Dosing

Nuwiq® (simoctocog alfa) offers patients, caregivers and healthcare professionals the convenience of flexible dosing for children and adults, and a wide range of vial sizes.

More information on dosing, reconstitution and administration can be found in the full prescribing information.

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Nuwiq® allows convenient and
flexible dosing and monitoring

Recommended dosing for Nuwiq®

Routine prophylaxis1

20–40 IU/kg every 2 or 3 days*

In the NuPreviq trial, personalised prophylaxis with Nuwiq enabled the majority of patients to extend their dosing interval to twice weekly or less2

* In some cases, especially in younger patients, shorter dosing intervals or higher doses may be necessary.
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Bleed Target FVIII level Frequency Duration
Minor* 20–40 IU/dL every 12 to 24 hours At least 1 day, until the bleeding episode as indicated by pain is resolved or healing is achieved
Moderate-to-major 30–60 IU/dL every 12 to 24 hours For 3 to 4 days or more until pain and acute disability are resolved
Life-threatening 60–100 IU/dL every 8 to 24 hours Until threat is resolved
* Early haemarthrosis, muscle bleeding or oral bleeding.
More extensive haemarthrosis, muscle bleeding or haematoma.
Bleed Target FVIII level Frequency Duration
Minor* 30–60 IU/dL every 24 hours For at least 1 day, until healing is achieved
Major 80–100 IU/dL
 (pre- and post-operative) every 8 to 24 hours Until adequate wound healing, then therapy for at least another 7 days to maintain a factor VIII activity of 30% to 60% (IU/dL)
* Including tooth extractions.

Easy monitoring4

No product-specific measuring
standard required
Comparable one-stage and
chromogenic assay results
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Bleed Target FVIII level Frequency Duration
Minor* 20–40 IU/dL every 12 to 24 hours At least 1 day, until the bleeding episode as indicated by pain is resolved or healing is achieved
Moderate-to-major<sup>†</sup> 30–60 IU/dL every 12 to 24 hours For 3 to 4 days or more until pain and acute disability are resolved
Life-threatening 60–100 IU/dL every 8 to 24 hours Until threat is resolved
* Early haemarthrosis, muscle bleeding or oral bleeding.
More extensive haemarthrosis, muscle bleeding or haematoma.
dosing-img-1
Bleed Target FVIII level Frequency Duration
Minor* 30–60 IU/dL every 24 hours For at least 1 day, until healing is achieved
Major 80–100 IU/dL
 (pre- and post-operative) every 8 to 24 hours Until adequate wound healing, then therapy for at least another 7 days to maintain a factor VIII activity of 30% to 60% (IU/dL)
* Including tooth extractions.
last-dosing-img

Easy monitoring4

No product-specific measuring
standard required
Comparable one-stage and
chromogenic assay results

Nuwiq® offers a large range of vial sizes

all with an infusion volume of 2.5 mL1

Nuwiq® is available in vials of 250, 500, 1000, 1500, 2000, 2500, 3000 or 4000 IU FVIII1

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Nuwiq® reconstitution

Prophylaxis with Nuwiq® can be personalised

based on population pharmacokinetic data

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The ISTH recommends using dedicated software, such as WAPPS-Hemo3

  • WAPPS-Hemo is a free, global repository of individual pharmacokinetic data established by McMaster University, Canada
  • Allows simulations of optimal individualised regimens, allowing consideration of patient preferences and needs and shared provider/patient decision-making
  • For more details, visit https://mywapps.org/
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With myWAPPS patients can:

  • View factor levels, including estimated future levels
  • Receive reminders when it is time for an infusion
  • Receive notifications when factor levels drop to the low zone
ISTH: International Society on Thrombosis and Haemostasis;​
WAPPS-Hemo: Web Accessible Population Pharmacokinetic Service-Hemophilia.

References

  • 1

    European Medicines Agency. Nuwiq Summary of Product Characteristics, November 2022;

  • 2

    Tiede A et al. Haemophilia 2016; 22:374-80;

  • 3

    Iorio A et al. J Thromb Haemost 2017; 15:2461-5;

  • 4

    Valentino LA, et al. Haemophilia 2014; 20 (Suppl. 1): 1-9.

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