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Voloctocogene roxaparvovec (brand name: Roctavian) is an adeno-associated virus serotype 5 (AAV5)-based gene therapy developed by BioMarin Pharmaceutical for the treatment of severe hemophilia A (congenital factor VIII deficiency). It delivers a functional complementary DNA (cDNA) encoding the B-domain deleted SQ form of human coagulation factor VIII (hFVIII-SQ) under the control of a liver-selective promoter. This enables hepatocytes to endogenously produce and secrete functional factor VIII, restoring the coagulation cascade and reducing or eliminating the need for prophylactic factor VIII infusions. Administered as a single intravenous infusion, it was conditionally approved in the European Union in August 2022 and fully approved in the United States in June 2023.
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