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pubmed-article:21114621pubmed:abstractTextOBJECTIVE: The objective of the present study was to evaluate the pharmacokinetics and the clearance pathways of rFVIIa after intravenous administration to hemophilia patients. METHODS: Ten severe hemophilia patients were included in the study; all patients were intravenously administered a clinically relevant dose of 90 ?g kg(-1) (1.8 nmol kg(-1)) rFVIIa. Blood samples were collected consecutively to describe the pharmacokinetics of rFVIIa. All samples were analyzed using three different assays: a clot assay to measure the activity (FVIIa:C), an enzyme immunoassay (EIA) to measure the antigen levels (FVII:Ag), and an EIA (FVIIa-AT) to measure the FVIIa antithrombin III (AT) complex. Pharmacokinetic parameters were evaluated both by use of standard non-compartmental methods and by use of mixed effects methods. A population pharmacokinetic model was used to simultaneously model all three datasets. The total body clearance of rFVIIa:C was estimated to be 38 mL h(-1) kg(-1). The rFVII-AT complex formation was responsible for 65% of the total rFVIIa:C clearance. The initial and the terminal half-life of rFVIIa:C was estimated to be 0.6 and 2.6 h, respectively. The formation of rFVII-AT complex was able to explain the difference observed between the rFVIIa:C and the rFVII:Ag concentration. The non-compartmental analysis resulted in almost identical parameters.lld:pubmed
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pubmed-article:21114621pubmed:authorpubmed-author:HednerUUlld:pubmed
pubmed-article:21114621pubmed:authorpubmed-author:MartinE JEJlld:pubmed
pubmed-article:21114621pubmed:authorpubmed-author:EzbanMMlld:pubmed
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pubmed-article:21114621pubmed:authorpubmed-author:PelzerHHlld:pubmed
pubmed-article:21114621pubmed:authorpubmed-author:BrophyD FDFlld:pubmed
pubmed-article:21114621pubmed:authorpubmed-author:AgersøHHlld:pubmed
pubmed-article:21114621pubmed:copyrightInfo© 2011 International Society on Thrombosis and Haemostasis.lld:pubmed
pubmed-article:21114621pubmed:issnTypeElectroniclld:pubmed
pubmed-article:21114621pubmed:volume9lld:pubmed
pubmed-article:21114621pubmed:ownerNLMlld:pubmed
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pubmed-article:21114621pubmed:pagination333-8lld:pubmed
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pubmed-article:21114621pubmed:year2011lld:pubmed
pubmed-article:21114621pubmed:articleTitleRecombinant human factor VIIa (rFVIIa) cleared principally by antithrombin following intravenous administration in hemophilia patients.lld:pubmed
pubmed-article:21114621pubmed:affiliationPharmacology, Biopharmaceuticals Research Unit, Novo Nordisk A/S, Maaloev, Denmark. hkag@novonordisk.comlld:pubmed
pubmed-article:21114621pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:21114621pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed
pubmed-article:21114621pubmed:publicationTypeResearch Support, N.I.H., Extramurallld:pubmed