Comparison of anti-human and anti-porcine factor VIII inhibitor levels in 63 patients with severe haemophilia A. A French Multicentric Study

Vox Sang. 1993;64(4):210-4. doi: 10.1111/j.1423-0410.1993.tb03057.x.

Abstract

The levels of anti-human and anti-porcine factor VIII inhibitors, measured in 63 severe haemophilia A patients, lay in the ranges of < 0.2-2,600 and < 0.2-1,300 Bethesda units per ml (BU/ml), respectively, with a median cross-reactivity of 33%. In 4 patients, human and porcine inhibitor levels were determined using both plasma, either human or porcine, and factor VIII concentrate, either very high purity human or porcine (Hyate:C). A good correlation between titres was found, whatever the source of factor VIII (plasma or concentrate). The cross-reactivity varies from 0 to over 100%, indicating that the evaluation of both human and porcine inhibitors should be mandatory before any treatment with Hyate:C. Results show that of the 46 patients with human inhibitor of more than 5 BU/ml, 21 (46%) with a low porcine inhibitor (< 5 BU/ml) could benefit from Hyate:C.

Publication types

  • Comparative Study
  • Multicenter Study

MeSH terms

  • Animals
  • Autoantibodies / blood*
  • Cross Reactions
  • Factor VIII / immunology*
  • Hemophilia A / blood
  • Hemophilia A / immunology*
  • Humans
  • Isoantibodies / blood*
  • Swine / immunology*

Substances

  • Autoantibodies
  • Isoantibodies
  • Factor VIII