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Re: aslan2772 post# 30689

Wednesday, 06/28/2006 2:47:24 PM

Wednesday, June 28, 2006 2:47:24 PM

Post# of 252301
> GTCB – I wonder if that philosphy is deeply imbedded with the regulatory agencies?<

It is, and it’s not an unreasonable philosophy, IMO. For instance, there are differences between ATryn and plasma-derived antithrombin that affect the binding affinity to heparin and the half life.

Here is a recent abstract on the subject:

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_...

>>
Biodistribution of Covalent Antithrombin-Heparin Complexes

Thromb Haemost. 2006 Apr;95(4):629-36.

Chindemi PA, Klement P, Konecny F, Berry LR, Chan AK.

Henderson Research Centre, 711 Concession Street, Hamilton, Ontario, Canada L8V 1C3

We have developed a covalent antithrombin-heparin (ATH) complex with advantages compared to non-covalent antithrombin:heparin (AT:H) mixtures. In addition to increased activity, ATH has a longer intravenous half-life that is partly due to reduced plasma protein binding.

Given ATH's altered clearance, we investigated biodistribution of ATH in vivo. ATH made from either human plasma-derived AT (pATH) or recombinant human (produced in goats) AT (rhATH) was studied. (125)I-ATH + unlabeled carrier was injected into rabbits at different doses. (131I) labeled albumin was administered just before sacrifice as a marker for trapped blood in tissues. Immediately after sacrifice, animal components were removed, weighed, and subsamples were counted for gamma-radioactivity. Percent recoveries of ATH in various organs/compartments at different time points were calculated, and kinetic distribution plots generated.

At saturating doses, early disappearance of rhATH from the circulation was much faster than pATH. Co-incident with clearance, 26 +/- 3% of dose for rhATH was liver-associated compared to only 3.7 +/- 0.5% for pATH by 20 min. Also, at early time periods, >60% of all extravascular ATH was liver-associated.

Analysis of the vena cava and aorta suggested that vessel wall binding might also account for initial plasma loss of rhATH. By 24 h, most of pATH and rhATH were present as urinary degradation products (51 +/- 3% and 63 +/- 8%, respectively). In summary, systemic elimination of ATH is greatly influenced by the form of AT in the complex, with liver uptake and degradation playing a major role.
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