Safety, Tolerability, and Pharmacokinetics of Recombinant Human Neuregulin-1 in Healthy Chinese Subjects.

Background: We investigated the safety, tolerability, and pharmacokinetics of intravenous recombinant human Neuregulin-1 (rhNRG-1), a DNA recombinant protein for the treatment of chronic heart failure, in healthy Chinese volunteers following single and multiple dose administration. Methods and Resul...

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Publicado en:American Journal of Cardiovascular Drugs Vol. 23; no. 4; pp. 419 - 429
Autores principales: Xu, Junyu, Sun, Peihong, Zhao, Xia, Meng, Lei, Wang, Xiaorui, Qin, Xiaoyan, Zhou, Ying, Zhou, Mingdong, Cui, Yimin
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Springer Nature Jul2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2023
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      pub: Springer Nature
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        10.1007/s40256-023-00585-6
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        atl: Safety, Tolerability, and Pharmacokinetics of Recombinant Human Neuregulin-1 in Healthy Chinese Subjects.
      aug:
        au:
          Xu, Junyu
          Sun, Peihong
          Zhao, Xia
          Meng, Lei
          Wang, Xiaorui
          Qin, Xiaoyan
          Zhou, Ying
          Zhou, Mingdong
          Cui, Yimin
        affil: Department of Pharmacy, Peking University First Hospital, No.8, Xishiku Street, Xicheng District, 100034, Beijing, People's Republic of China
      sug:
        subj:
          Recombinant Proteins Pharmacokinetics
          Recombinant Proteins Adverse Effects
          Growth Substances
          Nerve Growth Factors
          Human
          China
          Random Assignment
          Randomized Controlled Trials
          Patient Safety
      ab: Background: We investigated the safety, tolerability, and pharmacokinetics of intravenous recombinant human Neuregulin-1 (rhNRG-1), a DNA recombinant protein for the treatment of chronic heart failure, in healthy Chinese volunteers following single and multiple dose administration. Methods and Results: To evaluate the safety and tolerance after single-dosing escalation, 28 subjects were divided into six groups (0.2, 0.4, 0.8, 1.2, 1.6, and 2.4 μg/kg) to receive an intravenous (IV) infusion of rhNRG-1 over 10 min by a randomized, open-label design. Only the 1.2 μg/kg dose group obtained pharmacokinetic parameters: Cmax was 7.645 (24.21) ng/mL, AUC0–t was 97.088 (21.41) min·ng/mL. To assess the safety and pharmacokinetics after multiple-dosing, 32 subjects were divided into four groups (0.2, 0.4, 0.8, and 1.2 μg/kg) to receive a 10-min IV infusion of rhNRG-1 for five consecutive days. After multiple dosing of 1.2 μg/kg, the Cmax value at day 5 was 8.838 (51.6) ng/mL and the AUC0–t value at day 5 was 109.890 (32.99) min·ng/mL. RhNRG-1 is rapidly cleared from the blood and has a short t1/2 of about 10 min. The adverse events related to rhNRG-1 mainly included flat or inverted T wave and gastrointestinal reactions, all of which were mild. Conclusions: It is concluded that rhNRG-1 is safe and well tolerated in healthy Chinese subjects at the dosing levels used in this study. The severity and frequency of adverse events did not increase with the prolongation of administration time. Clinical Trial Registration: Chinese Clinical Trial Registry (http://www.chictr.org.cn) Identifier No. ChiCTR2000041107.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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