与原始物和生物类似物natalizumab提供的JC病毒测定性能的比较
James Varley1, Rahma Beyrouti2, Richard Nicholas1
1Department of Neurology, Imperial College Healthcare NHS Trust, London, UK.
概括
切换纳塔利祖马布生物仿真和JC病毒 (JCV) 抗体测定显著影响渐进性多焦点白内障 (PML) 风险评估. Stratify-JCV和ImmunoWELL测试之间的差异在患者监测和风险分层方面造成了不确定性.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 药理学 药理学是指药理学的学科.
背景情况:
- 渐进性多焦点白脑病变 (PML) 是一种罕见的纳塔利祖马布并发症.
- 冠状病毒 (JCV) 抗体状态对PML风险进行分层.
- 在切换到纳塔利祖马布生物类似药后,人们对JCV测试结果产生了担忧.
研究的目的:
- 调查在纳塔利祖马布生物类似物转换后的JCV测定切换的临床影响.
- 为了比较 Stratify-JCV 和 ImmunoWELL 测试之间的 JCV 抗体测试结果.
主要方法:
- 包括497名患有多发性硬化症的人,他们从Tysabri转换为Tyruko.
- 分析了来自Stratify-JCV和ImmunoWELL测定中的JCV抗体测试结果.
主要成果:
- 在250名Stratify-JCV阴性患者中,119名 (47.6%) 在ImmunoWELL.com上呈阳性.
- 在较低的JCV指数值下,评估一致性最低,这影响了风险分层.
结论:
- 观察到的JCV测定差异在PML风险咨询和监测中带来不确定性.
- 潜在的后果包括过高估计的风险,增加的患者焦虑,更高的医疗保健费用和治疗准入问题.
- 利益相关者之间的合作对于快速解决方案至关重要.
更多相关视频
相关概念视频
Enzyme-Linked Immunosorbent Assay
In 1971, Peter Perlman and Eva Engvall developed an Enzyme-linked immunosorbent assay (ELISA or EIA). ELISA differs from western blot in that the assays are conducted in microtiter plates or in vivo rather than on an absorbent membrane.
There are many different types of ELISAs, but they all involve an antibody molecule whose constant region binds an enzyme, leaving the variable region free to bind its specific antigen. Enzyme-substrate reaction allows the antigen to be visualized or quantified.
There are many different types of ELISAs, but they all involve an antibody molecule whose constant region binds an enzyme, leaving the variable region free to bind its specific antigen. Enzyme-substrate reaction allows the antigen to be visualized or quantified.
Bioequivalence: Overview
Pharmaceutical equivalents, by definition, are drug products with the same active ingredient in the same quantities, encapsulated in identical dosage forms, and intended for the same administration routes. These pharmaceutical equivalents are deemed bioequivalent if the bioavailability of the active entity in the drug preparations is similar. Moreover, pharmaceutical equivalents demonstrating bioequivalence are also regarded as therapeutically equivalent. This means that when used as directed,...
Bioequivalence studies: Biowaivers
In certain scenarios, in vitro dissolution tests can replace in vivo bioequivalence studies. This is particularly true when a drug product, though available in varying strengths, maintains proportional similarity in its active and inactive ingredients. In such cases, the need for in vivo bioequivalence studies for lower strength variants may be waived, provided dissolution tests and in vivo studies on the highest strength yield satisfactory results.Bioequivalence can be indicated through...
Bioequivalence Data: Statistical Interpretation
The statistical interpretation of bioequivalence data is a significant aspect of pharmaceutical research. Bioequivalence refers to the absence of any significant difference in the rate and extent to which the active ingredient in pharmaceutical products becomes available at the site of drug action when administered at the same molar dose under similar conditions. This helps determine if different drug products have similar absorption rates, ensuring their interchangeability.Statistical...
Drug Products: Biologics, Biosimilars and Interchangeables
Biologics, derived from living sources such as humans, animals, or microorganisms, represent a significant category of pharmaceuticals. These complex molecules, developed through advanced biotechnological methods or purified from natural sources, include essential medical treatments like insulin and growth hormones. The complexity of biologics arises from their large molecular structures and the intricate processes required for their production, making them distinct from conventional...
Drug Product Performance: In Vitro–In Vivo Correlation
In pharmaceutical development, it's crucial to establish a predictive in vitro–in vivo correlation (IVIVC) for two or more formulations to gain a comprehensive understanding of release properties. IVIVC reduces the need for costly in vivo studies and facilitates the establishment of meaningful dissolution specifications with significant cost savings and decreased regulatory burden. Furthermore, a meaningful IVIVC should predict Cmax and AUC within 20%, aligning with FDA guidance while adhering...


