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新型人源重组 FVIII 蛋白制品,人源 cl FVIII 的功能特征。

Functional characteristics of the novel, human-derived recombinant FVIII protein product, human-cl rhFVIII.

机构信息

Octapharma, Stockholm, Sweden.

出版信息

Thromb Res. 2012 Nov;130(5):808-17. doi: 10.1016/j.thromres.2012.08.311. Epub 2012 Sep 23.

DOI:10.1016/j.thromres.2012.08.311
PMID:23010293
Abstract

INTRODUCTION

Hemophilia A is routinely treated by administration of exogenous coagulation factor VIII (FVIII). As safety and efficacy of FVIII products have improved over the years, development of FVIII-neutralizing antibodies (FVIII inhibitors) has emerged as the most serious complication. The new human cell line-derived recombinant human FVIII (human-cl rhFVIII) is the first recombinant FVIII product produced in a human cell line without additive animal proteins, with a goal of minimizing the risk of inhibitor development.

MATERIALS AND METHODS

Biochemical analyzes of purity, molecular and functional attributes of the novel human-cl rhFVIII were undertaken for product characterization.

RESULTS AND CONCLUSIONS

Human-cl rhFVIII was shown to be highly pure, with host-cell protein and DNA traces comparable to, or lower than, currently marketed recombinant FVIII (rFVIII) products. Human-cl rhFVIII was shown to have high specific FVIII activity and characteristics similar to full-length rFVIII products. Furthermore, no significant discrepancy between one-stage and chromogenic assay results were observed for human-cl rhFVIII, indicating potency ratios of these assays comparable to the full-length rFVIII products. In functional tests, human-cl rhFVIII exhibited physiological thrombin generation and a normal rate of inactivation by activated protein C. Importantly, human-cl rhFVIII displayed higher binding capacity with von Willebrand factor than comparator products, thus minimizing circulating unbound FVIII and further reducing the potential risk of inhibitor development.

摘要

简介

甲型血友病的常规治疗方法是外源性凝血因子 VIII(FVIII)的输注。随着 FVIII 产品的安全性和有效性多年来不断提高,FVIII 中和抗体(FVIII 抑制剂)的产生已成为最严重的并发症。新型人细胞系衍生的重组人 FVIII(人源-cl rhFVIII)是首个在人细胞系中生产的不含添加动物蛋白的重组 FVIII 产品,旨在最大程度降低抑制剂产生的风险。

材料与方法

对新型人源-cl rhFVIII 的纯度、分子和功能特性进行了生化分析,以进行产品特征描述。

结果与结论

人源-cl rhFVIII 高度纯净,宿主细胞蛋白和 DNA 痕迹与目前市售的重组 FVIII(rFVIII)产品相当或更低。人源-cl rhFVIII 具有高特异性 FVIII 活性和与全长 rFVIII 产品相似的特性。此外,人源-cl rhFVIII 的一期和显色测定结果之间没有观察到显著差异,表明这些测定的效价比与全长 rFVIII 产品相当。在功能测试中,人源-cl rhFVIII 表现出正常的凝血酶生成和被激活蛋白 C 正常失活的能力。重要的是,人源-cl rhFVIII 与比较产品相比具有更高的与 von Willebrand 因子的结合能力,从而最大限度地减少了循环中未结合的 FVIII,进一步降低了抑制剂产生的潜在风险。

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