Department of Bio-institute, Genexine, Inc., Seongnam, Gyeonggi, Republic of Korea.
Department of Clinical Research, Ilkogen Pharmaceuticals, Istanbul, Turkey.
Drug Dev Res. 2019 Sep;80(6):807-813. doi: 10.1002/ddr.21563. Epub 2019 Jul 11.
Neutropenia is a condition of an abnormally low number of neutrophils which render patients more susceptible to infections, especially to bacterial infections, as the condition may become life threatening and deadly without prompt medical attention. Various factors such as, anticancer drugs, radiotherapy, infectious diseases, congenital defects, or vitamin B12/B9 deficiency can trigger neutropenia. GX-G3, a human hybrid (hy) Fc-fused granulocyte colony stimulating factor (G-CSF), was developed as next-generation G-CSF for the treatment of cancer therapy-induced neutropenia. In this study, with the aim of investigating this promising potential next-generation G-CSF, comparative pharmacokinetic and pharmacodynamic studies were conducted in healthy and neutropenia-induced rats. It was found that t of GX-G3 is longer than same mass injection of filgrastim and pegfilgrastim and AUEC (area under theeffect-time curve from time zero to the last measurable ANC level) of absolute neutrophil count showed a significant increase after GX-G3 injection compared with filgrastim and pegfilgrastim in healthy rats. Besides, in duration of neutropenia after the same mass injection GX-G3 showed about 3.3 days of reduction effect compared with that of filgrastim, and 1.3 days of reduction effect compared with that of pegfilgrastim in neutropenia-induced rats. These results demonstrate that the half-life of GX-G3 is longer than pegfilgrastim and GX-G3 is more effective than filgrastim and pegfilgrastim in neutropenia-induced rats.
中性粒细胞减少症是一种中性粒细胞数量异常降低的病症,使患者更容易感染,尤其是细菌感染,因为如果不及时就医,这种情况可能会变得危及生命和致命。各种因素,如抗癌药物、放射治疗、传染病、先天性缺陷或维生素 B12/B9 缺乏,都可能引发中性粒细胞减少症。GX-G3 是一种人源化(hy)Fc 融合粒细胞集落刺激因子(G-CSF),被开发为治疗癌症治疗诱导的中性粒细胞减少症的下一代 G-CSF。在这项研究中,为了研究这种有前途的下一代 G-CSF,在健康和中性粒细胞减少症诱导的大鼠中进行了比较药代动力学和药效学研究。结果发现,GX-G3 的 t 比相同质量的注射用非格司亭和培非格司亭长,在健康大鼠中,绝对中性粒细胞计数的 AUEC(从零时到最后可测量的 ANC 水平的效应时间曲线下面积)在 GX-G3 注射后与非格司亭和培非格司亭相比有显著增加。此外,在相同质量注射后中性粒细胞减少症的持续时间方面,GX-G3 与非格司亭相比,中性粒细胞减少症诱导的大鼠中显示出约 3.3 天的降低效果,与培非格司亭相比,降低效果为 1.3 天。这些结果表明,GX-G3 的半衰期长于培非格司亭,并且在中性粒细胞减少症诱导的大鼠中,GX-G3 比非格司亭和培非格司亭更有效。