Peringatan Keamanan

There are no data from the use of cenegermin-bkbj in pregnant women to inform any drug-associated risks. Administration of cenegermin-bkbj to pregnant rats or rabbits during the period of organogenesis did not produce adverse fetal effects at clinically relevant doses. In a pre- and postnatal development study, administration of cenegermin-bkbj to pregnant rats throughout gestation and lactation did not produce adverse effects in offspring at clinically relevant doses.L49051

Animal studies have not been conducted to determine the carcinogenic and mutagenic potential of cenegermin-bkbj.L49051

Daily subcutaneous administration of cenegermin-bkbj to male and female rats for at least 14 days prior mating, and at least 18 days post-coitum had no effect on fertility parameters in male or female rats at doses up to 267 mcg/kg/day (1709 times the MRHOD).L49051

In general toxicology studies, subcutaneous and ocular administration of cenegermin-bkbj infemales was associated with ovarian findings including persistent estrus, ovarian follicular cysts, atrophy/reduction of corpora lutea, and changes in ovarian weight at doses greater than or equal to 19 mcg/kg/day (119 times the MRHOD).L49051

Cenegermin

DB13926

biotech approved investigational

Deskripsi

Cenegermin is a human beta-nerve growth factor (beta-ngf)-(1-118)- peptide (non-covalent dimer) produced in escherichia coli. It received European Union Approval in July 2017 for the treatment of moderate to severe neurotrophic keratitis. Cenegermin received approval from the US FDA a year later in August of 2018. L4563

Neurotrophic keratitis is a degenerative disease resulting from a loss of corneal sensation. The loss of corneal sensation impairs corneal health, causing progressive damage to the top layer of the cornea, including corneal thinning, ulceration, and perforation in severe cases. The prevalence of neurotrophic keratitis has been estimated to be less than five in 10,000 individuals. L4563

While the prevalence of neurotrophic keratitis is low, the impact of this serious condition and its associated sequelae on an individual patient can be debilitating. Many currently available therapeutic options for treating the condition involve surgical interventions - surgeries that are typically only palliative L4563. The approval of cenegermin consequently provides a novel topical treatment that has the potential capacity to offer total corneal healing for many patients who may use the agent.L4563

In particular, cenegermin was granted Priority Review designation, under which the FDA’s goal is to take action on an application within six months of application filing where the agency determines that the drug, if approved, would provide a significant improvement in the safety or effectiveness of the treatment, diagnosis or prevention of a serious condition. Cenegermin also received Orphan Drug designation, which provides incentives to assist and encourage the development of drugs for rare diseases.

Struktur Molekul 2D

Struktur tidak tersedia

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

Profil Farmakokinetik

Waktu Paruh (Half-Life) Half-life data specific to human administration is not readily accessible or available.[L49056,L49061]
Volume Distribusi After eye drop administration, cenegermin is distributed particularly in the anterior portion of the eye, although a study with radiolabelled cenegermin in rats has shown that it also reaches the retina and other posterior parts of the eye at doses significantly higher than those administered by eye drops in humans to treat neurotrophic keratitis. At the ocular doses, cenegermin is not distributed throughout body tissues as there is no systemic absorption above the natural baseline levels.[L49056]
Klirens (Clearance) Although the systemic absorption of cenegermin is negligible in general, clearance data specific to human administration is not readily accessible or available.[L49056,L49061]

Absorpsi

Cenegermin is mostly removed from the eye with the tear production and through the naso-lacrimal duct; the minor portion that is absorbed occurs mostly in the conjunctiva and peri-orbital tissue and to a minor extent through the cornea following ocular administration F1502. Pharmacokinetic profiling of patients included in studies found no accumulation effect of cenegermin F1502. In general, the systemic absorption of cenegermin is negligible.L49056

Metabolisme

As a protein, rhNGF is catabolised by standard proteolytic pathways with its constituent amino acids being added to the general body pool likely by local tissue proteases.L49061

Rute Eliminasi

Cenegermin is mostly removed from the eye with the tear production and through the naso-lacrimal duct: a good portion of the protein through the nasolacrimal duct reaches the nasal and then the oropharyngeal cavity and is then degraded by proteases.L49056,L49061

Interaksi Obat

0 Data
Tidak ada data.

Target Protein

High affinity nerve growth factor receptor NTRK1
Tumor necrosis factor receptor superfamily member 16 NGFR

Contoh Produk & Brand

Produk: 4 • International brands: 0
Produk
  • Oxervate
    Kit; Solution / drops • 20 ug/1mL • Ophthalmic • US • Approved
  • Oxervate
    Solution / drops • 20 ug/1mL • Ophthalmic • US • Approved
  • Oxervate
    Solution • 0.002 % • Ophthalmic • Canada • Approved
  • Oxervate
    Solution / drops • 20 mcg/ml • Ophthalmic • EU • Approved

Sekuens Gen/Protein (FASTA)

Sekuens dimuat saat dibutuhkan agar halaman tetap ringan.
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