Motohiro T, Tanaka K, Shimada Y, Tomita N, Sakata Y, Nishiyama T, Ishimoto K, Tominaga K, Yamashita F, Sakaguchi Y
Jpn J Antibiot. 1985 Sep;38(9):2603-11.
SM-4300, a newly developed human immunoglobulin for intravenous use, was administered to 6 patients in the pediatric field. Two cases out of 3 cases with immunodeficiency syndrome were studied in terms of absorption and excretion of SM-4300 and all of them were observed effect of preventive bacterial infection. Three cases were administered combination therapy with SM-4300 and antibiotics. Two cases were pneumonia and 1 case was pleurisy. The following results were obtained. Two cases with immunodeficiency syndrome were observed serum levels of immuno gammaglobulin before and after administration of SM-4300. At 2-3 hours after the administration of SM-4300, the serum levels got to peak and the half-lives were 22.1 days and 22.6 days, respectively. The half-lives of SM-4300 were similar to plasmin or polyethylene glycol treated and sulfonated human immunoglobulin. The clinical effects of substitution therapy against 3 patients with immunodeficiency syndrome were observed. Through the administration of SM-4300 every 18 to 21 days for 6 months, 1 case was doing well. One case with chronic bronchitis and otitis media was hanging in the balance as well as she has been administered other immunoglobulin preparations. The last case didn't control the serum levels of immunoglobulin because he did not visit a hospital until incidence of infectious disease.
SM - 4300是一种新研发的静脉用人免疫球蛋白,在儿科领域对6名患者进行了给药。对3例免疫缺陷综合征患者中的2例研究了SM - 4300的吸收和排泄情况,所有患者均观察到预防细菌感染的效果。3例患者接受了SM - 4300与抗生素的联合治疗。其中2例为肺炎,1例为胸膜炎。获得了以下结果。对2例免疫缺陷综合征患者在给予SM - 4300前后观察了免疫球蛋白的血清水平。给予SM - 4300后2 - 3小时,血清水平达到峰值,半衰期分别为22.1天和22.6天。SM - 4300的半衰期与纤溶酶或聚乙二醇处理及磺化的人免疫球蛋白相似。观察了对3例免疫缺陷综合征患者替代治疗的临床效果。通过每18至21天给予SM - 4300共6个月,1例情况良好。1例患有慢性支气管炎和中耳炎的患者情况尚不明朗,因为她还接受了其他免疫球蛋白制剂。最后1例患者由于在传染病发病前未就医,免疫球蛋白血清水平未得到控制。