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甲氨蝶呤片联合注射用重组人Ⅱ型肿瘤坏死因子受体-抗体融合蛋白治疗全身型幼年特发性关节炎的临床研究 被引量:14
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作者 黄慧 俞海国 +3 位作者 钱小青 张雅媛 郭翼红 马慧慧 《中国临床药理学杂志》 CAS CSCD 北大核心 2016年第24期2231-2234,共4页
目的观察甲氨蝶呤片联合注射用重组人Ⅱ型肿瘤坏死因子受体-抗体融合蛋白治疗全身型幼年特发性关节炎的临床疗效和安全性。方法将56例全身型幼年特发性关节炎患儿随机分为对照组28例和试验组28例。对照组予以口服甲氨蝶呤每周10 mg·... 目的观察甲氨蝶呤片联合注射用重组人Ⅱ型肿瘤坏死因子受体-抗体融合蛋白治疗全身型幼年特发性关节炎的临床疗效和安全性。方法将56例全身型幼年特发性关节炎患儿随机分为对照组28例和试验组28例。对照组予以口服甲氨蝶呤每周10 mg·m^(-2);试验组在对照组治疗的基础上,予以皮下注射注射用重组人Ⅱ型肿瘤坏死因子受体-抗体融合蛋白0.4 mg·kg^(-1),每周2次,治疗3个月后改为每周1次。2组患者均治疗6个月。比较2组患儿的临床疗效、血清C反应蛋白(CRP)、红细胞沉降率(ESR),以及药物不良反应的发生情况。结果治疗后,试验组和对照组的总有效率分别为82.14%(23/28例)和53.57%(15/28例),差异有统计学意义(P<0.05)。治疗后,试验组和对照组的血清CRP分别为(10.28±4.17),(15.02±4.19)mg·L^(-1);ESR分别为(29.11±7.93),(39.74±8.12)mm·h^(-1),差异均有统计学意义(P<0.05)。2组患儿药物不良反应主要有低热、咽痛、流鼻涕,且试验组和对照组的药物不良反应发生率分别为25.00%和17.86%,差异无统计学意义(P>0.05)。结论甲氨蝶呤片联合注射用重组人Ⅱ型肿瘤坏死因子受体-抗体融合蛋白治疗全身型幼年特发性关节炎的临床疗效显著,能显著改善患儿的CRP和ESR水平,且不增加药物不良反应的发生率。 展开更多
关键词 甲氨蝶呤 注射用重组人Ⅱ型肿瘤坏死因子受体-抗体融合蛋白 全身型幼年特发性关节炎 安全性
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Pharmacokinetics of monoclonal antibodies ]nd Fc-fusion proteins 被引量:16
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作者 Liming Liu 《Protein & Cell》 SCIE CAS CSCD 2018年第1期15-32,共18页
There are many factors that can influence the pharma- cokinetics (PK) of a mAb or Fc-fusion molecule with the primary determinant being FcRn-mediatad recycling. Through Fab or Fc engineering, IgG-FcRn interaction ca... There are many factors that can influence the pharma- cokinetics (PK) of a mAb or Fc-fusion molecule with the primary determinant being FcRn-mediatad recycling. Through Fab or Fc engineering, IgG-FcRn interaction can be used to generate a variety of therapeutic anti. bodies with significantly enhanced half-life or ability to remove unwanted antigen from circulation, Glycosyla- tion of a mAb or Fc.fusion protein can have a significant impact on the PK of these molecules, mAb charge can be important and variants with pl values of 1-2 unit difference are likely to impact PK with lower pl values being favorable for a longer half.life. Most mAbs display target mediated drug disposition (TMOO), which can have significant consequences on the study designs of preclinical and clinical studies. The PK of mAb can also be influenced by anti-drug antibody (ADA) response and off.target binding, which require careful consideration during the discovery stage, mAbs are primarily absor- bed through the lymphatics via convection and can be conveniently administered by the subcutaneous (sc) route in large doses/volumes with co-formulation of hyaluronidase. The human PK of a mAb can be rea- sonably estimated using cynomolgus monkey data and allometric scaling methods. 展开更多
关键词 monoclonal antibody (mAb) fc-fusionprotein pharmacokineUcs FCRN target-mediated drugdisposition (TMDD) GLYCOSYLATION anti-drug antibody (ADA)human PK prediction
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