Abstract

Emicizumab is a novel monoclonal antibody approved for the prevention and treatment of bleeds in patients with hemophilia A with or without inhibitors. The development of inhibitors, which are neutralizing antibodies to clotting factor replacement therapy, is a major treatment-related complication in hemophilia management. In patients with inhibitors, bleed prophylaxis using emicizumab has been shown to be cost-effective compared to prophylaxis using bypassing agents – with supporting evidence for its reimbursement in this population in Canada.

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