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Updated: May 11, 2026

Determination of the Procoagulant Activity of Extracellular Vesicle (EV) Using EV-Activated Clotting Time (EV-ACT)
Published on: August 4, 2023
Investigational drugs for coagulation disorders
Pier Mannuccio Mannucci1, Maria Elisa Mancuso
1Scientific Direction and Angelo Bianchi Bonomi Hemophilia and Thrombosis Center, IRCCS Ca' Granda Maggiore Policlinico Hospital Foundation, Via Pace 9, 20122 Milano, Italy. piermannuccio.mannucci@policlinico.mi.it
New coagulation factors aim to improve hemophilia (PWH) management by offering longer-lasting prophylaxis and better bleeding control. Early studies show promise, but further Phase III trials are needed for clinical use.
Area of Science:
- Hematology
- Pharmacology
- Drug Development
Background:
- Current hemophilia prophylaxis involves frequent intravenous infusions, burdening patients' quality of life.
- Developing novel coagulation factors is crucial for improving hemophilia management and patient well-being.
Purpose of the Study:
- To review the development of new antihemophilic products.
- To highlight regulatory challenges in bringing new hemophilia treatments to market.
Main Methods:
- Literature search of PubMed for new coagulation factor molecules.
- Online search for ongoing clinical trials in hemophilia A and B.
Main Results:
- New molecules are engineered for extended half-life and enhanced potency through various methods.
- Phase I/II studies of modified Factor VIII, IX, and VII show encouraging results, especially for Factor IX.
Conclusions:
- Modified coagulation factors demonstrate potential for improved hemophilia treatment.
- Ongoing Phase III trials are essential to confirm the efficacy and effectiveness of these novel therapies for clinical application.
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