Espero BioPharma宣布Tecarfarin治疗终末期肾病和心房颤动患者获得FDA孤儿药物指定

2019-03-12 不详 MedSci原创

2019年3月11日,一家专注于开发针对血栓形成和心律控制相关治疗药物的制药公司Espero BioPharma,今天宣布美国食品和药物管理局(FDA)为预防终末期肾病(ESRD)和心房纤颤(AFib)患者心源性血栓栓塞的Tecarfarin替加福林,授予了孤儿药物指定(ODD)。Tecarfarin是一种III期服用的维生素K拮抗剂,每天口服一次,作为抗凝剂。

2019年3月11日,一家专注于开发针对血栓形成和心律控制相关治疗药物的制药公司Espero BioPharma,今天宣布美国食品和药物管理局(FDA)为预防终末期肾病(ESRD)和心房纤颤(AFib)患者心源性血栓栓塞的Tecarfarin替加福林,授予了孤儿药物指定(ODD)。Tecarfarin是目前处于III期临床阶段的维生素K拮抗剂,每天口服一次,作为抗凝剂。

慢性肾病(CKD)或AFib的存在增加了严重的血栓栓塞性不良临床结果的风险,例如中风和死亡。通常建议使用抗血栓治疗来降低AFib患者的这种风险,但对于ESRD和AFib患者,尚无批准的治疗方法。ESRD和AFib患者通常被排除在临床试验之外,因为AFib的批准疗法具有增加药物暴露的代谢特征,同时也增加了管理这些患者的已知风险和挑战。

Espero BioPharma公司董事长兼首席执行官Quang Pham表示,"孤儿药指定"强调了替加福林作为一种治疗ESRD和AFib患者的潜在新疗法的重要性,这是一个医疗需求基本未得到满足的人群。"我们很高兴这一指定将有助于tecarfarin的临床开发,并可以让我们更快地将这种疗法应用到患者"。

孤儿药的指定可以为药物开发者提供某些益处和激励措施,包括自上市授权之日起,美国营销专属权的七年期限,FDA用户费用的豁免以及临床研究的税收抵免。

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  5. 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  6. [GetPortalCommentsPageByObjectIdResponse(id=1740095, encodeId=4a321e4009522, content=<a href='/topic/show?id=f5a445431df' target=_blank style='color:#2F92EE;'>#孤儿药物#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45431, encryptionId=f5a445431df, topicName=孤儿药物)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a4f034650217, createdName=ms6980045490879608, createdTime=Thu Jul 11 13:24:00 CST 2019, time=2019-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1707569, encodeId=7fa61e075691e, content=<a href='/topic/show?id=9f7c99e256' target=_blank style='color:#2F92EE;'>#IOP#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9972, encryptionId=9f7c99e256, topicName=IOP)], attachment=null, authenticateStatus=null, createdAvatar=null, 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style='color:#2F92EE;'>#ArfA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2739, encryptionId=71062e3964, topicName=ArfA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f7c9348, createdName=neizongke, createdTime=Sat Aug 10 03:24:00 CST 2019, time=2019-08-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1785833, encodeId=b9a81e85833e0, content=<a href='/topic/show?id=d4dfe035e3' target=_blank style='color:#2F92EE;'>#ESPE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7035, encryptionId=d4dfe035e3, topicName=ESPE)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a9de34, createdName=shenxlcyp, createdTime=Sun Jul 28 06:24:00 CST 2019, time=2019-07-28, status=1, ipAttribution=), 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createdName=jj000001, createdTime=Thu Feb 20 09:24:00 CST 2020, time=2020-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1652333, encodeId=51e61652333dc, content=<a href='/topic/show?id=13d01e24509' target=_blank style='color:#2F92EE;'>#TEC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17245, encryptionId=13d01e24509, topicName=TEC)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=852f24292001, createdName=shock_melon, createdTime=Thu Dec 12 14:24:00 CST 2019, time=2019-12-12, status=1, ipAttribution=)]
    2019-08-10 neizongke
  7. 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createdName=jj000001, createdTime=Thu Feb 20 09:24:00 CST 2020, time=2020-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1652333, encodeId=51e61652333dc, content=<a href='/topic/show?id=13d01e24509' target=_blank style='color:#2F92EE;'>#TEC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17245, encryptionId=13d01e24509, topicName=TEC)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=852f24292001, createdName=shock_melon, createdTime=Thu Dec 12 14:24:00 CST 2019, time=2019-12-12, status=1, ipAttribution=)]
    2019-07-28 shenxlcyp
  8. 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createdName=jj000001, createdTime=Thu Feb 20 09:24:00 CST 2020, time=2020-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1652333, encodeId=51e61652333dc, content=<a href='/topic/show?id=13d01e24509' target=_blank style='color:#2F92EE;'>#TEC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17245, encryptionId=13d01e24509, topicName=TEC)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=852f24292001, createdName=shock_melon, createdTime=Thu Dec 12 14:24:00 CST 2019, time=2019-12-12, status=1, ipAttribution=)]
    2019-04-26 sunylz
  9. 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    2020-02-20 jj000001
  10. 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    2019-12-12 shock_melon

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由此可见,血清骨保护素水平≥400pg/mL和血清miR-125b水平协同增加了慢性透析患者VC风险评估的准确性。建议在评估VC风险时考虑miR-125b和骨保护素的水平。