


Reminder: The outer packaging is for reference only, please purchase and use under the guidance of a pharmacist. For read by medical and pharmaceutical professionals only.
CABLIVI (caplacizumab-yhdp) is a recombinant, monoclonal antibody fragment that specifically targets von Willebrand factor (vWF). This targeted mechanism helps prevent the formation of microthrombi in the microcirculation by inhibiting the interaction between vWF and platelets, which is central to the pathogenesis of acquired thrombotic thrombocytopenic purpura (aTTP). As part of the treatment regimen for aTTP, CABLIVI is used in combination with plasma exchange and immunosuppressive therapy. This combination provides a multifaceted approach to reduce the burden of thrombotic events, control platelet consumption, and mitigate organ damage, ultimately improving patient outcomes.
Administered through intravenous and subcutaneous routes, CABLIVI provides flexibility in treatment delivery. The recommended dosage schedule involves an initial bolus intravenous injection, followed by subcutaneous injections during the plasma exchange phase. Treatment continues for up to 30 days post-plasma exchange, with adjustments based on disease activity. Notably, CABLIVI has demonstrated efficacy in reducing aTTP relapse and improving recovery, although treatment may be extended in certain cases with persistent symptoms.
CABLIVI is a von Willebrand factor (vWF)-directed antibody fragment indicated for the treatment of adult patients with acquired thrombotic thrombocytopenic purpura (aTTP), in combination with plasma exchange and immunosuppressive therapy.
General:
CABLIVI should be administered upon initiation of plasma exchange therapy.
First Day of Treatment:
An 11 mg bolus intravenous injection administered at least 15 minutes prior to plasma exchange.
Followed by an 11 mg subcutaneous injection after completion of plasma exchange on day 1.
Subsequent Treatment During Daily Plasma Exchange:
An 11 mg subcutaneous injection once daily following plasma exchange.
Treatment After the Plasma Exchange Period:
An 11 mg subcutaneous injection once daily for 30 days beyond the last plasma exchange.
If signs of persistent underlying disease (e.g., suppressed ADAMTS13 activity levels) remain after the initial treatment course, treatment may be extended for a maximum of an additional 28 days.
