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An Open-label, Single-dose, Pharmacokinetic Study of Factor VIII Activity After Administration of Moroctocog Alfa (AF-CC) in Male Chinese Patients With Hemophilia A

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机构: [1]Beijing Union Med Coll Hosp, Clin Pharmacol Res Ctr, Beijing, Peoples R China; [2]Beijing Childrens Hosp, Hematol Dept, Beijing, Peoples R China; [3]Capital Med Univ, Beijing, Peoples R China; [4]Pfizer China Res & Dev Co Ltd, Beijing, Peoples R China; [5]Pfizer Inc, Groton, CT 06340 USA; [6]Pfizer Inc, 500 Arcola Rd, Collegeville, PA 19426 USA; [7]Pfizer PIO, Paris, France
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关键词: age groups China factor VIII pediatrics pharmacokinetics recombinant

摘要:
Purpose: Hemophilia A represents up to 80% of all hemophilia cases in China. In patients with this condition, bleeding can be prevented and controlled by administering clotting factor VIII (FVIII). Since their initial availability, recombinant FVIII products have undergone several iterations to enhance their safety. Moroctocog alfa albumin-free cell culture (AF-CC) is among the third generation of recombinant FVIII products and received regulatory approval in China in August 2012. The present study characterizes the single-dose pharmacokinetic parameters of FVIII activity (FVIII:C) after administration of moroctocog alfa (AF-CC) in male Chinese patients with hemophilia A. Methods: This multicenter, open-label, single-dose study enrolled 13 male Chinese patients diagnosed with severe hemophilia A (FVIII:C <1%) and a history of at least 150 exposure-days to any FVIII-containing product. Eligible patients received a single dose of moroctocog alfa (AF-CC) 50 IU/kg IV within 10 minutes. Blood samples were collected within 2 hours before administration and through 72 hours after dosing. Findings: Pharmacokinetic parameters were assessed based on FVIII:C and were analyzed by age groups: ages 6 to <12 years (n = 3) and > 12 years (n = 10). The mean plasma concentration-time profile for FVIII:C activity was consistently lower in patients aged 6 to <12 years compared with those aged years. Geometric AUC0-infinity, and C-max were approximately 57% and 28% lower in the younger patients relative to the older patients, respectively. A total of 4 adverse events occurred in 4 patients. Low-titer, transient FVIII inhibitors were observed in 2 patients and were considered serious adverse events. Neither case resulted in clinical manifestations nor required treatment. (C) 2017 Elsevier HS Journals, Inc. All rights reserved.

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出版当年[2016]版:
大类 | 3 区 医学
小类 | 3 区 药学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 药学
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出版当年[2015]版:
Q2 PHARMACOLOGY & PHARMACY
最新[2023]版:
Q2 PHARMACOLOGY & PHARMACY

影响因子: 最新[2023版] 最新五年平均 出版当年[2015版] 出版当年五年平均 出版前一年[2014版] 出版后一年[2016版]

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第一作者机构: [1]Beijing Union Med Coll Hosp, Clin Pharmacol Res Ctr, Beijing, Peoples R China;
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通讯机构: [6]Pfizer Inc, 500 Arcola Rd, Collegeville, PA 19426 USA;
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