Rilonacept pharmacokinetics in children with systemic juvenile idiopathic arthritis.

Rilonacept pharmacokinetics in children with systemic juvenile idiopathic arthritis.
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DOI:
10.1002/jcph.372
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发表时间:
2015-01
影响因子:
2.9
通讯作者:
Ilowite, Norman
Ilowite, Norman
中科院分区:
医学4区
文献类型:
--
作者:
Autmizguine, Julie;Cohen-Wolkowiez, Michael;Ilowite, Norman

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MethodsPK samples for this analysis were obtained during routine study visits of the Randomized Placebo Phase study Of Rilonacept in the Treatment of sJIA (RAPPORT, 2007–2012, NCT00534495). 10 RAPPORT was a multicenter, prospective, randomized, controlled, placebo-phase, double-blind study of rilonacept in 75 children 1–18 years of age with active sJIA. Two treatment arms were randomized 1: 1 to the following groups—Group A: rilonacept loading SC dose of 4.4 mg/kg given at day 0 and then once weekly at a dose of 2.2 mg/kg throughout the 24-week study; Group B: placebo SC doses at days 0, 7, 14, and 21 followed by a loading dose of rilonacept (4.4 mg/kg) on day 28, and then rilonacept at 2.2 mg/kg once weekly thereafter until completion of 24 weeks. This design was meant to assess rilonacept efficacy by measuring a potential difference in time to response in Group B who received the active drug 4 week later than Group A. The study was approved by the institutional review boards at each institution, and informed consent was obtained from a parent or guardian prior to enrollment. Assent was obtained when possible in children≥ 7 years of age.Sparse PK sampling occurred at 3 time points; within 2 hours prior to administration of study drug at weeks 4, 14, and 24 post-randomization. Exact timing of rilonacept administration was not recorded and was assumed to occur 2 hours after PK sample collection. Dosing time was therefore imputed from the time of PK sample collection. Blood was collected in a 4.5 mL CTAD tube and centrifuged at 1,500 X g and 4 C for 10 minutes immediately prior to freezing at the study sites. PK samples were sent to Quest Diagnostics for storage at− 70 C prior to analysis.
DOI: 10.1097/mop.0b013e32834cba24
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