Apixaban
Background
Apixaban inosarudzika uye inodzoreredzwa inhibitor yeFactor Xa ine Ki values dze0.08 nM uye 0.17 nM mumunhu netsuro, zvichiteerana[1].
Factor X, inozivikanwawo neiyo eponym Stuart-Prower factor, ienzyme yeiyo coagulation cascade.Factor X inobatiswa, ne hydrolysis, kuita factor Xa nezvose zviri zviviri factor IX.Factor Xa is the activated form of the coagulation factorthrombokinase.Inhibiting Factor Xa inogona kupa imwe nzira yeanticoagulation.Direct Xa inhibitors anozivikanwa anticoagulants [2].
In vitro: Apixabanhas yakaratidza chiyero chepamusoro chesimba, kusarudza, uye kushanda paFactor Xa ine Ki ye 0.08 nM uye 0.17 nM yeHuman Factor Xa uye Rabbit Factor Xa, maererano [1].Apixaban yakawedzera nguva yekuvhara kweplasma yemunhu yakajairwa nehuwandu (EC2x) ye3.6, 0.37, 7.4 uye 0.4 μM, iyo inodiwa zvakateerana kupeta nguva yeprothrombin (PT), yakagadziridzwa prothrombin nguva (mPT), activated partial thromboplastin time ( APTT) uye HepTest.Kunze kwezvo, Apixaban yakaratidza simba repamusoro-soro muplasma yevanhu uye tsuro, asi simba shoma mumakonzo uye imbwa plasma mune zvose PT uye APTT assays [3].
In vivo: Apixaban yakaratidza yakanakisa pharmacokinetics ine yakaderera kwazvo clearance (Cl: 0.02 L kg-1h-1), uye yakaderera vhoriyamu yekugovera (Vdss: 0.2 L / kg) mumbwa.Kunze kwezvo, Apixaban yakaratidzawo mwero hafu yehupenyu neT1 / 2 yemaawa 5.8 uye yakanaka yemuromo bioavailability (F: 58%) [1].Mu arteriovenous-shunt thrombosis (AVST), venous thrombosis (VT) uye magetsi akapindirana carotid arterial thrombosis (ECAT) tsuro modhi, Apixaban yakagadzira antithrombotic mhedzisiro neEC50 ye270 nM, 110 nM uye 70 nM nenzira inotsamira mudosi [3. ].Apixaban yakanyanya inhibited factor Xa chiitiko neIC50 ye0.22 μM mu tsuro ex vivo[4].Muchimpanzee, Apixaban yakaratidzawo kugoverwa kuduku (Vdss: 0.17 L kg-1), pasi systemic clearance (Cl: 0.018 L kg-1h-1), uye yakanaka yemuromo bioavailability (F: 59%) [5].
References:
Pinto DJP, Orwat MJ, Koch S, et al.Kuwanikwa kwe1-(4-methoxyphenyl) -7-oxo-6-(4-(2-oxopiperidin-1-yl) phenyl) -4, 5, 6, 7-tetrahydro-1 H-pyrazolo [3, 4- c] pyridine-3-carboxamide (Apixaban, BMS-562247), ine simba, inosarudza, inoshanda, uye nemuromo bioavailable inhibitor yeropa coagulation factor Xa[J].Nyaya yemishonga yemakemikari, 2007, 50 (22): 5339-5356.
Sidhu P S. Direct Factor Xa Inhibitors seAnticoagulants[J].
Wong PC, Crain EJ, Xin B, et al.Apixaban, yemuromo, yakananga uye yakanyanya kusarudza chinhu Xa inhibitor: in vitro, antithrombotic uye antihemostaticstudies[J].Nyaya yeThrombosis uye Haemostasis, 2008, 6 (5): 820-829.
Zhang D, He K, Raghavan N, et al.Metabolism, pharmacokinetics uye pharmacodynamics yefactor Xa inhibitor apixaban mutsuro[J].Nyaya ye thrombosis uye thrombolysis, 2010, 29 (1): 70-80.
Iye K, Luettgen JM, Zhang D, et al.Preclinical pharmacokinetics uye pharmacodynamics yeapixaban, ine simba uye yakasarudzwa chinhu Xa inhibitor[J].European Journal yezvinodhaka metabolism uye pharmacokinetics, 2011, 36 (3): 129-139.
Apixaban inosarudzika uye inodzoreredzwa inhibitor yeFactor Xa ine Ki values dze0.08 nM uye 0.17 nM mumunhu netsuro, zvichiteerana[1].
Factor X, inozivikanwawo neiyo eponym Stuart-Prower factor, ienzyme yeiyo coagulation cascade.Factor X inobatiswa, ne hydrolysis, kuita factor Xa nezvose zviri zviviri factor IX.Factor Xa is the activated form of the coagulation factorthrombokinase.Inhibiting Factor Xa inogona kupa imwe nzira yeanticoagulation.Direct Xa inhibitors anozivikanwa anticoagulants [2].
In vitro: Apixabanhas yakaratidza chiyero chepamusoro chesimba, kusarudza, uye kushanda paFactor Xa ine Ki ye 0.08 nM uye 0.17 nM yeHuman Factor Xa uye Rabbit Factor Xa, maererano [1].Apixaban yakawedzera nguva yekuvhara kweplasma yemunhu yakajairwa nehuwandu (EC2x) ye3.6, 0.37, 7.4 uye 0.4 μM, iyo inodiwa zvakateerana kupeta nguva yeprothrombin (PT), yakagadziridzwa prothrombin nguva (mPT), activated partial thromboplastin time ( APTT) uye HepTest.Kunze kwezvo, Apixaban yakaratidza simba repamusoro-soro muplasma yevanhu uye tsuro, asi simba shoma mumakonzo uye imbwa plasma mune zvose PT uye APTT assays [3].
In vivo: Apixaban yakaratidza yakanakisa pharmacokinetics ine yakaderera kwazvo clearance (Cl: 0.02 L kg-1h-1), uye yakaderera vhoriyamu yekugovera (Vdss: 0.2 L / kg) mumbwa.Kunze kwezvo, Apixaban yakaratidzawo mwero hafu yehupenyu neT1 / 2 yemaawa 5.8 uye yakanaka yemuromo bioavailability (F: 58%) [1].Mu arteriovenous-shunt thrombosis (AVST), venous thrombosis (VT) uye magetsi akapindirana carotid arterial thrombosis (ECAT) tsuro modhi, Apixaban yakagadzira antithrombotic mhedzisiro neEC50 ye270 nM, 110 nM uye 70 nM nenzira inotsamira mudosi [3. ].Apixaban yakanyanya inhibited factor Xa chiitiko neIC50 ye0.22 μM mu tsuro ex vivo[4].Muchimpanzee, Apixaban yakaratidzawo kugoverwa kuduku (Vdss: 0.17 L kg-1), pasi systemic clearance (Cl: 0.018 L kg-1h-1), uye yakanaka yemuromo bioavailability (F: 59%) [5].
References:
Pinto DJP, Orwat MJ, Koch S, et al.Kuwanikwa kwe1-(4-methoxyphenyl) -7-oxo-6-(4-(2-oxopiperidin-1-yl) phenyl) -4, 5, 6, 7-tetrahydro-1 H-pyrazolo [3, 4- c] pyridine-3-carboxamide (Apixaban, BMS-562247), ine simba, inosarudza, inoshanda, uye nemuromo bioavailable inhibitor yeropa coagulation factor Xa[J].Nyaya yemishonga yemakemikari, 2007, 50 (22): 5339-5356.
Sidhu P S. Direct Factor Xa Inhibitors seAnticoagulants[J].
Wong PC, Crain EJ, Xin B, et al.Apixaban, yemuromo, yakananga uye yakanyanya kusarudza chinhu Xa inhibitor: in vitro, antithrombotic uye antihemostaticstudies[J].Nyaya yeThrombosis uye Haemostasis, 2008, 6 (5): 820-829.
Zhang D, He K, Raghavan N, et al.Metabolism, pharmacokinetics uye pharmacodynamics yefactor Xa inhibitor apixaban mutsuro[J].Nyaya ye thrombosis uye thrombolysis, 2010, 29 (1): 70-80.
Iye K, Luettgen JM, Zhang D, et al.Preclinical pharmacokinetics uye pharmacodynamics yeapixaban, ine simba uye yakasarudzwa chinhu Xa inhibitor[J].European Journal yezvinodhaka metabolism uye pharmacokinetics, 2011, 36 (3): 129-139.
Chimiro chemakemikari
Proposal18Quality Consistency Evaluation mapurojekiti akatenderwa4,uye6mapurojekiti ari pasi pekubvumidzwa.
Yepamberi yepasirese yemhando manejimendi system yakaisa hwaro hwakasimba hwekutengesa.
Kutariswa kwemhando yepamusoro kunofamba kuburikidza nehupenyu hwese kutenderera kwechigadzirwa kuti ive nechokwadi chemhando nekurapa.
Professional Regulatory Affairs timu inotsigira zvinodiwa zvemhando panguva yekushandisa uye kunyoreswa.