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评估两种莫罗昔康 Alfa(AF-CC)制剂在中重度或重度血友病 A 患者中的相对生物利用度。

Assessment of relative bioavailability of two presentations of moroctocog alfa (AF-CC) in subjects with moderately severe or severe hemophilia A.

机构信息

Pfizer Inc, Collegeville, PA, USA.

Pfizer Inc, Groton, CT, USA.

出版信息

Clin Pharmacol Drug Dev. 2015 May-Jun;4(3):237-41. doi: 10.1002/cpdd.168. Epub 2014 Oct 27.

Abstract

UNLABELLED

An open-label, single-dose, randomized, two-period, cross-over study comparing the pharmacokinetics of factor VIII activity in plasma (

FVIII

C) after administration of a new presentation of moroctocog alfa containing 3,000 IU in a dual-chamber syringe and the combined contents of approved 1,000 and 2,000 IU vials was conducted in 16 male subjects who had moderately severe or severe hemophilia A (FVIII:C ≤2 IU/dL). Blood samples were collected for 72 hours after administration of the dose.

FVIII

C were assayed using a chromogenic substrate assay in a central laboratory. The

FVIII

C pharmacokinetic parameters were calculated using noncompartmental analysis. The dual-chamber syringe would be bioequivalent to the combined contents of the vials if the 90% confidence limits of the ratio of the geometric mean values of AUCinf , and Cmax fell within the interval of 80-125%. The bioequivalence criteria were met. A total of seven treatment related adverse events were observed in a total of five subjects. All were mild and none was determined to be related to administration of study medication.

摘要

目的

本研究采用开放标签、单剂量、随机、两周期、交叉设计,比较了在 16 名中度至重度血友病 A 患者(FVIII:C≤2IU/dL)中,使用双室注射器中含有 3000IU 的新型莫罗昔单抗与批准的 1000IU 和 2000IU 小瓶的组合内容物给药后,血浆中因子 VIII 活性(FVIII:C)的药代动力学。给药后 72 小时内采集血样。使用中心实验室的显色底物测定法测定 FVIII:C。采用非房室分析计算 FVIII:C 的药代动力学参数。如果双室注射器与小瓶组合内容物的 AUCinf 和 Cmax 的几何均数比值的 90%置信区间落在 80-125%范围内,则双室注射器将与小瓶组合内容物具有生物等效性。符合生物等效性标准。在 5 名受试者中总共观察到 7 起与治疗相关的不良事件。所有事件均为轻度,均未确定与研究药物的使用有关。

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