Peringatan Keamanan

Most serious adverse reactions in patients with ITP include intravascular hemolysis, anemia, acute renal insufficiency, and death. In patients treated for Rh isoimmunization suppression, common adverse effects include nausea, dizziness, headache, pain at injection site and malaise. Common adverse effects in patients with ITP include chills, pyrexia, mild extravascular hemolysis and headache.

Human Rho(D) immune globulin

DB11597

biotech approved investigational

Deskripsi

Human Rho(D) immune globulin is a medicine given by intramuscular or intravenous injection that is used to prevent the immunological condition known as Rh disease (or hemolytic disease of newborn). Rho (D) immune globulin is available as a sterile, lyophilized or liquid gamma globulin (IgG) fraction containing antibodies to the Rh0 (D) antigen (D antigen) under the name Rhophylac (IM/IV). Immune globullin was purified via ion-exchange chromatography method and prepared from pools of human plasma, where the donors are Rho (D)-negative donors who have been immunized with Rho(D)-positive RBCs. It was approved by FDA as treatment for suppression of rhesus (Rh) isoimmunization or chronic immune thrombocytopenic purpura (ITP) in adults.

Struktur Molekul 2D

Struktur tidak tersedia

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) The half life is 16 ± 4 days following IV administration and 18 ± 5 days following IM administration.
Volume Distribusi A single dose of 300ug Rho(D) Immune Globulin through intramuscular injection displays a Vd of 8.59L [L805].
Klirens (Clearance) Mean systemic clearance following IV administration is 0.20 ±0.03 mL/min. Mean apparent clearance following IM administration is 0.29 ± 0.12 mL/min.

Absorpsi

In patients undergoing therapy for Rh isoimmunization suppression, Rho(D) immune globulin titers were detected in all women up to at least 9 weeks following either intravenous or intramuscular administration. Following intravenous administration of a single 1500 IU (300 mcg) dose, peak serum levels of Rh0(D) immune globulin ranged from 62 to 84 ng/mL after first day. The levels ranged from 7 to 46 ng/mL and were achieved between 2 and 7 days following intramuscular injection. The absolute bioavailability achieved following IM administration is 69%.

Metabolisme

Rho (D) immune globulin is expected to undergo nonspecific catabolism.

Rute Eliminasi

Human immune globulin and the fragments can be detected in feces and urine.

Interaksi Obat

372 Data
Diethylstilbestrol Diethylstilbestrol may increase the thrombogenic activities of Human Rho(D) immune globulin.
Chlorotrianisene Chlorotrianisene may increase the thrombogenic activities of Human Rho(D) immune globulin.
Conjugated estrogens Conjugated estrogens may increase the thrombogenic activities of Human Rho(D) immune globulin.
Estrone Estrone may increase the thrombogenic activities of Human Rho(D) immune globulin.
Estradiol Estradiol may increase the thrombogenic activities of Human Rho(D) immune globulin.
Dienestrol Dienestrol may increase the thrombogenic activities of Human Rho(D) immune globulin.
Ethinylestradiol Ethinylestradiol may increase the thrombogenic activities of Human Rho(D) immune globulin.
Mestranol Mestranol may increase the thrombogenic activities of Human Rho(D) immune globulin.
Estriol Estriol may increase the thrombogenic activities of Human Rho(D) immune globulin.
Estrone sulfate Estrone sulfate may increase the thrombogenic activities of Human Rho(D) immune globulin.
Quinestrol Quinestrol may increase the thrombogenic activities of Human Rho(D) immune globulin.
Hexestrol Hexestrol may increase the thrombogenic activities of Human Rho(D) immune globulin.
Tibolone Tibolone may increase the thrombogenic activities of Human Rho(D) immune globulin.
Synthetic Conjugated Estrogens, A Synthetic Conjugated Estrogens, A may increase the thrombogenic activities of Human Rho(D) immune globulin.
Synthetic Conjugated Estrogens, B Synthetic Conjugated Estrogens, B may increase the thrombogenic activities of Human Rho(D) immune globulin.
Polyestradiol phosphate Polyestradiol phosphate may increase the thrombogenic activities of Human Rho(D) immune globulin.
Esterified estrogens Esterified estrogens may increase the thrombogenic activities of Human Rho(D) immune globulin.
Zeranol Zeranol may increase the thrombogenic activities of Human Rho(D) immune globulin.
Equol Equol may increase the thrombogenic activities of Human Rho(D) immune globulin.
Promestriene Promestriene may increase the thrombogenic activities of Human Rho(D) immune globulin.
Methallenestril Methallenestril may increase the thrombogenic activities of Human Rho(D) immune globulin.
Epimestrol Epimestrol may increase the thrombogenic activities of Human Rho(D) immune globulin.
Moxestrol Moxestrol may increase the thrombogenic activities of Human Rho(D) immune globulin.
Estradiol acetate Estradiol acetate may increase the thrombogenic activities of Human Rho(D) immune globulin.
Estradiol benzoate Estradiol benzoate may increase the thrombogenic activities of Human Rho(D) immune globulin.
Estradiol cypionate Estradiol cypionate may increase the thrombogenic activities of Human Rho(D) immune globulin.
Estradiol valerate Estradiol valerate may increase the thrombogenic activities of Human Rho(D) immune globulin.
Biochanin A Biochanin A may increase the thrombogenic activities of Human Rho(D) immune globulin.
Formononetin Formononetin may increase the thrombogenic activities of Human Rho(D) immune globulin.
Estetrol Estetrol may increase the thrombogenic activities of Human Rho(D) immune globulin.
Cetuximab The risk or severity of adverse effects can be increased when Cetuximab is combined with Human Rho(D) immune globulin.
Human immunoglobulin G The risk or severity of adverse effects can be increased when Human immunoglobulin G is combined with Human Rho(D) immune globulin.
Omalizumab The risk or severity of adverse effects can be increased when Omalizumab is combined with Human Rho(D) immune globulin.
Adalimumab The risk or severity of adverse effects can be increased when Adalimumab is combined with Human Rho(D) immune globulin.
Abciximab The risk or severity of adverse effects can be increased when Abciximab is combined with Human Rho(D) immune globulin.
Gemtuzumab ozogamicin The risk or severity of adverse effects can be increased when Gemtuzumab ozogamicin is combined with Human Rho(D) immune globulin.
Indium In-111 satumomab pendetide The risk or severity of adverse effects can be increased when Indium In-111 satumomab pendetide is combined with Human Rho(D) immune globulin.
Infliximab The risk or severity of adverse effects can be increased when Infliximab is combined with Human Rho(D) immune globulin.
Trastuzumab The risk or severity of adverse effects can be increased when Trastuzumab is combined with Human Rho(D) immune globulin.
Rituximab The risk or severity of adverse effects can be increased when Rituximab is combined with Human Rho(D) immune globulin.
Basiliximab The risk or severity of adverse effects can be increased when Basiliximab is combined with Human Rho(D) immune globulin.
Muromonab The risk or severity of adverse effects can be increased when Muromonab is combined with Human Rho(D) immune globulin.
Digoxin Immune Fab (Ovine) The risk or severity of adverse effects can be increased when Digoxin Immune Fab (Ovine) is combined with Human Rho(D) immune globulin.
Ibritumomab tiuxetan The risk or severity of adverse effects can be increased when Ibritumomab tiuxetan is combined with Human Rho(D) immune globulin.
Tositumomab The risk or severity of adverse effects can be increased when Tositumomab is combined with Human Rho(D) immune globulin.
Alemtuzumab The risk or severity of adverse effects can be increased when Alemtuzumab is combined with Human Rho(D) immune globulin.
Capromab pendetide The risk or severity of adverse effects can be increased when Capromab pendetide is combined with Human Rho(D) immune globulin.
Efalizumab The risk or severity of adverse effects can be increased when Efalizumab is combined with Human Rho(D) immune globulin.
Antithymocyte immunoglobulin (rabbit) The risk or severity of adverse effects can be increased when Antithymocyte immunoglobulin (rabbit) is combined with Human Rho(D) immune globulin.
Natalizumab The risk or severity of adverse effects can be increased when Natalizumab is combined with Human Rho(D) immune globulin.
Palivizumab The risk or severity of adverse effects can be increased when Palivizumab is combined with Human Rho(D) immune globulin.
Daclizumab The risk or severity of adverse effects can be increased when Daclizumab is combined with Human Rho(D) immune globulin.
Bevacizumab The risk or severity of adverse effects can be increased when Bevacizumab is combined with Human Rho(D) immune globulin.
Technetium Tc-99m arcitumomab The risk or severity of adverse effects can be increased when Technetium Tc-99m arcitumomab is combined with Human Rho(D) immune globulin.
Eculizumab The risk or severity of adverse effects can be increased when Eculizumab is combined with Human Rho(D) immune globulin.
Panitumumab The risk or severity of adverse effects can be increased when Panitumumab is combined with Human Rho(D) immune globulin.
Ranibizumab The risk or severity of adverse effects can be increased when Ranibizumab is combined with Human Rho(D) immune globulin.
Galiximab The risk or severity of adverse effects can be increased when Galiximab is combined with Human Rho(D) immune globulin.
Pexelizumab The risk or severity of adverse effects can be increased when Pexelizumab is combined with Human Rho(D) immune globulin.
Afelimomab The risk or severity of adverse effects can be increased when Afelimomab is combined with Human Rho(D) immune globulin.
Epratuzumab The risk or severity of adverse effects can be increased when Epratuzumab is combined with Human Rho(D) immune globulin.
Bectumomab The risk or severity of adverse effects can be increased when Bectumomab is combined with Human Rho(D) immune globulin.
Oregovomab The risk or severity of adverse effects can be increased when Oregovomab is combined with Human Rho(D) immune globulin.
IGN311 The risk or severity of adverse effects can be increased when IGN311 is combined with Human Rho(D) immune globulin.
Adecatumumab The risk or severity of adverse effects can be increased when Adecatumumab is combined with Human Rho(D) immune globulin.
Labetuzumab The risk or severity of adverse effects can be increased when Labetuzumab is combined with Human Rho(D) immune globulin.
Matuzumab The risk or severity of adverse effects can be increased when Matuzumab is combined with Human Rho(D) immune globulin.
Fontolizumab The risk or severity of adverse effects can be increased when Fontolizumab is combined with Human Rho(D) immune globulin.
Bavituximab The risk or severity of adverse effects can be increased when Bavituximab is combined with Human Rho(D) immune globulin.
CR002 The risk or severity of adverse effects can be increased when CR002 is combined with Human Rho(D) immune globulin.
Rozrolimupab The risk or severity of adverse effects can be increased when Rozrolimupab is combined with Human Rho(D) immune globulin.
Hepatitis B immune globulin The risk or severity of adverse effects can be increased when Hepatitis B immune globulin is combined with Human Rho(D) immune globulin.
Girentuximab The risk or severity of adverse effects can be increased when Girentuximab is combined with Human Rho(D) immune globulin.
Obiltoxaximab The risk or severity of adverse effects can be increased when Obiltoxaximab is combined with Human Rho(D) immune globulin.
XTL-001 The risk or severity of adverse effects can be increased when XTL-001 is combined with Human Rho(D) immune globulin.
NAV 1800 The risk or severity of adverse effects can be increased when NAV 1800 is combined with Human Rho(D) immune globulin.
Briakinumab The risk or severity of adverse effects can be increased when Briakinumab is combined with Human Rho(D) immune globulin.
Otelixizumab The risk or severity of adverse effects can be increased when Otelixizumab is combined with Human Rho(D) immune globulin.
AMG 108 The risk or severity of adverse effects can be increased when AMG 108 is combined with Human Rho(D) immune globulin.
Iratumumab The risk or severity of adverse effects can be increased when Iratumumab is combined with Human Rho(D) immune globulin.
Enokizumab The risk or severity of adverse effects can be increased when Enokizumab is combined with Human Rho(D) immune globulin.
Ramucirumab The risk or severity of adverse effects can be increased when Ramucirumab is combined with Human Rho(D) immune globulin.
Farletuzumab The risk or severity of adverse effects can be increased when Farletuzumab is combined with Human Rho(D) immune globulin.
Veltuzumab The risk or severity of adverse effects can be increased when Veltuzumab is combined with Human Rho(D) immune globulin.
Ustekinumab The risk or severity of adverse effects can be increased when Ustekinumab is combined with Human Rho(D) immune globulin.
Trastuzumab emtansine The risk or severity of adverse effects can be increased when Trastuzumab emtansine is combined with Human Rho(D) immune globulin.
PRO-542 The risk or severity of adverse effects can be increased when PRO-542 is combined with Human Rho(D) immune globulin.
TNX-901 The risk or severity of adverse effects can be increased when TNX-901 is combined with Human Rho(D) immune globulin.
Inotuzumab ozogamicin The risk or severity of adverse effects can be increased when Inotuzumab ozogamicin is combined with Human Rho(D) immune globulin.
RI 624 The risk or severity of adverse effects can be increased when RI 624 is combined with Human Rho(D) immune globulin.
Stamulumab The risk or severity of adverse effects can be increased when MYO-029 is combined with Human Rho(D) immune globulin.
CT-011 The risk or severity of adverse effects can be increased when CT-011 is combined with Human Rho(D) immune globulin.
Leronlimab The risk or severity of adverse effects can be increased when Leronlimab is combined with Human Rho(D) immune globulin.
Glembatumumab vedotin The risk or severity of adverse effects can be increased when Glembatumumab vedotin is combined with Human Rho(D) immune globulin.
Olaratumab The risk or severity of adverse effects can be increased when Olaratumab is combined with Human Rho(D) immune globulin.
IPH 2101 The risk or severity of adverse effects can be increased when IPH 2101 is combined with Human Rho(D) immune globulin.
TB-402 The risk or severity of adverse effects can be increased when TB-402 is combined with Human Rho(D) immune globulin.
Caplacizumab The risk or severity of adverse effects can be increased when Caplacizumab is combined with Human Rho(D) immune globulin.
IMC-1C11 The risk or severity of adverse effects can be increased when IMC-1C11 is combined with Human Rho(D) immune globulin.
Eldelumab The risk or severity of adverse effects can be increased when Eldelumab is combined with Human Rho(D) immune globulin.

Target Protein

Rhesus blood group D antigen RHD

Referensi & Sumber

Artikel (PubMed)
  • PMID: 19707396
    Cheung E, Liebman HA: Anti-RhD immunoglobulin in the treatment of immune thrombocytopenia. Biologics. 2009;3:57-62. Epub 2009 Jul 13.
  • PMID: 1850307
    Bussel JB, Graziano JN, Kimberly RP, Pahwa S, Aledort LM: Intravenous anti-D treatment of immune thrombocytopenic purpura: analysis of efficacy, toxicity, and mechanism of effect. Blood. 1991 May 1;77(9):1884-93.
  • PMID: 10796088
    Crowther CA, Keirse MJ: Anti-D administration in pregnancy for preventing rhesus alloimmunisation. Cochrane Database Syst Rev. 2000;(2):CD000020.
  • PMID: 20008198
    Brinc D, Lazarus AH: Mechanisms of anti-D action in the prevention of hemolytic disease of the fetus and newborn. Hematology Am Soc Hematol Educ Program. 2009:185-91. doi: 10.1182/asheducation-2009.1.185.
  • PMID: 17897303
    Brinc D, Le-Tien H, Crow AR, Freedman J, Lazarus AH: IgG-mediated immunosuppression is not dependent on erythrocyte clearance or immunological evasion: implications for the mechanism of action of anti-D in the prevention of haemolytic disease of the newborn? Br J Haematol. 2007 Oct;139(2):275-9.
  • PMID: 12504934
    Bichler J, Schondorfer G, Pabst G, Andresen I: Pharmacokinetics of anti-D IgG in pregnant RhD-negative women. BJOG. 2003 Jan;110(1):39-45.
  • PMID: 8450718
    Poortmans JR, Jeanloz RW: Urinary excretion of immunoglobulins and their subunits in human subjects before and after exercise. Med Sci Sports Exerc. 1993 Feb;25(2):171-8.
  • PMID: 1266624
    Haneberg B, Endresen C: Fragments of immunoglobulins in human faeces. Acta Pathol Microbiol Scand C. 1976 Feb;84(1):31-6.
Menampilkan 8 dari 10 artikel.

Contoh Produk & Brand

Produk: 30 • International brands: 0
Produk
  • Hyp Rho D Inj 16.5%
    Liquid • 16.5 % • Intramuscular • Canada • Approved
  • Hyperrho S/d Full Dose
    Solution • 1500 [iU]/1 • Intramuscular • US • Approved
  • Hyperrho S/d Full Dose
    Solution • 1500 unit / dose • Intramuscular • Canada • Approved
  • Hyperrho S/d Full Dose
    Solution • 1500 unit / dose • Intramuscular • Canada • Approved
  • Hyperrho S/d Mini-dose
    Solution • 250 [iU]/1 • Intramuscular • US • Approved
  • MICRhoGAM Ultra-Filtered PLUS
    Injection, solution • 50 ug/1 • Intramuscular • US • Approved
  • RhoGAM Ultra-Filtered PLUS
    Injection, solution • 300 ug/1 • Intramuscular • US • Approved
  • Rhophylac
    Solution • 1500 [iU]/2mL • Intramuscular; Intravenous • US • Approved
Menampilkan 8 dari 30 produk.

Sekuens Gen/Protein (FASTA)

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