{"id":6395,"date":"2022-04-05T14:25:49","date_gmt":"2022-04-05T14:25:49","guid":{"rendered":"https:\/\/wilate.com\/ca\/?page_id=6395"},"modified":"2022-12-22T13:02:10","modified_gmt":"2022-12-22T13:02:10","slug":"dosing","status":"publish","type":"page","link":"https:\/\/wilate.com\/ca\/dosing\/","title":{"rendered":"Dosing"},"content":{"rendered":"<h1>Dosing<\/h1>\n<p><strong>In many people with von Willebrand disease, the activity of both von Willebrand factor (VWF) and factor VIII (FVIII) are reduced.<sup>1<\/sup><\/strong><\/p>\n<p>For effective prevention and treatment of bleeds, the activity of both clotting factors needs to be restored. wilate<sup>\u00ae<\/sup> contains VWF and FVIII in a physiological 1:1 activity ratio to simultaneously restore the activity of both clotting factors, and facilitate simple and predictable dosing.<sup>2, 3<\/sup><\/p>\n<h2>wilate<sup>\u00ae<\/sup> contains VWF and FVIII in a 1:1 ratio<\/h2>\n<p><em>Many people with von Willebrand disease also have low levels of FVIII, which also needs to be corrected in order to restore normal haemostasis<sup>1<\/sup><\/em><\/p>\n<p><em><sup><br \/>\n<\/sup><\/em><em>wilate<sup>\u00ae<\/sup> contains VWF and FVIII in a 1:1 ratio*, similar to the ratio found in the blood of healthy individuals<sup>3<\/sup><\/em><\/p>\n<p>*Based on VWF and FVIII activity levels. FVIII, factor VIII; VWD, von Willebrand disease; VWF, von Willebrand factor.<\/p>\n<h2>The balanced physiological 1:1 ratio<\/h2>\n<h3><em>of wilate<sup>\u00ae<\/sup> facilitates dosing and monitoring*<\/em><\/h3>\n<p><em>Because of the predictable decay of VWF and FVIII in wilate<sup>\u00ae<\/sup>, coagulation activity can be monitored using either VWF or FVIII levels<\/em><\/p>\n<p><em><br \/>\n<\/em><em>The ease of monitoring may help to ensure efficacy and tolerability of wilate<sup>\u00ae<\/sup> even after repeat dosing<sup>2<\/sup><\/em><\/p>\n<p><img decoding=\"async\" src=\"https:\/\/wilate.com\/ca\/wp-content\/uploads\/sites\/5\/2022\/04\/3_3@2x.png\" title=\"3_3@2x\" alt=\"3_3@2x\"><\/p>\n<p>*Based on von Willebrand factor and factor VIII activity levels. FVIII: factor VIII; VWF: von Willebrand factor.<\/p>\n<h2>The balanced physiological 1:1 ratio<\/h2>\n<h3><em>of wilate<sup>\u00ae<\/sup> facilitates dosing and monitoring<\/em><\/h3>\n<p><img decoding=\"async\" src=\"https:\/\/wilate.com\/ca\/wp-content\/uploads\/sites\/5\/2022\/06\/3_4@2x.png\" title=\"3_4@2x\" alt=\"3_4@2x\"><\/p>\n<p><em>Parallel decay of VWF:RCo and FVIII:C<\/em><\/p>\n<p><em><br \/>\n<\/em><em>Simple dosing and monitoring using either VWF or FVIII levels<\/em><\/p>\n<p>FVIII:C: FVIII clotting activity; FVIII: factor VIII; VWF:Ag: VWF antigen; VWF:RCo: von Willebrand Ristocetin Cofactor; VWF: von Willebrand factor.<\/p>\n<h2>wilate<sup>\u00ae <\/sup>reconstitution<\/h2>\n<p>https:\/\/wilate.com\/ca\/wp-content\/uploads\/2022\/04\/Tutorial-II-willate.mp4#t=2<\/p>\n<p>Each wilate<sup>\u00ae<\/sup> package contains a vial of wilate<sup>\u00ae<\/sup> powder, a vial of sterile water*, a nextaro<sup>\u00ae<\/sup> transfer device and an infusion set.<\/p>\n<p>The wilate<sup>\u00ae<\/sup> powder dissolves rapidly and the nextaro<sup>\u00ae<\/sup> transfer device allows quick and easy mixing to help save time during administration.<\/p>\n<p>wilate<sup>\u00ae<\/sup> may be infused at a rate of 2\u20133 mL per minute.<\/p>\n<p>*Includes 0.1% Polysorbate 80.<\/p>\n<h2>Dosing of wilate<sup>\u00ae<\/sup><\/h2>\n<p>Recommended dosing for wilate<sup>\u00ae<\/sup><\/p>\n<p>*An initial dose of 50\u201380 IU\/kg may be required, especially in patients with VWD type 3. \u2020In some cases, such as in patients with gastrointestinal bleeds, higher doses may be necessary. FVIII:C: factor FVIII clotting activity for consistency; VWF:RCo: von Willebrand Ristocetin Cofactor.<\/p>\n<p>**Treatment should be initiated under the supervision of a physician experienced in the treatment of coagulation disorders.<\/p>\n<p><em>Surgery<sup>4<\/sup><br \/>\nVWF:RCo target level: \u226560 IU\/dL<br \/>\nFVIII:C target level: \u226540 IU\/dL<\/em><\/p>\n<p><em>An appropriate dose should be re-administered every 12-24 hours of treatment. The dose and duration of the treatment depend on the clinical status of the patient, the type and severity of bleeding, and both VWF:RCo and FVIII:C levels<\/em><\/p>\n<p><em>On-demand treatment<sup>4<\/sup><br \/>\nBased on the clinical trial results, approximately 20\u201360 IU VWF:RCo\/kg are given to<br \/>\nachieve adequate hemostasis in case of bleeding.<br \/>\n<\/em><\/p>\n<p><em>Prophylaxis<sup>4<\/sup><br \/>\nFor long-term prophylaxis against bleeds in VWD patients, doses of 20\u201330 IU\/kg BW should be administered 1\u20133 times per week<br \/>\n<\/em><\/p>\n<h2>wilate<sup>\u00ae <\/sup>range of vial sizes<\/h2>\n<p>wilate<sup>\u00ae<\/sup> is available in vials of 500 IU and 1000 IU. Each vial contains von Willebrand factor and factor VIII in a 1:1 ratio*.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/wilate.com\/ca\/wp-content\/uploads\/sites\/5\/2022\/05\/3_7-1-2_v2_tinified.png\" title=\"3_7-1-2_v2_tinified\" alt=\"Two dosing strengths of wilate\"><\/p>\n<p>*Based on von Willebrand factor and factor VIII activity levels.<\/p>\n<h4>References<\/h4>\n<ol>\n<li>Castaman G and James PD. <em>Eur J Haematol<\/em> 2019; 103:73-9.<\/li>\n<li>Kessler C et al. <em>Thromb Haemost<\/em> 2011; 106:279-88.<\/li>\n<li>Stadler M et al. <em>Biologicals<\/em> 2006; 34:281-8.<\/li>\n<li>Wilate<sup>\u00ae <\/sup>Product Monograph. Octapharma Canada Inc. May 08, 2018.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Dosing In many people with von Willebrand disease, the activity of both von Willebrand factor (VWF) and factor VIII (FVIII) are reduced.1 For effective prevention and treatment of bleeds, the activity of both clotting factors needs to be restored. wilate\u00ae contains VWF and FVIII in a physiological 1:1 activity ratio to simultaneously restore the activity [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-6395","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Dosing of von willebrand disease therapy<\/title>\n<meta name=\"description\" content=\"In many people with von 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