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Vatreptacog alfa is a genetically engineered, activated recombinant human factor VIIa (rFVIIa) analog developed to improve the treatment of bleeding episodes in hemophilia patients with inhibitors. It contains three amino acid substitutions (V158D, E296V, M298Q) compared to native rFVIIa, resulting in enhanced tissue factor-independent activation of factor X and increased hemostatic activity. The drug was produced using CHO cell lines and was investigated for use in hemophilia A and B patients with inhibitors. Clinical trials demonstrated rapid and sustained resolution of bleeding episodes; however, development was discontinued after phase 3 due to the emergence of anti-drug antibodies in some patients[2][4][5][6].
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