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2种重组人Ⅱ型肿瘤坏死因子受体-Fc融合蛋白的临床生物等效性评价

Bioequivalence evaluation of two rhTNFRⅡ-Fc preparations from different manufacturing facilities in Chinese healthy volunteers
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摘要 目的:比较2种生产基地来源的注射用重组人Ⅱ型肿瘤坏死因子受体-抗体融合蛋白(TNFRIIFc)在中国健康志愿者体内药动学(pharmacokinetics,PK)特征,并评价二者的相似性。方法:24名男性健康受试者进行随机、开放、双周期两制剂交叉试验,采用经方法学验证的酶联免疫吸附分析法(ELISA)检测血清中药物浓度。Win Nonlin软件非房室模型计算PK参数,并参照生物等效性标准评价受试品(T)与参照品(R)的主要PK参数相似性。结果:本研究建立的测定人血清中TNFRII-Fc浓度的ELISA方法学指数均符合生物制品PK研究的要求。T与R的AUC0-480 h分别为(356.00±55.00)与(396.61±69.66)μg·h·mL^(-1);相对生物利用度F(T/R)为89.90%;Cmax分别为(1.70±0.50)与(1.90±0.50)μg·mL^(-1);各末端相相关PK参数相似。T的AUC0-480 h与Cmax90%置信区间分别落入R的84.10%~96.30%与78.50%~95.30%范围内。结论:研究涉及剂量下,2种产地来源的TNFRII-Fc的临床PK行为相似,可达生物等效。 Objective: To compare the clinical pharmacokinetics and evaluate the similarity of two recombinant human tumor necrosis factor receptor II-Fc fusion protein (rhTNFRII-Fc) preparations from different manufacturing facilities in Chinese healthy volunteeres.Methods: Male healthy subjects (n = 24) were recruited in a random,open,and cross-over designed trial for two preparations in two periods.The concentration of rhTNFRII-Fc inserum was measured by a validated enzymed-linked immunosorbent assay (ELISA) method.The pharmacokinetic parameter calculation,statistical analysis and the bioequivalence evaluation of the test (T) and reference (R) drug were performed using Win Nonlin software.Results: The data of the validated ELISA method met with the requirements of pharmacokinetic study.The PK data were harvested from 22 volunteers with 2 subjects withdrew from the trial.Pharmacokinetic parameters of T and R were as follows: AUC0-480 hwere (356.00 ± 55.00) and (396.61 ±69.66) μg·h·mL^(-1),and Cmaxwere (1.70 ± 0.50) and (1.90 ± 0.50) μg·mL^(-1),respectively.Other parameters related to elimination phase between the two preparations were similar.The relative bioavailability of the T (toR)was 89.90%.Compared to R,the value of 90% credible interval of AUC0-480 hand Cmaxof T fell into the range of84.10% ~ 96.30% and 78.50% ~ 95.30%,respectively.Conclusion: In the present study,the test and reference rhTNFRII-Fc preparations behaved comparable PK profiles in Chinese healthy volunteers,and the results of statistic analysis based on the primary PK parameters showed that two rhTNFRII-Fc preparations met the bioequivalence acceptance criteria.
出处 《中国新药杂志》 CAS CSCD 北大核心 2017年第19期2300-2305,共6页 Chinese Journal of New Drugs
基金 国家"重大新药创制"科技重大专项资助项目(2012ZX09301003-001-007 2015ZX09501007 2015ZX09501008)
关键词 肿瘤坏死因子受体 融合蛋白 酶联免疫吸附分析 药动学 生物等效性 tumor necrosis factor receptor fusion protein enzyme-linked immunosorbent assay pharma-cokinetics bioequivalence
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