对照药Pulmozim与同类药物Tigerase药效学、毒理学和药动学性质的比较

M. Aksenova, E. Bocharova, S. Abbasova, A. S. Ponomarev, V. V. Loginova, M. V. Bolotnikova, N. V. Belskaya, A. A. Kazarov, A. E. Lisova, N. K. Kudina, M. S. Pantyushenko, M. V. Zhilyaeva, D. S. Kopein, Yu. M. Karelov, G. G. Erastov, M. Lykov, R. A. Chamitov
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摘要

这项工作介绍了对Tigerase®(吸入溶液,由俄罗斯JSC«GENERIUM»生产)与参比药物Pulmozim®(吸入溶液,由瑞士Hoffmann-La Roche Ltd生产)的可比性的研究。这两种药物都含有人重组脱氧核糖核酸酶I - dornase α作为活性物质,用于治疗有肺部表现的囊性纤维化(囊性纤维化)。利用患者化脓痰标本,在体外和离体研究了dornase α的特异性酶活性。研究了药物在血清、支气管和肺中的药动学参数。主要生理参数(体重和体温,心血管、呼吸、排泄系统的状态,血液和生化血液参数,内脏器官的病理形态学变化,包括眼睛角膜的状态,在幼鼠和性成熟大鼠的亚慢性毒性比较研究中评估了死亡率),使用28天吸入剂量,性成熟大鼠0.2 mg/kg,幼年动物0.26 mg/kg(剂量比临床使用推荐剂量高6倍)。结论是,这两种药物在酶促、溶黏液酶活性、安全性和基本药代动力学参数方面具有可比性。
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Comparability of the Reference Drug Pulmozim and a Similar Drug Tigerase in Terms of their Pharmacodynamic, Toxicological and Pharmacokinetic Properties
This work presents research studies into the comparability of Tigerase® (inhalation solution, manufactured by JSC «GENERIUM», Russia) to the reference drug Pulmozim® (inhalation solution, manufactured by Hoffmann-La Roche Ltd., Switzerland). Both drugs contain human recombinant deoxyribonuclease I – dornase alpha as an active substance and are intended for the treatment of cystic fibrosis with pulmonary manifestations (cystic fibrosis). The specific enzymatic activity of dornase alpha was studied in vitro and ex vivo using samples of patients’ purulent sputum. The pharmacokinetic parameters of the drugs were studied in the blood serum, bronchi and lungs. The main physiological parameters (body weight and temperature, the state of the cardiovascular, respiratory, excretory systems, hematological and biochemical blood parameters, pathomorphological changes in the internal organs, including the state of the cornea of the eyes, mortality rates) were assessed in comparative studies of subchronic toxicity in juvenile and sexually mature rats using 28-day inhalation in doses of 0.2 mg/kg to sexually mature and 0.26 mg/kg to juvenile animals (the dose was 6 times higher than the recommended dose for clinical use). It was concluded that the drugs were comparable in terms of their enzymatic, mucolytic (secretolytic) DNase activity, safety profile, and basic pharmacokinetic parameters.
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