麦丽萍, 何国东, 王曦培, 孙涛, 张雪涛, 郭兰, 古良, 林秋雄, 杨敏. 注射用重组人胸腺肽α1人体耐受性临床研究[J]. 循证医学, 2017, 17(4): 244-247. DOI: 10.12019/j.issn.1671-5144.2017.04.014
    引用本文: 麦丽萍, 何国东, 王曦培, 孙涛, 张雪涛, 郭兰, 古良, 林秋雄, 杨敏. 注射用重组人胸腺肽α1人体耐受性临床研究[J]. 循证医学, 2017, 17(4): 244-247. DOI: 10.12019/j.issn.1671-5144.2017.04.014
    MAI Li-ping, HE Guo-dong, WANG Xi-pei, SUN Tao, ZHANG Xue-tao, GUO Lan, GU Liang, LIN Qiu-xiong, YANG Min. The Clinical Tolerance Study of Recombinant Human Thymosin Alpha-1 for Injection[J]. Journal of Evidence-Based Medicine, 2017, 17(4): 244-247. DOI: 10.12019/j.issn.1671-5144.2017.04.014
    Citation: MAI Li-ping, HE Guo-dong, WANG Xi-pei, SUN Tao, ZHANG Xue-tao, GUO Lan, GU Liang, LIN Qiu-xiong, YANG Min. The Clinical Tolerance Study of Recombinant Human Thymosin Alpha-1 for Injection[J]. Journal of Evidence-Based Medicine, 2017, 17(4): 244-247. DOI: 10.12019/j.issn.1671-5144.2017.04.014

    注射用重组人胸腺肽α1人体耐受性临床研究

    The Clinical Tolerance Study of Recombinant Human Thymosin Alpha-1 for Injection

    • 摘要: 目的 观察健康人体对注射用重组人胸腺肽α1皮下注射的耐受性与安全性,采用剂量递增方案,确定单次及连续给药的安全剂量范围。 方法 单次给药48例健康受试者入组试验,其中36例分别皮下注射0.3 mg/m2、0.6 mg/m2、0.9 mg/m2、1.4 mg/m2、2.0 mg/m2、2.7 mg/m2注射用重组人胸腺肽α1,12例注射相应剂量的注射用水作为安慰剂;连续给药12例健康受试者分别皮下注射2.0 mg/m2、2.7 mg/m2注射用重组人胸腺肽α1,每周给药2次,连续4周。用药后对受试者进行临床观察和实验室检查,评价试验药物在人体的安全性。 结果 单次给药48例健康受试者入组并完成试验,所有受试者均未出现不良事件。连续给药12例健康受试者入组并完成试验,其中,有5名受试者出现不良事件,其中3例出现大便潜血阳性,1例出现血红蛋白尿,1例受试者出现大便潜血阳性和血红蛋白尿。停药后于随访期复查恢复正常, 均无特殊处理, 自行好转。 结论 单次应用注射用重组人胸腺肽α1 0.3~2.7 mg/m2是安全的,耐受性良好;连续使用4周,每周2次,剂量在2.7 mg/m2内是基本安全的。

       

      Abstract: Objective To evaluate the safety, tolerance and make sure the safe dose range of single dose and continuous hypodermic injection Recombinant Human Thymosin Alpha-1 (rh-thymosinα1) in Chinese healthy volunteers. Methods 48 healthy volunteers were received a single dose group, including 36 subjects hypodermic injection of 0.3 mg/m2,0.6 mg/m2,0.9 mg/m2,1.4 mg/m2,2.0 mg/m2,2.7 mg/m2 rh-thymosinα1, 12 subjects hypodermic injection of the same dose water as placebo. 12 subjects in continuous dose group were hypodermic injected 2.0 mg/m2 or 2.7 mg/m2 rh-thymosinα1, two times a week, continue for four weeks. Safety and tolerance were evaluated by monitoring adverse events and laboratory parameters. Results 48 healthy volunteers actual finished in a single dose group. There were no adverse events taken place in a single dose group. 12 healthy volunteers actual finished in a continuous dose group. There were 5 adverse events taken place in a continuous dose group, including 3 subjects fecal occult blood(FOB), 1 subject haemoglobinuria, 1 subject FOB and haemoglobinuria. All of them returned to normal after drug withdrawal in follow-up phase. Conclusion Rh-thymosinα1 from 0.3 mg/m2 to 2.7 mg/m2 hypodermic injection of single dose was safe and well tolerance. Continuous using for four weeks, two times a week and the dose in 2.7 mg/m2 were safe.

       

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