Product image of Jivi (Damoctocog Alfa Pegol) supplied by GNH India

Jivi

Active Ingredient:
Damoctocog Alfa Pegol
Origin:
EU

Jivi (Damoctocog Alfa Pegol)

Damoctocog alfa pegol, the active ingredient in Jivi, is a recombinant factor VIII product presented as a solution for injection for intravenous use. It replaces deficient factor VIII in patients with hemophilia A, helping to control and prevent bleeding episodes. The therapy is used for routine prophylaxis, on‑demand treatment of bleeding events, and peri‑operative management of individuals with congenital factor VIII deficiency.

GNH India supplies Jivi as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Bayer Ag

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Indications & Clinical Uses

Jivi, a recombinant factor VIII concentrate, acts on the intrinsic coagulation pathway to replace deficient factor VIII in hemophilia A.

  • Hemophilia A (congenital factor VIII deficiency): provides factor VIII replacement to prevent or control spontaneous and traumatic bleeding.
  • Perioperative management of hemophilia A: maintains adequate hemostasis during surgical procedures.
  • On‑demand treatment of bleeding episodes in hemophilia A: rapidly restores clotting ability to stop active bleeds.

How It Works

  • Damoctocog alfa pegol is a PEGylated recombinant factor VIII molecule that binds to activated factor IXa and phospholipid surfaces, forming the intrinsic tenase complex. By restoring functional factor VIII activity, it accelerates the conversion of factor X to Xa, leading to thrombin generation and stable fibrin clot formation in patients lacking endogenous factor VIII. This enhanced activity supports normal hemostasis during routine activities and surgical interventions.

Side Effects

Jivi may be associated with a range of adverse reactions following intravenous administration.

Common Side Effects

  • Injection site pain or erythema: mild discomfort at the infusion site
  • Headache: transient mild to moderate pain
  • Fever: low-grade temperature rise
  • Arthralgia: joint pain without swelling
  • Nausea: occasional upset stomach
  • Fatigue: general tiredness
  • Dizziness: brief light‑headed sensation
  • Mild rash: limited skin redness

Serious or Rare Side Effects

  • Development of inhibitory antibodies: neutralizing factor VIII activity
  • Anaphylactic or severe allergic reactions: rapid onset breathing difficulty and hives
  • Thromboembolic events: clot formation in veins or arteries
  • Disseminated intravascular coagulation: widespread clotting and bleeding
  • Hemolysis: destruction of red blood cells
  • Severe hypotension: marked drop in blood pressure

Precautions & Warnings

When using Jivi, several precautions should be observed to ensure safety and efficacy.

  • Monitor for inhibitor development: test for anti‑factor VIII antibodies regularly.
  • Assess for allergic reactions: watch for rash, itching, or respiratory symptoms during infusion.
  • Use with caution in patients with a history of thrombosis: evaluate clotting risk before administration.
  • Avoid in individuals with known hypersensitivity to any component of the product: confirm allergy history.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Jivi can interact with other medicines, influencing its effectiveness or safety.

Major Interactions (Avoid)

  • Concurrent use of other factor VIII concentrates: may increase risk of inhibitor formation.
  • Immunosuppressive agents that alter immune response: could affect antibody development.

Moderate Interactions (Monitor Closely)

  • Heparin or low‑molecular‑weight heparin: monitor coagulation parameters.
  • Antiplatelet drugs (e.g., aspirin, clopidogrel): increased bleeding risk.
  • Antifibrinolytics (e.g., tranexamic acid): may enhance clot stability, watch for thrombosis.
  • Live vaccines: potential altered immune response.

Frequently Asked Questions

Jivi is a recombinant factor VIII concentrate indicated for the treatment and prevention of bleeding in patients with hemophilia A, including routine prophylaxis, on‑demand control of bleeding episodes, and peri‑operative management during surgery.

Damoctocog alfa pegol is a PEGylated recombinant factor VIII that restores functional factor VIII activity in the intrinsic coagulation pathway. By forming the tenase complex with factor IXa, it enables conversion of factor X to Xa, leading to thrombin generation and stable fibrin clot formation in individuals lacking endogenous factor VIII.

The dosage of Jivi is individualized by the prescribing healthcare professional based on the patient’s weight, severity of factor VIII deficiency, type of bleed, and surgical requirements. Dosing regimens are calculated to achieve target factor VIII activity levels and are adjusted according to clinical response and laboratory monitoring.

Safety data for Jivi in pregnant or lactating women are limited, and the product is classified as pregnancy category unknown. Use during pregnancy or breastfeeding should only occur if the potential benefit justifies the potential risk, and decisions should be made by the treating physician in consultation with obstetric specialists.

To place an order, submit an enquiry on the Jivi product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, cold‑chain shipping details, and the necessary import documentation.

Jivi is a PEGylated recombinant factor VIII, offering an extended half‑life compared with standard non‑PEGylated factor VIII concentrates. This longer circulation time can reduce infusion frequency for prophylaxis, while maintaining comparable efficacy in controlling bleeding. Choice of product depends on individual patient needs, inhibitor status, and physician preference.

Jivi must be stored at 2‑8 °C (refrigerated) in its original packaging, protected from light. Do not freeze or shake the vial. If temperature excursions occur, discard the product according to the manufacturer’s guidelines. Proper cold‑chain management is essential to maintain product stability.

Jivi is supplied as a sterile solution for injection and is administered intravenously. The infusion is given through a peripheral or central venous line, typically over several minutes, depending on the prescribed dose and patient tolerance. Administration should be performed by qualified healthcare personnel following aseptic technique.

The most serious risks include the development of inhibitory antibodies that neutralize factor VIII activity, severe allergic or anaphylactic reactions, and rare thromboembolic events such as deep‑vein thrombosis or pulmonary embolism. Patients should be monitored closely for signs of these complications, and immediate medical attention is required if they occur.

Jivi is contraindicated in individuals with known hypersensitivity to Damoctocog alfa pegol or any of the excipients in the formulation. Patients with a history of severe allergic reactions to factor VIII products should avoid Jivi, and alternative therapies should be considered under medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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