Schaub R, Garzone P, Bouchard P, Rup B, Keith J, Brinkhous K, Larsen G
Genetics Institute, Inc, Andover, MA 01810, USA.
Semin Hematol. 1998 Apr;35(2 Suppl 2):28-32.
Recombinant factor IX (rFIX) has been extensively evaluated in preclinical studies. Dog model study of hemophilia B indicated that rFIX was as effective as a highly purified plasma-derived replacement factor in normalizing indices of hemostasis. Pharmacokinetic studies indicated a dose-proportional profile for rFIX. Pharmacokinetic/pharmacodynamic analysis showed that increases in the plasma concentration of rFIX following administration were closely correlated with measured factor IX activity in the plasma. Appropriate in vitro and in vivo toxicology studies have been performed to support the clinical use of rFIX for the treatment of hemophilia B. Finally, experiments in a model of thrombogenicity indicated that in animals rFIX has a low thrombogenic potential. The preclinical results provided a basis for proceeding with human clinical trials.
重组因子IX(rFIX)已在临床前研究中得到广泛评估。B型血友病的犬模型研究表明,rFIX在使止血指标正常化方面与高度纯化的血浆源性替代因子一样有效。药代动力学研究表明rFIX具有剂量比例关系。药代动力学/药效学分析表明,给药后rFIX血浆浓度的增加与血浆中测得的因子IX活性密切相关。已进行了适当的体外和体内毒理学研究,以支持rFIX用于治疗B型血友病的临床应用。最后,在血栓形成模型中的实验表明,在动物中rFIX具有较低的血栓形成潜力。临床前结果为进行人体临床试验提供了依据。