Peringatan Keamanan

There is no information on the LD50 of rurioctocog alfa pegol. No symptoms of overdose with recombinant coagulation factor VIII have been reported.L40099

Rurioctocog alfa pegol

DB16007

biotech approved experimental

Deskripsi

Rurioctocog alfa pegol is a pegylated recombinant human coagulation factor VIII or antihemophilic factor. Factor VIII is an essential protein involved in normal blood clotting; thus, a deficient level of functional factor VIII is associated with an elevated risk for excessive bleeding caused by spontaneous or secondary events like trauma or surgery.A245149 Hemophilia A is the most common inherited bleeding disorder leading to deficiency of factor VIII, which is caused by defects in the F8C gene that encodes coagulation factor VIII. Bleeding in joints is a common manifestation of hemophilia A, and bleeding episodes can be severe and life-threatening like intracranial hemorrhage.A245139 Rurioctocog alfa pegol aims to restore functional levels of factor VIII in patients with hemophilia A to manage and prevent bleeding episodes. It was first approved by the European Commission in January 2018.L40119

Rurioctocog alfa pegol is a covalent conjugate of octocog alfa, which is a recombinant factor VIII produced by recombinant DNA technology from a Chinese hamster ovary cell line. The presence of the polyethylene glycol (PEG) moiety increases the plasma half-life of the drug, thereby increasing the drug's duration of action.L40099

Struktur Molekul 2D

Struktur tidak tersedia

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

Profil Farmakokinetik

Waktu Paruh (Half-Life) Following intravenous administration of rurioctocog alfa pegol, the mean ± SD terminal half-life was 13.80 ± 4.01 hours in adolescents and 15.01 ± 3.89 hours in adults.[L40099]
Volume Distribusi Following intravenous administration, the mean ± SD volume of distribution at steady-state was 0.54 ± 0.22 dL/kg in adolescents and 0.40 ± 0.09 dL/kg in adults.[L40099]
Klirens (Clearance) Following intravenous administration of rurioctocog alfa pegol, the mean ± SD clearance was 2.58 ± 0.84 mL/(kg·h) in adolescents and 2.16 ± 0.75 mL/(kg·h) in adults.[L40099]

Absorpsi

Following intravenous administration of rurioctocog alfa pegol, the mean ± SD Cmax was 117 ± 28 IU/dL in adolescents and 145 ± 29 IU/dL in adults.L40099

Metabolisme

There is limited information regarding the metabolism of rurioctocog alfa pegol; however, it is expected to undergo catabolism just like endogenous coagulation factor VIII. Metabolism pathways and CYP involvement are not known to exist regarding coagulation factors.L40129

Rute Eliminasi

There is limited information regarding the route of elimination of rurioctocog alfa pegol.

Interaksi Obat

128 Data
Aminocaproic acid The risk or severity of adverse effects can be increased when Aminocaproic acid is combined with Rurioctocog alfa pegol.
Alpha-1-proteinase inhibitor Alpha-1-proteinase inhibitor may increase the thrombogenic activities of Rurioctocog alfa pegol.
Menadione Menadione may increase the thrombogenic activities of Rurioctocog alfa pegol.
Tranexamic acid Tranexamic acid may increase the thrombogenic activities of Rurioctocog alfa pegol.
Aprotinin Aprotinin may increase the thrombogenic activities of Rurioctocog alfa pegol.
Hydrogen peroxide Hydrogen peroxide may increase the thrombogenic activities of Rurioctocog alfa pegol.
Aminomethylbenzoic acid Aminomethylbenzoic acid may increase the thrombogenic activities of Rurioctocog alfa pegol.
Camostat Camostat may increase the thrombogenic activities of Rurioctocog alfa pegol.
Menadione bisulfite Menadione bisulfite may increase the thrombogenic activities of Rurioctocog alfa pegol.
Alteplase The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Alteplase.
Urokinase The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Urokinase.
Reteplase The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Reteplase.
Anistreplase The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Anistreplase.
Tenecteplase The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Tenecteplase.
Drotrecogin alfa The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Drotrecogin alfa.
Streptokinase The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Streptokinase.
Dicoumarol The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Dicoumarol.
Desmoteplase The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Desmoteplase.
Defibrotide The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Defibrotide.
Ancrod The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Ancrod.
Sulodexide The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Sulodexide.
Astaxanthin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Astaxanthin.
Amediplase The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Amediplase.
Protein C The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Protein C.
Monteplase The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Monteplase.
Brinase The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Brinase.
Saruplase The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Saruplase.
Lepirudin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Lepirudin.
Bivalirudin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Bivalirudin.
Abciximab The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Abciximab.
Argatroban The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Argatroban.
Ardeparin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Ardeparin.
Phenindione The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Phenindione.
Fondaparinux The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Fondaparinux.
Warfarin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Warfarin.
Pentosan polysulfate The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Pentosan polysulfate.
Phenprocoumon The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Phenprocoumon.
Edetic acid The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Edetic acid.
Dipyridamole The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Dipyridamole.
Heparin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Heparin.
Enoxaparin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Enoxaparin.
Epoprostenol The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Epoprostenol.
Acenocoumarol The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Acenocoumarol.
4-hydroxycoumarin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with 4-hydroxycoumarin.
Coumarin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Coumarin.
Ximelagatran The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Ximelagatran.
Beraprost The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Beraprost.
SR-123781A The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with SR-123781A.
Prasugrel The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Prasugrel.
Rivaroxaban The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Rivaroxaban.
Semuloparin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Semuloparin.
Idraparinux The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Idraparinux.
Cangrelor The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Cangrelor.
Apixaban The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Apixaban.
Otamixaban The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Otamixaban.
Dabigatran etexilate The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Dabigatran etexilate.
Danaparoid The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Danaparoid.
Dalteparin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Dalteparin.
Tinzaparin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Tinzaparin.
(R)-warfarin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with (R)-warfarin.
Ethyl biscoumacetate The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Ethyl biscoumacetate.
Nadroparin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Nadroparin.
Triflusal The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Triflusal.
Ticagrelor The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Ticagrelor.
Ditazole The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Ditazole.
Vorapaxar The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Vorapaxar.
Edoxaban The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Edoxaban.
Sodium citrate The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Sodium citrate.
Dextran The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Dextran.
Bemiparin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Bemiparin.
Reviparin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Reviparin.
Parnaparin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Parnaparin.
Desirudin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Desirudin.
Antithrombin Alfa The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Antithrombin Alfa.
Antithrombin III human The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Antithrombin III human.
Letaxaban The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Letaxaban.
Darexaban The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Darexaban.
Betrixaban The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Betrixaban.
Nafamostat The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Nafamostat.
Gabexate The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Gabexate.
Troxerutin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Troxerutin.
Fluindione The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Fluindione.
Protein S human The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Protein S human.
Clorindione The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Clorindione.
Diphenadione The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Diphenadione.
Tioclomarol The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Tioclomarol.
Melagatran The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Melagatran.
(S)-Warfarin The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with (S)-Warfarin.
Tocopherylquinone The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Tocopherylquinone.
Dabigatran The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Dabigatran.
Dermatan sulfate The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Dermatan sulfate.
Peginterferon alfa-2a The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Peginterferon alfa-2a.
Pegfilgrastim The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Pegfilgrastim.
Peginterferon alfa-2b The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Peginterferon alfa-2b.
Pegaspargase The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Pegaspargase.
Pegademase The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Pegademase.
Pegvisomant The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Pegvisomant.
Propylene glycol The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Propylene glycol.
Heptaethylene glycol The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Heptaethylene glycol.
Pegaptanib The therapeutic efficacy of Rurioctocog alfa pegol can be decreased when used in combination with Pegaptanib.

Target Protein

von Willebrand factor VWF
Coagulation factor VIII F8

Referensi & Sumber

Artikel (PubMed)
  • PMID: 33150384
    Klamroth R, Windyga J, Radulescu V, Collins PW, Stasyshyn O, Ibrahim HM, Engl W, Tangada SD, Savage W, Ewenstein B: Rurioctocog alfa pegol PK-guided prophylaxis in hemophilia A: results from the phase 3 PROPEL study. Blood. 2021 Apr 1;137(13):1818-1827. doi: 10.1182/blood.2020005673.
  • PMID: 17439320
    Castaldo G, D'Argenio V, Nardiello P, Zarrilli F, Sanna V, Rocino A, Coppola A, Di Minno G, Salvatore F: Haemophilia A: molecular insights. Clin Chem Lab Med. 2007;45(4):450-61. doi: 10.1515/CCLM.2007.093.
  • PMID: 12098093
    Klinge J, Ananyeva NM, Hauser CA, Saenko EL: Hemophilia A--from basic science to clinical practice. Semin Thromb Hemost. 2002 Jun;28(3):309-22. doi: 10.1055/s-2002-32667.

Contoh Produk & Brand

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International Brands
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Sekuens Gen/Protein (FASTA)

Sekuens dimuat saat dibutuhkan agar halaman tetap ringan.
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