Source:http://linkedlifedata.com/resource/pubmed/id/15357767
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Predicate | Object |
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rdf:type | |
lifeskim:mentions |
umls-concept:C0015506,
umls-concept:C0019069,
umls-concept:C0025663,
umls-concept:C0030705,
umls-concept:C0031327,
umls-concept:C0032105,
umls-concept:C0036043,
umls-concept:C0205179,
umls-concept:C0683312,
umls-concept:C1261322,
umls-concept:C1516634,
umls-concept:C1521827,
umls-concept:C1522326,
umls-concept:C1555713
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pubmed:issue |
5
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pubmed:dateCreated |
2004-9-10
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pubmed:abstractText |
The efficacy and safety of an advanced category recombinant antihaemophilic factor produced by a plasma- and albumin-free method (rAHF-PFM) was studied in 111 previously treated subjects with haemophilia A. The study comprised a randomized, double-blinded, crossover pharmacokinetic comparison of rAHF-PFM and RECOMBINATE rAHF (R-FVIII); prophylaxis (three to four times per week with 25-40 IU kg(-1) rAHF-PFM) for at least 75 exposure days; and treatment of episodic haemorrhagic events. Median age was 18 years, 96% of subjects had baseline factor VIII <1%, and 108 received study drug. Bioequivalence, based on area under the plasma concentration vs. time curve and adjusted in vivo recovery, was demonstrated for rAHF-PFM and R-FVIII. Mean (+/-SD) half-life for rAHF-PFM was 12.0 +/- 4.3 h. Among 510 bleeding events, 473 (93%) were managed with one or two infusions of rAHF-PFM and 439 (86%) had efficacy ratings of excellent or good. Subjects who were less adherent to the prophylactic regimen had a higher bleeding rate (9.9 episodes subject(-1) year(-1)) than subjects who were more adherent (4.4 episodes subject(-1) year(-1); P < 0.03). One subject developed a low titre, non-persistent inhibitor (2.0 BU) after 26 exposure days. These data demonstrate that rAHF-PFM is bioequivalent to R-FVIII, and suggest that rAHF-PFM is efficacious and safe, without increased immunogenicity, for the treatment of haemophilia A.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
1351-8216
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pubmed:author |
pubmed-author:AMIRNN,
pubmed-author:BerntorpEE,
pubmed-author:CollinsP WPW,
pubmed-author:EwensteinB MBM,
pubmed-author:GruppoR ARA,
pubmed-author:HayC R MCR,
pubmed-author:RAHF-PFM Clinical Study Group,
pubmed-author:RetziosA DAD,
pubmed-author:RogyS SSS,
pubmed-author:SchrothP CPC,
pubmed-author:SenselM GMG,
pubmed-author:ShapiroA DAD,
pubmed-author:TarantinoM DMD,
pubmed-author:TonettaS ASA
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pubmed:issnType |
Print
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pubmed:volume |
10
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
428-37
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pubmed:dateRevised |
2009-10-21
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pubmed:meshHeading |
pubmed-meshheading:15357767-Adolescent,
pubmed-meshheading:15357767-Adult,
pubmed-meshheading:15357767-Aged,
pubmed-meshheading:15357767-Child,
pubmed-meshheading:15357767-Double-Blind Method,
pubmed-meshheading:15357767-Factor VIII,
pubmed-meshheading:15357767-Hemophilia A,
pubmed-meshheading:15357767-Hemorrhage,
pubmed-meshheading:15357767-Hemostasis,
pubmed-meshheading:15357767-Humans,
pubmed-meshheading:15357767-Middle Aged,
pubmed-meshheading:15357767-Recombinant Proteins,
pubmed-meshheading:15357767-Treatment Outcome
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pubmed:year |
2004
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pubmed:articleTitle |
Clinical evaluation of an advanced category antihaemophilic factor prepared using a plasma/albumin-free method: pharmacokinetics, efficacy, and safety in previously treated patients with haemophilia A.
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pubmed:affiliation |
Comprehensive Bleeding Disorders Center, Peoria, IL 61614, USA. mdtara@hemophilia-ctr-peoria.com
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
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