Krajina: Spojené štáty
Jazyk: angličtina
Zdroj: NLM (National Library of Medicine)
abciximab (UNII: X85G7936GV) (abciximab - UNII:X85G7936GV)
Janssen Biotech, Inc.
abciximab
abciximab 2 mg in 1 mL
INTRAVENOUS
PRESCRIPTION DRUG
Abciximab is indicated as an adjunct to percutaneous coronary intervention for the prevention of cardiac ischemic complications - in patients undergoing percutaneous coronary intervention - in patients with unstable angina not responding to conventional medical therapy when percutaneous coronary intervention is planned within 24 hours Safety and efficacy of Abciximab use in patients not undergoing percutaneous coronary intervention have not been established. Abciximab is intended for use with aspirin and heparin and has been studied only in that setting, as described in CLINICAL STUDIES. Because Abciximab may increase the risk of bleeding, Abciximab is contraindicated in the following clinical situations: - Active internal bleeding - Recent (within six weeks) gastrointestinal (GI) or genitourinary (GU) bleeding of clinical significance - History of cerebrovascular accident (CVA) within two years, or CVA with a significant residual neurological deficit - Bleeding diathesis - Administration of oral anticoagulan
Abciximab (ReoPro® ) 2 mg/mL is supplied in 5 mL vials containing 10 mg (NDC 57894-200-01). Vials should be stored at 2 to 8 °C (36 to 46 °F). Do not freeze. Do not shake. Do not use beyond the expiration date.
Biologic Licensing Application
REOPRO- ABCIXIMAB INJECTION, SOLUTION JANSSEN BIOTECH, INC. ---------- REOPRO ABCIXIMAB FOR INTRAVENOUS ADMINISTRATION DESCRIPTION: Abciximab, ReoPro , is the Fab fragment of the chimeric human-murine monoclonal antibody 7E3. Abciximab binds to the glycoprotein (GP) IIb/IIIa receptor of human platelets and inhibits platelet aggregation. Abciximab also binds to the vitronectin (α β ) receptor found on platelets and vessel wall endothelial and smooth muscle cells. The chimeric 7E3 antibody is produced by continuous perfusion in mammalian cell culture. The 47,615 dalton Fab fragment is purified from cell culture supernatant by a series of steps involving specific viral inactivation and removal procedures, digestion with papain and column chromatography. ReoPro is a clear, colorless, sterile, non-pyrogenic solution for intravenous (IV) use. Each single- dose vial contains 2 mg/mL of Abciximab in a buffered solution (pH 7.2) of 0.01 M sodium phosphate, 0.15 M sodium chloride and 0.001% polysorbate 80 in Water for Injection. No preservatives are added. CLINICAL PHARMACOLOGY: GENERAL- Abciximab binds to the intact platelet GPIIb/IIIa receptor, which is a member of the integrin family of adhesion receptors and the major platelet surface receptor involved in platelet aggregation. Abciximab inhibits platelet aggregation by preventing the binding of fibrinogen, von Willebrand factor, and other adhesive molecules to GPIIb/IIIa receptor sites on activated platelets. The mechanism of action is thought to involve steric hindrance and/or conformational effects to block access of large molecules to the receptor rather than direct interaction with the RGD (arginine-glycine-aspartic acid) binding site of GPIIb/IIIa. Abciximab binds with similar affinity to the vitronectin receptor, also known as the α β integrin. The vitronectin receptor mediates the procoagulant properties of platelets and the proliferative properties of vascular endothelial and smooth muscle cells. In _in vitro_ studies using a model cell line derived from me Prečítajte si celý dokument