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参考药物Pulmozyme®与生物类似药Tigerase®的药效学、毒理学和药代动力学特性的可比性研究。

A Study of the Comparability of the Pharmacodynamic, Toxicological, and Pharmacokinetic Properties of the Reference Drug Pulmozyme® and the Biosimilar Drug Tigerase®.

作者信息

Aksenova M S, Bocharova E N, Abbasova S G, Ponomarev A S, Loginova V V, Bolotnikova M V, Belskaya N V, Kazarov A A, Lisova A E, Kudina N K, Pantyushenko M S, Zhilyaeva M V, Kopein D S, Karelov Yu M, Erastov G G, Lykov M V, Khamitov R A

机构信息

Joint-Stock Company GENERIUM (JSC GENERIUM), Volginskii settlement, 601125, Petushinskii district, Vladimir oblast, Russia.

48 Central Research Institute of the Ministry of Defense of the Russian Federation, Sergiev Posad-6 territory, 141306, Sergiev Posad urban district, Moscow oblast, Russia.

出版信息

Dokl Biochem Biophys. 2024 Dec;519(1):525-533. doi: 10.1134/S1607672924701151. Epub 2024 Oct 31.

DOI:10.1134/S1607672924701151
PMID:39480637
Abstract

The article presents the results of studies of the drug Tigerase® (inhalation solution manufactured by JSC GENERIUM, Russia), conducted to obtain evidence of its similarity (comparability) to the reference drug Pulmozyme® (inhalation solution, manufactured by Hoffmann-La Roche Ltd., Switzerland). Both drugs contain human recombinant deoxyribonuclease I (dornase alfa) as an active substance and are intended for the treatment of cystic fibrosis with pulmonary manifestations (mucoviscidosis). The enzymatic activity of dornase alfa, contained in the studied drugs, was investigated in vitro and ex vivo on samples of purulent sputum of patients. The pharmacokinetic parameters of the drugs in the blood serum, bronchi, and lungs, as well as the main physiological parameters (body weight and temperature, the state of the cardiovascular, respiratory, excretory systems, hematological and biochemical blood parameters, pathomorphological changes in internal organs (including the state of the cornea), and mortality rates) were investigated in comparative studies of subchronic toxicity in juvenile and mature rats with 28-day inhalation at doses of 0.2 mg/kg for mature animals and 0.26 mg/kg for juvenile animals (the dose was 6 times higher than the dose recommended for clinical use). The results of the studies allow us to conclude that the drugs are comparable in enzymatic, mucolytic (secretolytic) DNase activity, safety profile and main pharmacokinetic parameters.

摘要

本文介绍了对药物Tigerase®(俄罗斯JSC GENERIUM公司生产的吸入溶液)的研究结果,该研究旨在获取其与参比药物Pulmozyme®(瑞士霍夫曼-罗氏有限公司生产的吸入溶液)相似性(可比性)的证据。两种药物均含有人重组脱氧核糖核酸酶I(多纳酶α)作为活性物质,用于治疗有肺部表现的囊性纤维化(粘多糖病)。对所研究药物中含有的多纳酶α的酶活性,在体外和体内对患者脓性痰液样本进行了研究。在对幼年和成年大鼠进行的亚慢性毒性对比研究中,以0.2mg/kg(成年动物)和0.26mg/kg(幼年动物)的剂量进行28天吸入给药(该剂量比临床推荐剂量高6倍),研究了药物在血清、支气管和肺中的药代动力学参数以及主要生理参数(体重和体温、心血管、呼吸、排泄系统状态、血液学和生化血液参数、内脏器官的病理形态学变化(包括角膜状态)以及死亡率)。研究结果使我们能够得出结论,两种药物在酶活性、粘液溶解(分泌溶解)脱氧核糖核酸酶活性、安全性概况和主要药代动力学参数方面具有可比性。

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A Study of the Comparability of the Pharmacodynamic, Toxicological, and Pharmacokinetic Properties of the Reference Drug Pulmozyme® and the Biosimilar Drug Tigerase®.参考药物Pulmozyme®与生物类似药Tigerase®的药效学、毒理学和药代动力学特性的可比性研究。
Dokl Biochem Biophys. 2024 Dec;519(1):525-533. doi: 10.1134/S1607672924701151. Epub 2024 Oct 31.
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Comparison of biosimilar Tigerase and Pulmozyme in long-term symptomatic therapy of patients with cystic fibrosis and severe pulmonary impairment (subgroup analysis of a Phase III randomized open-label clinical trial (NCT04468100)).比较生物仿制药 Tigerase 和 Pulmozyme 在囊性纤维化和严重肺损伤患者的长期症状治疗中的效果(III 期随机开放标签临床试验(NCT04468100)的亚组分析)。
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Hum Exp Toxicol. 1994 May;13 Suppl 1:S1-42.
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Dornase alfa: a new option in the management of cystic fibrosis.多纳酶α:治疗囊性纤维化的新选择。
Pharmacotherapy. 1996 Jan-Feb;16(1):40-8.
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[Pharmacological and clinical profiles of Dornase alfa (Pulmozyme®) in the management of cystic fibrosis patients to improve pulmonary function].
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[Possibilities of using recombinant human deoxyribonuclease I in otorhinolaryngology].[重组人脱氧核糖核酸酶I在耳鼻咽喉科学中的应用可能性]
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本文引用的文献

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From Biologics to Biosimilars and Biobetters - Democratization of High-end Therapeutics.从生物制品到生物类似药和生物改良药——高端治疗药物的普及。
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Animal Models in the Pathophysiology of Cystic Fibrosis.囊性纤维化病理生理学中的动物模型
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Molecular basis of cystic fibrosis: from bench to bedside.囊性纤维化的分子基础:从实验室到临床
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Are biosimilars the next tool to guarantee cost-containment for pharmaceutical expenditures?生物类似药是控制药品支出成本的下一个工具吗?
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