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罗沙帕维泊(Valoctocogene Roxaparvovec):首次获批

Valoctocogene Roxaparvovec: First Approval.

机构信息

Springer Nature, Private Bag 65901, Mairangi Bay, Auckland, 0754, New Zealand.

出版信息

Drugs. 2022 Sep;82(14):1505-1510. doi: 10.1007/s40265-022-01788-y.

DOI:10.1007/s40265-022-01788-y
PMID:36214970
Abstract

Valoctocogene roxaparvovec (ROCTAVIAN) is a gene therapy being developed by BioMarin Pharmaceutical Inc. for the treatment of haemophilia A. In August 2022, valoctocogene roxaparvovec was granted conditional marketing authorization in the EU for the treatment of severe haemophilia A [congenital factor VIII (FVIII) deficiency] in adults without a history of FVIII inhibitors and without detectable antibodies to adeno-associated virus serotype 5 (AAV5). This article summarizes the milestones in the development of valoctocogene roxaparvovec leading to this first approval for severe haemophilia A.

摘要

罗特西普(ROCTAVIAN)是一种基因治疗药物,由生物梅里埃公司(BioMarin Pharmaceutical Inc.)开发,用于治疗 A 型血友病。2022 年 8 月,罗特西普在欧盟获得有条件上市许可,用于治疗既往无 FVIII 抑制剂、无腺相关病毒血清型 5(AAV5)检测抗体的成人重度 A 型血友病(先天性 FVIII 缺乏症)。本文总结了导致该药首次获批用于治疗重度 A 型血友病的关键研发进展。

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本文引用的文献

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Valoctocogene Roxaparvovec Gene Therapy for Hemophilia A.静脉注射用罗沙帕洛维治疗 A 型血友病的基因疗法。
N Engl J Med. 2022 Mar 17;386(11):1013-1025. doi: 10.1056/NEJMoa2113708.
2
Lack of germline transmission in male mice following a single intravenous administration of AAV5-hFVIII-SQ gene therapy.单次静脉注射AAV5-hFVIII-SQ基因疗法后雄性小鼠中缺乏种系传递。
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Molecular analysis of AAV5-hFVIII-SQ vector-genome-processing kinetics in transduced mouse and nonhuman primate livers.
中国创新药物研发与监管支持的现状
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Advances and Challenges in Adeno-Associated Virus Gene Therapy Applications of Localized Delivery Strategies.腺相关病毒基因治疗局部递送策略的进展与挑战
Curr Med Sci. 2025 Jul 15. doi: 10.1007/s11596-025-00084-6.
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Identification of a robust promoter in mouse and human hepatocytes by in vivo biopanning of a barcoded AAV library.通过对条形码腺相关病毒(AAV)文库进行体内淘选,在小鼠和人类肝细胞中鉴定出一个强大的启动子。
Mol Ther. 2025 Apr 21. doi: 10.1016/j.ymthe.2025.04.027.
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Structural characterization of antibody-responses following Zolgensma treatment for AAV capsid engineering to expand patient cohorts.在接受Zolgensma治疗以进行腺相关病毒(AAV)衣壳工程改造以扩大患者群体后抗体反应的结构特征分析
Nat Commun. 2025 Apr 19;16(1):3731. doi: 10.1038/s41467-025-59088-4.
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Impact of liver fibrosis on AAV-mediated gene transfer to mouse hepatocytes.肝纤维化对腺相关病毒介导的基因转移至小鼠肝细胞的影响。
Nat Commun. 2025 Mar 10;16(1):2118. doi: 10.1038/s41467-025-57382-9.
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Safety, efficacy, and immunogenicity of a novel IgG degrading enzyme (KJ103): results from two randomised, blinded, phase 1 clinical trials.新型IgG降解酶(KJ103)的安全性、有效性及免疫原性:两项随机、双盲1期临床试验结果
Gene Ther. 2025 Jan 18. doi: 10.1038/s41434-025-00512-1.
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Outcomes and management of invasive procedures in participants with hemophilia A post gene therapy: a post hoc analysis of the GENEr8-1 phase III trial.A型血友病基因治疗参与者侵入性操作的结果与管理:GENEr8-1 III期试验的事后分析
Ther Adv Hematol. 2024 Dec 19;15:20406207241304645. doi: 10.1177/20406207241304645. eCollection 2024.
转导的小鼠和非人灵长类动物肝脏中AAV5-hFVIII-SQ载体基因组加工动力学的分子分析
Mol Ther Methods Clin Dev. 2021 Dec 21;24:142-153. doi: 10.1016/j.omtm.2021.12.004. eCollection 2022 Mar 10.
4
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Haemophilia. 2021 Nov;27(6):947-956. doi: 10.1111/hae.14391. Epub 2021 Aug 11.
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Haemophilia: factoring in new therapies.血友病:新疗法的考量。
Br J Haematol. 2021 Sep;194(5):835-850. doi: 10.1111/bjh.17580. Epub 2021 Jul 28.
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Mol Ther. 2021 Feb 3;29(2):597-610. doi: 10.1016/j.ymthe.2020.12.008. Epub 2020 Dec 10.
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Multiyear Follow-up of AAV5-hFVIII-SQ Gene Therapy for Hemophilia A.AAV5-hFVIII-SQ 基因治疗血友病 A 的多年随访。
N Engl J Med. 2020 Jan 2;382(1):29-40. doi: 10.1056/NEJMoa1908490.
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Prednisolone Does Not Regulate Factor VIII Expression in Mice Receiving AAV5-hFVIII-SQ: Valoctocogene Roxaparvovec.泼尼松龙对接受AAV5-hFVIII-SQ(valoctocogene roxaparvovec)的小鼠的凝血因子VIII表达无调节作用。
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The Impact of Pre-existing Immunity on the Non-clinical Pharmacodynamics of AAV5-Based Gene Therapy.既往免疫对基于腺相关病毒5型的基因治疗非临床药效学的影响。
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