Assessment of Potential Thrombogenicity in an Animal Model of a Triple Viral Inactivated Factor IX Concentrate Manufactured in Argentina

Martínez-Toldos Mc, R. Rodriguez, A. Marinsaldi, Rodriguez Gr, H. Guglielmone, M. E. Bernardi, A. Valdomero, G. Cuadra
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Abstract

The risk of thromboembolism with FIX replacement therapy remains a concern for hemophilic B patients. Previous studies from our laboratory demonstrated that the activated factor content of the FIX Plasma Derived (FIXpd) manufactured at UNC-Hemoderivados was negligible by in vitro assay. Despite this, we considered it important to conduct studies to assess the potential thrombogenic risk of our FIXpd concentrates using a modified stasis animal model. FIXpd were inject doses of 100 or 200 IU F IX kg-1 and some samples were supplemented with heparin (<0.5 of heparin/ IU FIX). Eight rats were tested at each dose level in the presence or absence of heparin, considering those samples with a thrombogenicity ≥2.0 as of potential thrombogenic risk. The mean scores ± SD 100 and 200 IU kg-1 in the presence or absence of heparin were 0.25±0.06 and 2.25±0.45 and 1.19±0.26 and 2.81±0.40, respectively. At both doses tested of FIXpd in the absence of heparin, there was no significant difference in mean scores (P<0.05). The encouraging data obtained from these animal experiments and results from in vitro tests, support the low thrombotic risk associated with the FIXpd concentrate manufactured in UNC Hemoderivados.
阿根廷生产的三重病毒灭活因子IX浓缩物动物模型的潜在血栓形成性评估
FIX替代疗法的血栓栓塞风险仍然是血友病B患者关注的问题。我们实验室之前的研究表明,通过体外检测,unc - hemderivatives公司生产的FIX血浆衍生(FIXpd)的活化因子含量可以忽略不计。尽管如此,我们认为有必要利用改良的停滞动物模型进行研究,评估FIXpd浓缩物的潜在血栓形成风险。FIXpd注射剂量为100或200 IU FIX kg-1,部分样品添加肝素(<0.5肝素/ IU FIX)。8只大鼠在肝素存在或不存在的情况下,在每个剂量水平下进行测试,考虑到这些样品的血栓形成性≥2.0作为潜在的血栓形成风险。肝素存在或不存在时的平均评分±SD 100和200 IU kg-1分别为0.25±0.06和2.25±0.45和1.19±0.26和2.81±0.40。在没有肝素的情况下,两种剂量的FIXpd测试,平均评分无显著差异(P<0.05)。从这些动物实验中获得的令人鼓舞的数据和体外试验的结果,支持与UNC血液衍生物制造的FIXpd浓缩物相关的低血栓形成风险。
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