Antisense Inhibition of Prekallikrein to Control Hereditary Angioedema

被引:31
|
作者
Cohn, Danny M. [1 ]
Viney, Nicholas J. [4 ]
Fijen, Laure M. [1 ]
Schneider, Eugene [4 ]
Alexander, Veronica J. [4 ]
Xia, Shuting [4 ]
Kaeser, Gwendolyn E. [4 ]
Nanavati, Charvi [4 ]
Baker, Brenda F. [4 ]
Geary, Richard S. [4 ]
Levi, Marcel [5 ,6 ,7 ]
Meijers, Joost C. M. [2 ,3 ]
Stroes, Erik S. G. [1 ]
机构
[1] Univ Amsterdam, Amsterdam UMC, Dept Vasc Med, Amsterdam Cardiovasc Sci, Amsterdam, Netherlands
[2] Univ Amsterdam, Amsterdam UMC, Dept Expt Vasc Med, Amsterdam Cardiovasc Sci, Amsterdam, Netherlands
[3] Sanquin Res, Dept Mol & Cellular Hemostasis, Amsterdam, Netherlands
[4] Ionis Pharmaceut, Carlsbad, CA USA
[5] Univ Coll London Hosp NHS Fdn Trust, Dept Med, London, England
[6] Univ Coll London Hosp, Natl Inst Hlth Res, Cardiometab Programme, London, England
[7] UCL, Biomed Res Ctr, London, England
关键词
PLASMA KALLIKREIN; DEFICIENCY;
D O I
10.1056/NEJMoa1915035
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hereditary angioedema is characterized by recurrent and unpredictable episodes of subcutaneous and mucosal swelling that can be life threatening. IONIS-PKK-L-Rx is a ligand-conjugated antisense oligonucleotide designed for receptor-mediated delivery to hepatocytes. In a compassionate-use pilot study, two patients with severe bradykinin-mediated angioedema were initially administered weekly subcutaneous injections of the unconjugated parent drug, IONIS-PKKRx, for 12 to 16 weeks, after which they received IONIS-PKK-L-Rx at a dose of 80 mg every 3 to 4 weeks for 7 to 8 months. Treatment was accompanied by a reduction in the angioedema attack rate.
引用
收藏
页码:1242 / 1247
页数:6
相关论文
共 50 条
  • [21] Diagnosis and treatment of hereditary angioedema
    Canonica, G. W.
    Rossi, O.
    PANMINERVA MEDICA, 2012, 54 (03) : 241 - 253
  • [22] Life with Hereditary Angioedema: Then and Now
    Lane, Charles Joseph
    Grant, J. Andrew
    Dougherty, Dane, III
    POSTGRADUATE MEDICINE, 2012, 124 (01) : 144 - 151
  • [23] Hereditary Angioedema: Implications of Management
    Pathria, Mohini
    Krishnaswamy, Guha
    Guarderas, Juan C.
    SOUTHERN MEDICAL JOURNAL, 2017, 110 (02) : 101 - 106
  • [24] Updates on hereditary angioedema in pediatrics
    El-Ghoneimy, Dalia H.
    EGYPTIAN JOURNAL OF PEDIATRIC ALLERGY AND IMMUNOLOGY, 2019, 17 (02): : 51 - 60
  • [25] Hereditary angioedema with a focus on the child
    Bennett, Gregory
    Craig, Timothy
    ALLERGY AND ASTHMA PROCEEDINGS, 2015, 36 (01) : 70 - 73
  • [26] Delayed Diagnosis of Hereditary Angioedema
    Maskatia, Zahida Khan
    Orson, Frank M.
    AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 2010, 340 (01) : 82 - 83
  • [27] Emerging Therapies in Hereditary Angioedema
    Chen, Meng
    Riedl, Marc A.
    IMMUNOLOGY AND ALLERGY CLINICS OF NORTH AMERICA, 2017, 37 (03) : 585 - +
  • [28] The Role of Complement in Hereditary Angioedema
    Levi, Marcel
    Cohn, Danny M.
    TRANSFUSION MEDICINE REVIEWS, 2019, 33 (04) : 243 - 247
  • [29] Hereditary Angioedema Management: Individualization
    Epland, Kristin
    Wayne, Melanie
    Pein, Heather
    JNP-JOURNAL FOR NURSE PRACTITIONERS, 2021, 17 (10): : 1199 - 1203
  • [30] Management of Hereditary Angioedema in Childhood
    Wu, Eveline Y.
    Frank, Michael M.
    PEDIATRIC ALLERGY IMMUNOLOGY AND PULMONOLOGY, 2014, 27 (04) : 165 - 169