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Eftrenonacog alfa is a long-acting recombinant fusion protein used for the treatment and prevention of bleeding in patients with hemophilia B (congenital factor IX deficiency). It consists of a single molecule of human coagulation factor IX covalently linked to the Fc domain of human immunoglobulin G1 (IgG1) via recombinant DNA technology. The Fc domain extends the half-life by binding to the neonatal Fc receptor (FcRn), which protects it from lysosomal degradation and recycles it back into circulation, resulting in prolonged therapeutic action. Eftrenonacog alfa serves as replacement therapy to increase plasma levels of factor IX, temporarily correcting deficiency and enabling normal blood clotting. It is indicated for prophylaxis, control of acute bleeding episodes, and perioperative management in patients with hemophilia B[1][2][3][4][5][6].
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