机构:[1]Chinese Acad Med Sci, Dept Haematol, PUMCH, Beijing, Peoples R China;[2]Peking Union Med Coll, Beijing, Peoples R China;[3]Capital Med Univ, Beijing Childrens Hosp, Haematol Dept, Beijing, Peoples R China;医技科室血液中心首都医科大学附属北京儿童医院[4]Pfizer Inc, Beijing, Peoples R China;[5]Pfizer Inc, Shanghai, Peoples R China;[6]Pfizer Inc, Groton, CT USA;[7]Pfizer Inc, 500 Arcola Rd, Collegeville, PA 19426 USA
A multicentre, single dose study enrolled 12 previously treated patients with moderately severe to severe (factor IX [FIX] levels <= 2IU) haemophilia B to assess FIX pharmacokinetics after nonacog alfa administration and to evaluate the impact of length of sampling time on half-life (t(1/2)). After refraining from FIX replacement for four days, patients received 50 IU/kg as an intravenous (IV) infusion over 10 minutes. Blood samples were collected predose and 0.25, 0.5, 1, 3, 6, 9, 24, 50, 72, and 96 h post dose. Tolerability and safety were assessed by monitoring adverse events and were subsequently summary tabulated. FIX activity was measured by a one-stage clotting assay with a lower limit of quantification of 0.010 IU/ml, and inhibitors to FIX were measured using the Bethesda assay. Pharmacokinetic parameters were calculated by noncompartmental analysis and were descriptively summarised. Half-life estimates were calculated first using all avail able data, then excluding 96-h observations (truncated at 72 h) and, finally, excluding both 72 and 96-h observations (truncated at 50 h). No patient was positive for FIX inhibitors. No treatment-emergent adverse events were reported. Prolonging the duration of the sample collection to 96 h resulted in a terminal t(1/2) estimate of 39.6 7.4 h in the eight patients aged 18 years and older, which was longer than the estimates obtained using shorter periods of observation: 29.6 5.5 h (truncated at 72 h) and 27.2 7.0 h (truncated at 50 h). To accurately assess an adult patient's th, sampling should be continued for at least 96 h.
第一作者机构:[1]Chinese Acad Med Sci, Dept Haematol, PUMCH, Beijing, Peoples R China;[2]Peking Union Med Coll, Beijing, Peoples R China;
通讯作者:
通讯机构:[7]Pfizer Inc, 500 Arcola Rd, Collegeville, PA 19426 USA
推荐引用方式(GB/T 7714):
Hua Baolai,Wu Runhui,Sun FeiFei,et al.Confirmation of longer FIX activity half-life with prolonged sample collection after single doses of nonacog alfa in patients with haemophilia B[J].THROMBOSIS AND HAEMOSTASIS.2017,117(6):1052-1057.doi:10.1160/TH16-10-0765.
APA:
Hua, Baolai,Wu, Runhui,Sun, FeiFei,Luo, Binyu,Alvey, Christine...&Rendo, Pablo.(2017).Confirmation of longer FIX activity half-life with prolonged sample collection after single doses of nonacog alfa in patients with haemophilia B.THROMBOSIS AND HAEMOSTASIS,117,(6)
MLA:
Hua, Baolai,et al."Confirmation of longer FIX activity half-life with prolonged sample collection after single doses of nonacog alfa in patients with haemophilia B".THROMBOSIS AND HAEMOSTASIS 117..6(2017):1052-1057