REFLUDAN [lepirudin (rDNA) for injection]: the first direct thrombin inhibitor FDA-approved for heparin induced thrombocytopenia (HIT)

Learn more about the benefits of REFLUDAN
This section contains REFLUDAN laboratory and clinical efficacy data
This section contains information regarding the safe administration of REFLUDAN for the treatment of heparin induced thrombocytopenia (HIT)
This section describes adverse events reported in REFLUDAN clinical trials
This section contains information regarding the safe administration of REFLUDAN for the treatment of heparin induced thrombocytopenia (HIT)
This section describes the dosage and administration of REFLUDAN in the treatment of heparin induced thrombocytopenia (HIT)
Heparin induced thrombocytopenia
A summary of pivotal trial data for REFLUDAN is covered in this section
This section provides access to a variety of resources to obtain in-depth information on heparin induced thrombocytopenia (HIT) and REFLUDAN
Find out what your peers are saying about heparin induced thrombocytopenia (HIT)...

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H.I.T. BACK with REFLUDAN to protect life and limb
Adverse Events Reported in Clinical Trials in HIT Patients


The following safety information is based on all 198 patients treated with REFLUDAN in the HAT-1 and HAT-2 studies. The safety profile of 113 REFLUDAN patients from these studies who presented with TECs at baseline is compared to 91 such patients in the historical control.

Hemorrhagic Events. Bleeding was the most frequent adverse event observed in patients treated with REFLUDAN. The following table gives an overview of all hemorrhagic events which occurred in at least two patients.

 
  
 
 
 Patients with TECs 
 
 
 Hemorrhagic 
 Events* 

 
 
 HAT-1 
 HAT-2 
 (All Patients) 
 (n=198) 

 
 
 REFLUDAN 
 (n=113) 

 
 
 Historical 
 Control (n=91) 

 
 
   Bleeding from 
   puncture sites and 
   wounds 

 
 
 14.1% 
 
 
 10.6% 
 
 
 4.4% 
 
 
   Anemia or isolated 
   drop in hemoglobin 

 
 
 13.1% 
 
 
 12.4% 
 
 
 1.1% 
 
 
   Other hematoma 
   and unclassified 
   bleeding 

 
 
 11.1% 
 
 
 10.6% 
 
 
 4.4% 
 
 
   Hematuria 
 
 
 6.6% 
 
 
 4.4% 
 
 
 0 
 
 
   Gastrointestinal 
   and rectal bleeding 

 
 
 5.1% 
 
 
 5.3% 
 
 
 6.6% 
 
 
   Epistaxis 
 
 
 3.0% 
 
 
 4.4% 
 
 
 1.1% 
 
 
   Hemothorax 
 
 
 3.0% 
 
 
 0 
 
 
 1.1% 
 
 
   Vaginal bleeding 
 
 
 1.5% 
 
 
 1.8% 
 
 
 0 
 
 
   Intracranial bleeding 
 
 
 0 
 
 
 0 
 
 
 2.2% 
 
* Patients may have suffered more than one event.

 
  
 
 
 Patients with TECs 
 
 
 Nonhemorrhagic 
 Events* 

 
 
 HAT-1 
 HAT-2 
 (All Patients) 
 (n=198) 

 
 
 REFLUDAN 
 (n=113) 

 
 
 Historical 
 Control (n=91) 

 
 
   Fever 
 
 
 6.1% 
 
 
 4.4% 
 
 
 8.8% 
 
 
   Abnormal liver 
   function 

 
 
 6.1% 
 
 
 5.3% 
 
 
 0 
 
 
   Pneumonia 
 
 
 4.0% 
 
 
 4.4% 
 
 
 5.5% 
 
 
   Allergic skin 
   reactions 

 
 
 3.0% 
 
 
 3.5% 
 
 
 1.1% 
 
 
   Heart failure 
 
 
 3.0% 
 
 
 1.8% 
 
 
 2.2% 
 
 
   Abnormal kidney 
   function 

 
 
 2.5% 
 
 
 1.8% 
 
 
 4.4% 
 
 
   Unspecified 
   infections 

 
 
 2.5% 
 
 
 1.8% 
 
 
 1.1% 
 
 
   Multiorgan failure 
 
 
 2.0% 
 
 
 3.5% 
 
 
 0 
 
 
   Pericardial effusion 
 
 
 1.0% 
 
 
 0 
 
 
 1.1% 
 
 
   Ventricular fibrillation 
 
 
 1.0% 
 
 
 0 
 
 
 0 
 
* Patients may have suffered more than one event.

Other hemorrhagic events (hemoperitoneum, hemoptysis, liver bleeding, lung bleeding, mouth bleeding, retroperitoneal bleeding) each occurred in one individual among all 198 patients treated with REFLUDAN.

Please consult full Prescribing Information for a complete list, including the incidence, of adverse events.



A Proven Safety Profile
Adverse Events Reported in Clinical Trials in HIT Patients

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