Safety of PEGylated recombinant human full-length coagulation factor VIII (BAX 855) in the overall context of PEG and PEG conjugates.

作者: R. Stidl , S. Fuchs , M. Bossard , J. Siekmann , P. L. Turecek

DOI: 10.1111/HAE.12762

关键词:

摘要: Introduction BAX 855 is a PEGylated human full-length recombinant factor VIII (rFVIII) based on licensed rFVIII (ADVATE). The applied PEGylation technology has been optimized to retain functionality of the FVIII molecule, improve its pharmacokinetic properties and allow less frequent injections while maintaining efficacy. Aim The aim this study was confirm that excellent safety profile ADVATE remains unchanged after PEGylation. Methods Non-clinical studies with BAX respective unbound polyethylene glycol (PEG) were conducted in several species. distribution single dose radiolabelled further investigated rats. Publically available data PEG alone biomolecules summarized reviewed for specific findings attributable or biopharmaceuticals. Results Safety pharmacology rabbits macaques repeated toxicity rats identified no issues. Results administered showed radioactivity completely excreted; urine major elimination route. A 28-day dosed constituent (PEG2ru20KCOOH) adverse non-adverse effects. Safety PEG-protein conjugates indicate concerns associated at clinically relevant levels. Although vacuolation certain cell types reported mammals, such observed constituent. Conclusion Non-clinical evaluation signals; compound now clinical development treatment patients haemophilia A.

参考文章(31)
Rob Webster, Victoria Elliott, B. Kevin Park, Donald Walker, Mark Hankin, Philip Taupin, PEG and PEG conjugates toxicity: towards an understanding of the toxicity of PEG and its relevance to PEGylated biologicals PEGylated Protein Drugs: Basic Science and Clinical Applications. pp. 127- 146 ,(2009) , 10.1007/978-3-7643-8679-5_8
L. A. Valentino, L. Cong, C. Enockson, X. Song, F. Scheiflinger, E. M. Muchitsch, P. L. Turecek, N. Hakobyan, The biological efficacy profile of BAX 855, a PEGylated recombinant factor VIII molecule. Haemophilia. ,vol. 21, pp. 58- 63 ,(2015) , 10.1111/HAE.12532
Charles P. Carpenter, Murray D. Woodside, Edwin R. Kinkead, John M. King, Lloyd J. Sullivan, Response of dogs to repeated intravenous injection of polyethylene glycol 4000 with notes on excretion and sensitization. Toxicology and Applied Pharmacology. ,vol. 18, pp. 35- 40 ,(1971) , 10.1016/0041-008X(71)90312-7
Henning R. Stennicke, Marianne Kjalke, Ditte M. Karpf, Kristoffer W. Balling, Peter B. Johansen, Torben Elm, Kristine Øvlisen, Flemming Möller, Heidi L. Holmberg, Charlotte N. Gudme, Egon Persson, Ida Hilden, Hermann Pelzer, Henrik Rahbek-Nielsen, Christina Jespersgaard, Are Bogsnes, Anette A. Pedersen, Anne K. Kristensen, Bernd Peschke, Wendy Kappers, Frederik Rode, Lars Thim, Mikael Tranholm, Mirella Ezban, Eva H. N. Olsen, Søren E. Bjørn, A novel B-domain O-glycoPEGylated FVIII (N8-GP) demonstrates full efficacy and prolonged effect in hemophilic mice models Blood. ,vol. 121, pp. 2108- 2116 ,(2013) , 10.1182/BLOOD-2012-01-407494
C.Boyd Shaffer, Frances H. Critchfield, The absorption and excretion of the solid polyethylene glycols (“Carbowax” compounds) Journal of the American Pharmaceutical Association. ,vol. 36, pp. 152- 157 ,(1947) , 10.1002/JPS.3030360507
Charles Conover, Laura Lejeune, Rita Linberg, Kwok Shum, Robert G. L. Shorr, Transitional vacuole formation following a bolus infusion of PEG-hemoglobin in the rat Artificial Cells, Blood Substitutes, and Biotechnology. ,vol. 24, pp. 599- 611 ,(1996) , 10.3109/10731199609118885
I. A. Ivens, A. Baumann, T. A. McDonald, T. J. Humphries, L. A. Michaels, P. Mathew, PEGylated therapeutic proteins for haemophilia treatment: a review for haemophilia caregivers Haemophilia. ,vol. 19, pp. 11- 20 ,(2013) , 10.1111/J.1365-2516.2012.02931.X
Tetsuji Yamaoka, Yasuhiko Tabata, Yoshito Ikada, Distribution and tissue uptake of poly(ethylene glycol) with different molecular weights after intravenous administration to mice Journal of Pharmaceutical Sciences. ,vol. 83, pp. 601- 606 ,(1994) , 10.1002/JPS.2600830432
Henry F. Smyth, Charles P. Carpenter, Carrol S. Weil, The Toxicology of the Polyethylene Glycols* Journal of the American Pharmaceutical Association (Scientific ed.). ,vol. 39, pp. 349- 354 ,(1950) , 10.1002/JPS.3030390615