Roche's Hemlibra Priced And Labeled To Beat Competition, Safety Concern

Genentech/Roche's Hemlibra, now FDA-approved for hemophilia A patients with inhibitors, offers a once-weekly injection, impressive efficacy with a safety concern that appears to be manageable, and a price that's at least half the cost of the established prophylaxis regimen.

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Roche's Genentech Inc. won US FDA approval on Nov. 16 for its once-weekly injection Hemlibra as a prophylactic treatment for adult and pediatric patients who have hemophilia A with inhibitors, which could free patients from multiple weekly infusions.

And at a cost that's at least half of the current prophylaxis treatment with potentially better efficacy and a safety concern that now looks manageable, uptake among prescribers, patients and payers could be strong. Hemlibra (emicizumab-kxwh, ACE910) is expected to be a blockbuster product, though peak sales estimates range from $1.1bn to $5bn

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