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Recombinant factor VIIa BI (also known as rFVIIa BI or BAX 817) is a recombinant protein developed as a blood coagulation factor for the treatment of hemophilia A and hemophilia B. It acts by stimulating the activity of Factor VIIa in the coagulation cascade, thereby promoting hemostasis in patients with bleeding disorders. The drug was originally developed by Baxter International and later by Shire (now part of Takeda). Its mechanism involves activation of Factor X to Xa and Factor IX to IXa via complex formation with tissue factor, leading to thrombin generation and clot formation at sites of vascular injury[8][5]. Development for hemophilia A and B was discontinued after reaching phase III clinical trials[8].
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