Peringatan Keamanan

No studies have been performed regarding the carcinogenic potential and/or effect on fertility of MxP. It has been observed that the administration of MxP in a dose > 3 times the recommended can produce the degeneration of heart tissue and a dose > 10 times the recommended there are reports of gliosis, axonal degeneration in the spinal cord and body tremors.FDA label

Moxetumomab pasudotox

DB12688

biotech approved investigational

Deskripsi

CD22 is a lineage-restricted B-cell antigen that is expressed solely in on B-chronic lymphocytic leukemia, hairy cell leukemia, acute lymphocytic leukemiathe and Burkitt's lymphoma. The predecessor of Moxetumab pasudotox (MxP), named BL22, was first created based on the antibody RFB4 which specifically binds to CD22. This antibody was used to generate a recombinant immunotoxin in which a stabilized Fv segment by a disulfide bond is fused to the Pseudomonas exotoxin A (PE38) which does not have the cell-binding portion.A38864

MxP appears as an improved form of BL22 by the mutation of the Fv region and the antibody phage-displayed. As well the residues SSY in the heavy chain are mutated to THW.A38864 It was developed by Astra Zeneca and FDA approved on September 13, 2018, after being granted the status of Fast Track, Priority Review and Orphan Drug designations.L4568

Struktur Molekul 2D

Struktur tidak tersedia

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

Profil Farmakokinetik

Waktu Paruh (Half-Life) MxP presents a short half-life, which limits its efficacy against solid tumors.[A38882] The half-life is reported to be of only 1.4 hours.[A38883]
Volume Distribusi The mean volume of distribution calculated based on population is 6.5 L.[A38883]
Klirens (Clearance) The mean systemic clearance is very fast and it is reported to be of 25 L/h. This clearance rate is decreased after subsequent dosing to 4 L/h.[A38883]

Absorpsi

MxP serum concentration increases in a dose-proportional manner and reaches a mean steady state of 379 ng/ml with a Cmax of 626 ng.h/ml. There are no reports of systemic accumulation.A38883

Metabolisme

The metabolism of MxP has not been well established but due to the nature of the drug, it is thought to be degraded into small peptides and individual amino acids.A38883

Rute Eliminasi

The main route of elimination is thought to be through the urine as it presents a very large clearance rate.A38883

Interaksi Obat

38 Data
Darbepoetin alfa The risk or severity of Thrombosis can be increased when Darbepoetin alfa is combined with Moxetumomab pasudotox.
Erythropoietin The risk or severity of Thrombosis can be increased when Erythropoietin is combined with Moxetumomab pasudotox.
Peginesatide The risk or severity of Thrombosis can be increased when Peginesatide is combined with Moxetumomab pasudotox.
Methoxy polyethylene glycol-epoetin beta The risk or severity of Thrombosis can be increased when Methoxy polyethylene glycol-epoetin beta is combined with Moxetumomab pasudotox.
Lidocaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Lidocaine.
Ropivacaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Ropivacaine.
Bupivacaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Bupivacaine.
Cinchocaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Cinchocaine.
Dyclonine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Dyclonine.
Procaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Procaine.
Prilocaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Prilocaine.
Proparacaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Proparacaine.
Meloxicam The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Meloxicam.
Oxybuprocaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Oxybuprocaine.
Cocaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Cocaine.
Mepivacaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Mepivacaine.
Levobupivacaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Levobupivacaine.
Diphenhydramine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Diphenhydramine.
Benzocaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Benzocaine.
Chloroprocaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Chloroprocaine.
Phenol The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Phenol.
Tetrodotoxin The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Tetrodotoxin.
Benzyl alcohol The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Benzyl alcohol.
Capsaicin The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Capsaicin.
Etidocaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Etidocaine.
Articaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Articaine.
Tetracaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Tetracaine.
Propoxycaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Propoxycaine.
Pramocaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Pramocaine.
Butamben The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Butamben.
Butacaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Butacaine.
Oxetacaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Oxetacaine.
Ethyl chloride The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Ethyl chloride.
Butanilicaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Butanilicaine.
Metabutethamine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Metabutethamine.
Quinisocaine The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Quinisocaine.
Ambroxol The risk or severity of methemoglobinemia can be increased when Moxetumomab pasudotox is combined with Ambroxol.
Etrasimod The risk or severity of immunosuppression can be increased when Moxetumomab pasudotox is combined with Etrasimod.

Target Protein

B-cell receptor CD22 CD22
Elongation factor 2 EEF2

Referensi & Sumber

Artikel (PubMed)
  • PMID: 15746059
    Bang S, Nagata S, Onda M, Kreitman RJ, Pastan I: HA22 (R490A) is a recombinant immunotoxin with increased antitumor activity without an increase in animal toxicity. Clin Cancer Res. 2005 Feb 15;11(4):1545-50. doi: 10.1158/1078-0432.CCR-04-1939.
  • PMID: 26614906
    Getta BM, Park JH, Tallman MS: Hairy cell leukemia: Past, present and future. Best Pract Res Clin Haematol. 2015 Dec;28(4):269-72. doi: 10.1016/j.beha.2015.10.015. Epub 2015 Oct 21.
  • PMID: 22355051
    Park JH, Levine RL: Targeted immunotherapy for hairy cell leukemia. J Clin Oncol. 2012 May 20;30(15):1888-90. doi: 10.1200/JCO.2011.39.8313. Epub 2012 Feb 21.
  • PMID: 22003067
    Kreitman RJ, Pastan I: Antibody fusion proteins: anti-CD22 recombinant immunotoxin moxetumomab pasudotox. Clin Cancer Res. 2011 Oct 15;17(20):6398-405. doi: 10.1158/1078-0432.CCR-11-0487.
  • PMID: 22069564
    Shapira A, Benhar I: Toxin-based therapeutic approaches. Toxins (Basel). 2010 Nov;2(11):2519-83. doi: 10.3390/toxins2112519. Epub 2010 Oct 28.
  • PMID: 29581296
    Wei J, Bera TK, Liu XF, Zhou Q, Onda M, Ho M, Tai CH, Pastan I: Recombinant immunotoxins with albumin-binding domains have long half-lives and high antitumor activity. Proc Natl Acad Sci U S A. 2018 Apr 10;115(15):E3501-E3508. doi: 10.1073/pnas.1721780115. Epub 2018 Mar 26.
  • PMID: 28983018
    Wayne AS, Shah NN, Bhojwani D, Silverman LB, Whitlock JA, Stetler-Stevenson M, Sun W, Liang M, Yang J, Kreitman RJ, Lanasa MC, Pastan I: Phase 1 study of the anti-CD22 immunotoxin moxetumomab pasudotox for childhood acute lymphoblastic leukemia. Blood. 2017 Oct 5;130(14):1620-1627. doi: 10.1182/blood-2017-02-749101. Epub 2017 Aug 9.

Contoh Produk & Brand

Produk: 4 • International brands: 0
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Sekuens Gen/Protein (FASTA)

Sekuens dimuat saat dibutuhkan agar halaman tetap ringan.
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