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马司他昔单抗:首次获批。

Marstacimab: First Approval.

作者信息

Lamb Yvette N

机构信息

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

出版信息

Drugs. 2025 Feb;85(2):263-269. doi: 10.1007/s40265-024-02130-4. Epub 2024 Dec 24.

DOI:10.1007/s40265-024-02130-4
PMID:39715914
Abstract

Marstacimab (marstacimab-hncq; HYMPAVZI™) is a subcutaneously administered human monoclonal immunoglobulin G1 antibody against tissue factor pathway inhibitor (TFPI) that is being developed by Pfizer for the treatment of hemophilia A and B. Marstacimab received its first approval on 11 October 2024 in the USA. It was approved for use as routine prophylaxis to prevent or reduce the frequency of bleeding episodes in adult and pediatric patients 12 years of age and older with hemophilia A without factor VIII inhibitors or hemophilia B without factor IX inhibitors. Marstacimab has since been approved on 18 Nov in the EU for the treatment of adults and adolescents with severe hemophilia A or B without inhibitors. This article summarizes the milestones in the development of marstacimab leading to this first approval for hemophilia.

摘要

马司他单抗(marstacimab-hncq;商品名:HYMPAVZI™)是一种皮下注射的抗组织因子途径抑制剂(TFPI)的人源单克隆免疫球蛋白G1抗体,由辉瑞公司研发用于治疗A型和B型血友病。马司他单抗于2024年10月11日在美国首次获批。它被批准用于12岁及以上无凝血因子VIII抑制剂的A型血友病或无凝血因子IX抑制剂的B型血友病成年和儿科患者,作为常规预防措施以预防或减少出血事件的发生频率。此后,马司他单抗于11月18日在欧盟获批,用于治疗无抑制剂的重度A型或B型血友病成人和青少年。本文总结了马司他单抗在血友病首次获批之前的研发历程中的重要节点。

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本文引用的文献

1
Benefits and risks of non-factor therapies: Redefining haemophilia treatment goals in the era of new technologies.非因子疗法的获益与风险:在新技术时代重新定义血友病治疗目标。
Haemophilia. 2024 Apr;30 Suppl 3:39-44. doi: 10.1111/hae.14976. Epub 2024 Mar 13.
2
Safety, tolerability, pharmacokinetics and pharmacodynamics of a single dose of marstacimab in Chinese participants with severe haemophilia.单剂量marstacimab在中国重度血友病患者中的安全性、耐受性、药代动力学和药效学
Haemophilia. 2023 Jul;29(4):1155-1159. doi: 10.1111/hae.14814. Epub 2023 Jun 20.
3
Long-term safety and efficacy of the anti-tissue factor pathway inhibitor marstacimab in participants with severe haemophilia: Phase II study results.
新生儿进行性头颅血肿提示因内含子22倒位导致严重甲型血友病:一例报告
Front Pediatr. 2025 Jul 18;13:1649183. doi: 10.3389/fped.2025.1649183. eCollection 2025.
4
Contemporary approaches to treat people with hemophilia: what's new and what's not?当代血友病治疗方法:新在哪里,旧在何处?
Res Pract Thromb Haemost. 2025 Jan 31;9(1):102696. doi: 10.1016/j.rpth.2025.102696. eCollection 2025 Jan.
抗组织因子途径抑制剂 marstacimab 在重度血友病患者中的长期安全性和疗效:II 期研究结果。
Br J Haematol. 2023 Jan;200(2):240-248. doi: 10.1111/bjh.18495. Epub 2022 Oct 11.
4
A phase 1b/2 clinical study of marstacimab, targeting human tissue factor pathway inhibitor, in haemophilia.一项针对人组织因子途径抑制剂的马司他丁单抗的 1b/2 期临床研究在血友病中的应用。
Br J Haematol. 2023 Jan;200(2):229-239. doi: 10.1111/bjh.18420. Epub 2022 Aug 23.
5
Current and future therapies for haemophilia-Beyond factor replacement therapies.血友病的当前和未来治疗方法——超越因子替代疗法。
Br J Haematol. 2023 Jan;200(1):23-34. doi: 10.1111/bjh.18379. Epub 2022 Jul 23.
6
Marstacimab, a tissue factor pathway inhibitor neutralizing antibody, improves coagulation parameters of ex vivo dosed haemophilic blood and plasmas.马司他丁单抗,一种组织因子途径抑制剂中和抗体,可改善体外给药血友病血液和血浆的凝血参数。
Haemophilia. 2019 Sep;25(5):797-806. doi: 10.1111/hae.13820. Epub 2019 Jul 23.
7
A first-in-human study of the safety, tolerability, pharmacokinetics and pharmacodynamics of PF-06741086, an anti-tissue factor pathway inhibitor mAb, in healthy volunteers.PF-06741086,一种抗组织因子途径抑制剂单克隆抗体,在健康志愿者中的安全性、耐受性、药代动力学和药效学的首次人体研究。
J Thromb Haemost. 2018 Sep;16(9):1722-1731. doi: 10.1111/jth.14207. Epub 2018 Jul 20.
8
Translational Pharmacokinetic/Pharmacodynamic Characterization and Target-Mediated Drug Disposition Modeling of an Anti-Tissue Factor Pathway Inhibitor Antibody, PF-06741086.抗组织因子途径抑制剂抗体 PF-06741086 的翻译药代动力学/药效学特征及靶向介导药物处置建模
J Pharm Sci. 2018 Jul;107(7):1995-2004. doi: 10.1016/j.xphs.2018.03.010. Epub 2018 Mar 20.