A • Rare Diseases

Preventing Bleeds in Pediatric Patients With Hemophilia A: Which Factor Replacement Therapy Offers the Best Protection and at What Cost? (ISPOR-EU 2025) - "Second lowest number of bleeds was achieved with efanesoctocog alfa (Altuviiio/Altuvoct) with 3.90 bleeds, following Efmoroctocog alfa (Elocta), turoctocog alfa pegol (Esperoct), turoctocog alfa (NovoEight), simoctocog alfa (Nuwiq), octocog alfa (Kovaltry), Afstyla (lonoctocog alfa) and octocog alfa (Advate) with 9.80, 9.85, 9.85, 11.85, 16.85, 18.45 and 18.75 bleeds, respectively. Prevention of bleeds is of utmost importance when treating pediatric patients with hemophilia A. Choosing a treatment with the lowest possible bleeding rates can support the physical development of the patient. This analysis showed that the lowest number of bleeds and lowest costs are estimated to be reached by damoctocog alfa pegol (Jivi)."

Clinical • Hematological Disorders • Hemophilia • Hemophilia A • Pediatrics • Rare Diseases

Real-World Assessment of Pharmacokinetics, Clinical Outcomes, and Costs After Switching from Standard Half-Life to Extended Half-Life FVIII in Well-Controlled Hemophilia A Patients. (PubMed, Hematol Rep) - "Clinically, the prophylactic regimen was associated with fewer infusions per week, stable joint health, and a reduction in overall treatment costs. Prophylaxis with turoctocog alfa pegol provided the expected pharmacokinetic profile of an EHL-FVIII concentrate, enabled a lower infusion frequency, and was linked to a decreased treatment burden and cost while maintaining joint health."

Clinical data • Journal • PK/PD data • Real-world evidence • Hematological Disorders • Hemophilia • Hemophilia A • Rare Diseases

Adverse Event Data Collection From the EUHASS Registry on Turoctocog Alfa Pegol (clinicaltrials.gov) - P=N/A | N=50 | Enrolling by invitation | Sponsor: Novo Nordisk A/S | Trial completion date: Apr 2025 ➔ Feb 2026 | Trial primary completion date: Apr 2025 ➔ Feb 2026

Adverse events • Trial completion date • Trial primary completion date • Hematological Disorders • Hemophilia • Hemophilia A • Rare Diseases

Turoctocog alfa pegol versus recombinant factor VIII-Fc fusion protein: a head-to-head pharmacokinetics comparison. (PubMed, Blood Transfus) - No abstract available

Head-to-Head • Journal • PK/PD data

Advantages of FVIII-Extended Half-Life (Turoctocog Alfa Pegol) in the Management of Cardiac Surgery in a Patient with Mild Hemophilia A: A Case Report and Literature Review. (PubMed, Hematol Rep) - " This case illustrates the potential role of EHL FVIII in safely managing hemophilic patients undergoing major cardiac surgery. Given the lack of existing reports in the literature, further studies are warranted to evaluate the efficacy and safety of EHL FVIII in this setting and to potentially optimize perioperative care protocols for this patient population."

Journal • Cardiovascular • Hematological Disorders • Hemophilia • Hemophilia A • Rare Diseases

The efficacy, safety, and pharmacokinetics of N8-GP in previously treated Chinese patients with haemophilia A: results from the phase 3b pathfinder10 study. (PubMed, Blood Coagul Fibrinolysis) - P3 | "N8-GP appeared safe and efficacious in previously treated Chinese patients with severe HA."

Journal • P3 data • PK/PD data • Hematological Disorders • Hemophilia • Hemophilia A • Rare Diseases

'VALVE IN VALVE' IN A PATIENT WITH HEMOPHILIA A: CASE REPORT (EHA 2025) - "Improvements in prophylaxis and treatment have increased the life expectancy and quality of life of PWHs, bringing them closer to the general population in high-income countries. This patient is not anticoagulated (NV-AF, CHADS2) because he has a chronic liver disease with history of Mallory-Weiss Syndrome. Procedures such as TAVI can be performed safely in our patients, with adequate hemostatic coverage."

Case report • Clinical • Atrial Fibrillation • Cardiovascular • Heart Failure • Hematological Malignancies • Hemophilia • Hemophilia A • Hepatology • Multiple Myeloma • Oncology • Rare Diseases • Rheumatology

CHATGPT4O® AND WEEKLY PROPHYLAXIS WITH FVIIIC: WHAT CAN IT CONTRIBUTE? (EHA 2025) - "Within the VIII factors of extended half-life, Esperoct® and JIvi® include in their technical data sheets the weekly prophylaxis at different doses (75 IU/Kg and 60 IU/Kg, respectively). These FVIIICs have demonstrated efficacy and safety in clinical trials. Altuvoct® is a revolution and inaugurates a new class of CFVIII, decoupling its half-life from that of VWF. All in all, personalization of hemophilia treatment is a key aspect as well as economic management."

Hematological Disorders • Hemophilia • Rare Diseases

Use of FVIII- Extended half-life (EHL) in Major Orthopedic Surgery: Real-World Experience (ISTH 2025) - "In 64% of the procedures, Damoctocog Alfa Pegol was used, followed by Rurioctocog Alfa Pegol (18%) and Turoctocog Alfa Pegol (18%). Bleeding complications occurred in only one case (bilateral hip replacement) associated with a periprocedural complication. Table or Figure Upload"

Clinical • Real-world • Real-world evidence • Surgery • Hematological Disorders • Hemophilia • Hemophilia A • Orthopedics • Rare Diseases

Valve-in-Valve in Hemophilia (ISTH 2025) - "Pre-surgery: we administered bolus of Esperoct of 2750 IU and 30 minutes later, IV heparin bolus of 5000 IU (reversed at the end). At 24 hours, F8:C was 72% (administered 2500 IU Esperoct). At 48 hours, F8:C levels were 66%, maintaining this regimen until wound he Table or Figure Upload"

Cardiovascular • Heart Failure • Hematological Disorders • Hemophilia • Hepatology • Rare Diseases

Fc-fusion protein and glycopegylated-rFVIII pharmacokinetic comparison: a case series. (ISTH 2025) - "In detail, prophylaxis treatment with turoctocog alfa pegol allowed patients to spent 89.58% of the week with FVIII above 5% (3.27 days; IQR 0.51), while patients treated with efmoroctocog alfa spent 70.77% of time above 5% (2.48 days; IQR 0.98). Table or Figure Upload"

Clinical • PK/PD data • Hematological Disorders • Hemophilia • Hemophilia A • Rare Diseases • Rheumatology

Balancing the thrombotic and haemorrhagic risk of non severe haemophilia A in major surgery (ISTH 2025) - "The patient received rurioctocog-alfa-pegol preoperatively (Table 1)...The patient underwent adjuvant chemotherapy with capecitabine...We performed perioperative prophylaxis with turoctocog-alfa-pegol (Table 2)...Case 2:The postoperative course was complicated by bleeding from the surgical site on day 3, requiring a single packed red blood cell transfusion, with subsequent clinical recovery. Table or Figure Upload"

Surgery • Anemia • Atherosclerosis • Cardiovascular • Dyslipidemia • Genetic Disorders • Hematological Disorders • Hemophilia • Hemophilia A • Hepatitis C • Infectious Disease • Metabolic Disorders • Nephrology • Obesity • Oncology • Pulmonary Arterial Hypertension • Rare Diseases • Renal Disease

Advancing Hemophilia A Management with the Portability of Turoctocog Alfa Pegol (N8-GP) (ISTH 2025) - "Results Six patients (mean age: 33.7 years, range 27–43) included three with moderate and three with severe hemophilia A. Before switching to N8-GP, half were treated with rurioctocog alfa pegol, while the rest used damoctocog alfa pegol, moroctocog alfa, or plasma-derived FVIII equally. The results of the satisfaction survey are presented in Figures 1 and 2. Table or Figure Upload"

Hematological Disorders • Hemophilia • Hemophilia A • Rare Diseases • Rheumatology

FVIII Half-Life Products: a Real-World Experience (ISTH 2025) - "Data on patient characteristics, treatment regimens, and pharmacokinetic profiles using WAPPS-Hemo (fig.1) , annual ABR and AJBR (table 1) were analyzed Results Among the FVIII products used, octocog alfa, efmoroctocog alfa, and damoctocog alfa showed median half-lives of 11.25 [10.75–12.25], 16.50 [13.75–17.75], and 15.38 [13.38–18.63] hours, respectively.Turoctocog alfa pegol exhibited the longest half-life at 19.75 [16.00–24.50] hours, enabling reduced infusion frequency. Bleeding control among the different FVIII-EHL was comparable. Table or Figure Upload"

Clinical • Real-world • Real-world evidence • Hematological Disorders • Hemophilia • Hemophilia A • Rare Diseases

Coronary artery bypass graft and atrial fibrillation in a moderate hemophilia A patient (ISTH 2025) - "Indeed, he was treated on demand until 2019, when he started tertiary prophylaxis with a standard half-life FVIII, then switched to the extended half-life (EHL) turoctocog alfa pegol. Due to episodes of AF, on post-op day 7 clopidogrel and enoxaparin were discontinued, and dabigatran 110 mg twice daily was started, continuing aspirin. FVIII replacement was closely monitored, maintaining levels >50%, then gradually tapered to a prophylaxis regimen (35IU/Kg every 3 days) at discharge on day 30, maintaining trough levels 20-30%."

Clinical • Atrial Fibrillation • Cardiovascular • Diabetes • Genetic Disorders • Hematological Disorders • Hemophilia • Hemophilia A • Hypertension • Metabolic Disorders • Myocardial Infarction • Obesity • Rare Diseases • Thrombosis • Type 2 Diabetes Mellitus

Effectiveness of turoctocog alfa pegol in perioperative cardiac surgery for mild hemophilia A (ISTH 2025) - "Aims This case explores the use of FVIII-EHL (Turoctocog alfa pegol) to prevent bleeding in a patient with mild hemophilia A, providing insights into improving perioperative care. The patient participated in cardiac rehabilitation, continuing FVIII treatment and taking aspirin for three months without complications. Table or Figure Upload"

Surgery • Anesthesia • Cardiovascular • Fatigue • Hematological Disorders • Hemophilia • Hemophilia A • Pain • Rare Diseases

Use of Generative AI to analyze pegylated FVIII Concentrates (ISTH 2025) - "Methods Adynovi, Jivi and Esperoct are compared, according to data reported in EMA's technical sheets (Table 1). ChatGPT4o concludes that if the objective is to maximize cost-effectiveness efficiency under the same unit cost, Esperoct® 50 IU/Kg each 4 days is the best option followed by JIVI® at 60 IU/kg each 7 days. Table or Figure Upload"

Hematological Disorders • Hemophilia • Hemophilia A • Rare Diseases

An Observational Research Study of the Health of Joints in People With Haemophilia Taking the Medicine Esperoct (clinicaltrials.gov) - P=N/A | N=100 | Recruiting | Sponsor: Novo Nordisk A/S | Trial completion date: Feb 2025 ➔ Jun 2026 | Trial primary completion date: Feb 2025 ➔ Jun 2026

Trial completion date • Trial primary completion date • Hematological Disorders • Hemophilia • Hemophilia A • Rare Diseases