1
Fact Sheet
2
SOPs
3
Order Sets
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LIS Setup
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Reconstitution
6
Get Support

Product Conversion Resource Centre · Canada

Your formulary decision is made.
Here's what comes next.

This page walks blood bank managers, transfusion safety officers, and LIS analysts through every practical step of the fibryga conversion — in the order you'll actually need it.

<5 min Reconstitution time
4-year Shelf life at room temp
24 hrs Stability after reconstitution
827 Patients in Canadian FIBRES trial
1

What changes. What doesn't.

A reference for your team covering storage, handling, and key parameters — everything needed to update your product specifications and brief staff on differences.

Parameter Other FC fibryga®
Presentation Lyophilized powder, single-use vial Lyophilized powder, single-use vial + Nextaro® transfer device + sterile water for injection (co-packaged)
Fibrinogen content Variable per lot (range stated on label) ~1 g per vial (1 g/50 mL or 2 g/100 mL); actual potency printed on every vial and carton
Storage temperature 2°C–25°C 2°C–25°C (refrigerator or room temperature) No refrigeration required
Shelf life Up to 36 months from manufacture Up to 48 months from manufacture (4-year shelf life)
Post-reconstitution stability Use promptly; do not refrigerate 24 hours at ≤25°C — do not refrigerate or freeze reconstituted solution
Reconstitution device Standard transfer spike / filter needle Nextaro® device (co-packaged, fully protected spike, dual integrated filter, solvent-first connection)
Reconstitution time ~10–15 minutes <5 minutes at room temperature
Administration route IV injection IV injection at room temperature — max 20 mL/min (AFD) or 5 mL/min (CFD)
IV line Flush with normal saline before/after Flush with normal saline before and after; do not allow blood into syringe (risk of fibrin clot formation)
Preservatives None None — single use, discard unused portion
Latex No natural rubber latex in packaging
Plasma source Pooled human plasma, virus-inactivated Pooled human plasma; S/D virus inactivation + 20 nm nanofiltration (Planova 20N or Pegasus SV4)
Canadian authorization Health Canada authorized Health Canada authorized (Product Monograph Oct 24, 2024) — AFD and CFD indications

Biochemical composition — fibryga 4g vs. Other Available FC

Component fibryga® 4g Other Available FC
Fibrinogen Antigen (g) 3.0 3.3
Fibronectin (mg) 2.1 140
VWF Antigen (U) 30 570
FXIII Activity (U) 585 165
Lower fibronectin and VWF antigen may contribute to increased safety, and higher FXIII levels may contribute to increased clot stability.

Based on in vitro studies. Source: Neisser-Svae et al. Differences in the biochemical composition of three plasma-derived human fibrinogen concentrates. Thrombosis Research. 2021;205:44–46. Consult the fibryga® Product Monograph for full prescribing information.

2

SOP language, ready to adapt.

Pre-drafted procedural language for each step of the fibryga workflow. Review with your medical director before adoption. Replace all [bracketed fields] with your facility's values.

Upon receipt of fibryga [Fibrinogen Concentrate (Human)], the blood bank technologist shall verify against the packing slip and vial label: product name, lot number, actual fibrinogen potency (printed in mg on vial and carton), expiration date, and condition of the Nextaro® transfer device packaging.

Any unit arriving with a compromised temperature indicator, damaged packaging, visible particulate matter, or turbidity shall be quarantined and the supervisor notified. Disposition shall follow [FACILITY NAME] non-conformance policy [SOP#]. Do not enter quarantined units into usable inventory.

Acceptable units shall be entered into the LIS under product code [ISBT 128 CODE — see Step 4] and assigned to storage location [STORAGE LOCATION] within [FACILITY-DEFINED TIMEFRAME] of receipt. Storage: 2°C–25°C. Do not freeze. Keep in original container, protected from light.

fibryga shall be stored at 2°C–25°C in its original sealed container. Refrigeration is not required; room temperature storage is acceptable provided conditions remain within the approved range. Temperature monitoring shall be documented via [MONITORING SYSTEM/LOG] per [FREQUENCY].

Inventory shall be managed first-expiry, first-out (FEFO). Units with the shortest remaining shelf life shall be positioned at the front of storage. Staff shall be alerted to units within [THRESHOLD — e.g., 30 days] of expiry via [LIS ALERT / MANUAL FLAG].

Par levels shall be set based on [FACILITY USAGE DATA] and reviewed [QUARTERLY / ANNUALLY] in collaboration with pharmacy and the transfusion committee. Note: fibryga's 4-year shelf life allows for more flexible par-level planning compared to products with shorter stability windows.

During transition, maintain a depletion schedule for remaining Other FC inventory. Do not mix products in the same storage bin. Label bins clearly with product name and lot range.

Ensure the powder vial and sterile water for injection (SWI) diluent vial are at room temperature. Do not use beyond the printed expiration date. Use aseptic technique throughout. Note for staff transitioning from Other FC: fibryga uses the Nextaro® device — do not use the transfer device from Other FC. See Step 5 for the full reconstitution guide and video.

Procedure: (1) Remove flip caps; disinfect rubber stoppers with alcohol swab, allow to dry. (2) Attach blue part of the Nextaro® device to the diluent vial — press firmly straight down until it snaps. Do not twist. (3) Remove blister packaging by pulling vertically. (4) Invert the diluent vial with device; attach white connector to the powder vial and press down firmly. (5) Gently swirl — do not shake — for approximately 5 minutes until fully dissolved. (6) Remove diluent vial; transfer solution to syringe via the Luer lock connector.

The reconstituted solution should be clear to slightly opalescent, colourless to pale yellow. Discard if cloudy, discoloured, or contains visible particles. Reconstituted solution is stable for 24 hours at ≤25°C. Do not refrigerate or freeze the reconstituted solution.

Document in [LIS / PAPER LOG]: lot number, potency, time of reconstitution, technologist ID.

fibryga shall be issued against a valid physician order. Before issue, verify in the LIS: patient identity, ordered dose (g or mg/kg), indication, body weight, and plasma fibrinogen level or viscoelastic test result (FIBTEM A10) if available.

Calculate the number of vials required based on the ordered dose and the actual potency printed on each vial label — do not assume a fixed value per vial. Partial vials shall be discarded per [FACILITY WASTE POLICY]; fibryga contains no preservatives and is single-use only.

Label at issue with patient name, MRN, date/time, and issuing technologist ID per [FACILITY LABELING SOP]. Document issue in the LIS.

Administer fibryga at room temperature by slow IV injection. Flush the infusion line with normal saline before and after. Do not allow blood to enter the syringe — risk of fibrin clot formation in the line.

Maximum infusion rate: ≤20 mL/min for AFD (delivers 4 g dose in approximately 10 minutes). ≤5 mL/min for CFD. Do not mix fibryga with other medications or IV solutions. Administer through a separate IV site.

Monitor throughout infusion and for [FACILITY-DEFINED OBSERVATION PERIOD] post-completion for: urticaria, rash, chest tightness, wheezing, hypotension, or anaphylaxis. If a reaction occurs, discontinue immediately and manage per [FACILITY TRANSFUSION REACTION POLICY].

Monitor fibrinogen level and/or FIBTEM A10 post-infusion. For AFD: re-dose if fibrinogen ≤200 mg/dL or FIBTEM A10 ≤10 mm. Document in EMR: lot number, dose given, start/end time.

Reactions to monitor: Most serious: thromboembolic episodes and anaphylactic-type reactions. Warn patients and monitor for risk of thrombosis, particularly in CFD with fibrinogen targets near 150 mg/dL. Allergic reactions have been reported. Safety in pregnancy and nursing has not been fully established — weigh benefits and risks.

Recommended monitoring: Fibrinogen level using Clauss fibrinogen assay before and during treatment to avoid over- or under-dosing. Viscoelastic testing (e.g., FIBTEM A10 ≤10 mm) may be used as equivalent trigger.

Any suspected adverse reaction shall be documented in the patient EMR and reported to the blood bank per [FACILITY HEMOVIGILANCE SOP]. Report to Octapharma Canada Inc. at 1-888-627-8272 and to Health Canada MedEffect at 1-866-234-2345 or canada.ca/medeffect.

📄 Need the full SOP package in editable Word format? Request it through the Get Support section below, or contact your fibryga implementation representative directly.

3

Order parameters by indication.

Ready-to-adapt order set content for the primary clinical scenarios. Use these as the basis for physician order set updates. Dosing is from the fibryga® Product Monograph (Octapharma Canada Inc., Oct 24, 2024).

AFD

Acquired Fibrinogen Deficiency

Bleeding patients with hypofibrinogenemia — surgical, trauma, cardiac surgery, or obstetric haemorrhage settings.

Trigger Fibrinogen <200 mg/dL or FIBTEM A10 ≤10 mm**

Initial dose (adult) 4 g IV (~4 vials × 1 g)

Additional doses Repeat when fibrinogen ≤200 mg/dL or FIBTEM A10 ≤10 mm

Rate ≤20 mL/min — delivers 4 g in ~10 min

Monitor Fibrinogen (Clauss assay) before and during treatment
CFD

Congenital Fibrinogen Deficiency

Acute bleeding or perioperative prophylaxis in adults and pediatric patients with afibrinogenemia or hypofibrinogenemia. Not indicated for dysfibrinogenemia.

Dose formula (≥12 yrs) [Target − Measured (mg/dL)] ÷ 1.8 = mg/kg

Dose formula (<12 yrs) [Target − Measured (mg/dL)] ÷ 1.4 = mg/kg

Targets Minor bleed: 100 mg/dL | Major bleed: 150 mg/dL

Level unknown 70 mg/kg IV

Rate ≤5 mL/min
MTP

Massive Haemorrhage Protocol

Per the Canadian FIBRES trial protocol. Included in MHP order sets at major Canadian centres.

MHP order set (standard) 8 units RBC + 4 units S/D Plasma + 4 g fibryga (1 g = 1 vial)

MHP where plasma unavailable 4 units RBC (Pack 1 & 2) + 2000 IU Octaplex + 4 g fibryga

Trigger MTP activation + fibrinogen <200 mg/dL or FIBTEM A10 ≤10 mm

Note Call Blood Bank upon MTP initiation to request release
CS

Cardiac Surgery (Post-CPB)

Patients with post-CPB bleeding and hypofibrinogenemia. fibryga was non-inferior to cryoprecipitate across 827 patients in the FIBRES RCT (JAMA, 2019) and superior in non-critical cardiac surgery patients.

Trigger Post-CPB fibrinogen <200 mg/dL or FIBTEM A10 ≤10 mm

Dose 4 g IV; additional doses per fibrinogen response

Evidence FIBRES: mean ratio 0.96 vs. cryoprecipitate (non-inferior); 0.84 in non-critical patients (superior)

Rate ≤20 mL/min
OB

Obstetric Haemorrhage

Postpartum or intrapartum haemorrhage with acquired fibrinogen deficiency. Fibrinogen drops rapidly in PPH. Note: Safety in pregnancy has not been fully established — weigh benefits and risks per Product Monograph.

Trigger Fibrinogen <200 mg/dL in active PPH, or per institutional haemorrhage protocol

Dose 4 g IV; titrate to fibrinogen response

Monitor Fibrinogen level before and after each dose

Rate ≤20 mL/min
PED

Paediatric — CFD (Age 1–11)

Lower recovery and faster clearance in children under 12 require weight-based dose adjustment. Higher doses than adults/adolescents may be needed.

Dose formula [Target − Measured (mg/dL)] ÷ 1.4 = mg/kg

Level unknown 70 mg/kg IV

Targets Minor: 100 mg/dL | Major: 150 mg/dL

Rate ≤5 mL/min

Note Monitor fibrinogen; higher doses may be needed

** Or equivalent values from other thromboelastometry/thromboelastography methods. Always consult the fibryga® Product Monograph for complete dosing information. Institutional protocols take precedence.

4

Everything your LIS analyst needs.

Hand this reference directly to your LIS analyst or IT contact. Validate all entries in a test environment before go-live. Confirm your ISBT 128 product code with your Canadian Blood Services account or Octapharma Canada directly.

Product Display Name
Fibrinogen Concentrate (Human) — fibryga®
Use consistent naming across LIS, EMR order sets, and nursing documentation to avoid confusion during transition
Manufacturer
Octapharma Canada Inc.
308 – 214 King Street West, Toronto, ON M5H 3S6 | Medical Information: 1-888-627-8272
Product Type
Commercial Blood Product
Not a blood component — classified as commercially prepared blood product. No ABO/Rh compatibility testing required
ISBT 128 Product Code
[Confirm with CBS or Octapharma Canada]
8-character alphanumeric ISBT 128 code. Enter all 8 digits exactly. Verify your LIS accepts codes starting with "EA" if applicable
Vial Sizes
1 g / 50 mL  |  2 g / 100 mL
Build both sizes if your facility carries both. Confirm standard stock size with pharmacy. Actual potency varies by lot — read the label
Unit of Measure
Vial (g fibrinogen)
Potency in mg printed per vial. Configure dispensing to capture actual lot potency, not a fixed assumed value
Storage Location
Room temperature (2°C–25°C)
No refrigeration required. Assign a dedicated room-temp location. Protect from light and freezing. Do not store near direct heat
Shelf Life / Expiry Rule
48 months from manufacture
Configure LIS to read expiry from vial/carton label. Do not use beyond printed date. Post-reconstitution: 24 hrs at ≤25°C
ABO / Rh Compatibility
Not required
Disable ABO/Rh check in LIS for this product if your system allows. No crossmatch required
Special Attributes
Single-use; no preservatives; pooled plasma
Flag as single-use. Virus-inactivated and nanofiltered (20 nm). No irradiation or leukoreduction flags needed
Dispensing Rule
Physician order required; dose in grams or mg/kg
Configure LIS to capture indication, body weight, and current fibrinogen level at time of order. Add dose-check alert if supported
HL7 / EMR Interface
[Confirm with LIS vendor]
Verify blood product order/result messages map correctly between LIS and EMR. Lot number and dose administered must flow to transfusion record for traceability

⚠ All LIS builds should be validated in a test environment before cutover. If your facility modifies blood products (e.g., pooling), ISBT 128 registration with ICCBBA may be required: iccbba.org. Need LIS build support? Use the contact form in Step 6.

5

Nextaro® device — step by step.

The Nextaro® is new to teams transitioning from Other FC. Staff training on the device is the most common implementation request. Use the resources below alongside a hands-on demo kit.

1
Bring to room temperature Ensure both the fibryga powder vial and the sterile water for injection (SWI) diluent vial are at room temperature before beginning.
2
Prepare stoppers Remove flip caps from both vials. Disinfect rubber stoppers with an alcohol swab; allow to dry fully.
3
Attach to diluent vial Place the blue part of the Nextaro® device on top of the diluent vial. Press straight and firmly down until it snaps. Do not twist.
4
Remove blister packaging Remove the blister pack from the device by pulling it vertically upward. Leave the device firmly attached to the diluent vial.
5
Invert and connect powder vial Turn the diluent vial and attached device upside down. Place the white connector on top of the fibryga powder vial; press firmly down until it snaps.
6
Dissolve (~5 minutes) Gently swirl — do not shake — until the powder is fully dissolved (~5 minutes). Solution should be clear to slightly opalescent. Discard if cloudy or particulate.
7
Draw into syringe Remove the diluent vial. Transfer solution to syringe via the Luer lock connector. Stable for 24 hours at ≤25°C. Do not refrigerate or freeze.
6

Three ways to get help.

Reach your fibryga implementation contact, request demo kits and training, or connect with a peer from another blood bank that has already completed this conversion.

Request a Demo Kit or In-Person Training

Use this form to request Nextaro® demo kits, schedule on-site staff training, or ask for virtual training sessions. A fibryga representative will follow up within 2 business days.

Your implementation contact

One person, direct line, accountable throughout your conversion window. Available for LIS questions, SOP review, and anything that comes up before go-live.

[Representative Name]
[Title · Region]
[Direct phone] [Email]
Octapharma Canada Inc.
Medical Information: 1-888-627-8272
octapharma.ca

Ask a peer — Blood Bank Leaders Network

fibryga is already in use at leading hospitals across Canada. If you'd like to hear how another blood bank managed their conversion — order set updates, staff training, LIS configuration, or anything else — write to the Blood Bank Leaders Network. A peer who has completed this transition will respond.

University Health Network McGill University Health Centre Sunnybrook Health Sciences Vancouver General Hospital Hamilton Health Sciences + others across Canada

Peer responses may take a few days. The Blood Bank Leaders Network is a voluntary peer network — not a Octapharma-managed service. Responses reflect individual institutional experience only.

INDICATIONS

FIBRYGA® [Fibrinogen Concentrate (Human)] is indicated for the treatment of acute bleeding episodes and perioperative prophylaxis in adult and pediatric patients with congenital afibrinogenemia and hypofibrinogenemia, and for the management of bleeds in Acquired Fibrinogen Deficiency (AFD). FIBRYGA is not indicated for dysfibrinogenemia.

CONTRAINDICATIONS

Contraindicated in patients with known hypersensitivity to fibryga or any of its components.

RELEVANT WARNINGS AND PRECAUTIONS

Please consult the fibryga® Product Monograph for complete information on adverse reactions, drug interactions, and dosing. To report a suspected adverse reaction: contact Octapharma Canada at 1-888-627-8272 or Health Canada MedEffect at 1-866-234-2345 / canada.ca/medeffect.

This resource is intended for Canadian healthcare professionals involved in blood bank and transfusion service operations. It is not a substitute for the Product Monograph or institutional clinical practice guidelines. All clinical decisions remain the responsibility of the treating clinician.