Опыт применения российского биоаналога оригинального препарата экулизумаба для лечения больных атипичным гемолитико-уремическим синдромом
Опыт применения российского биоаналога оригинального препарата экулизумаба для лечения больных атипичным гемолитико-уремическим синдромом
Лаврищева Ю.В., Яковенко А.А., Кудлай Д.А. Опыт применения российского биоаналога оригинального препарата экулизумаба для лечения больных атипичным гемолитико-уремическим синдромом. Терапевтический архив. 2020; 92 (6): 76–80. DOI: 10.26442/00403660.2020.06.000649
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Lavrishcheva Iu.V., Jakovenko A.A., Kudlay D.A. The experience of using the Russian biosimilar of the original drug eculizumab for the treatment of patients with atypical hemolytic-uremic syndrome. Therapeutic Archive. 2020; 92 (6): 76–80.
DOI: 10.26442/00403660.2020.06.000649
Опыт применения российского биоаналога оригинального препарата экулизумаба для лечения больных атипичным гемолитико-уремическим синдромом
Лаврищева Ю.В., Яковенко А.А., Кудлай Д.А. Опыт применения российского биоаналога оригинального препарата экулизумаба для лечения больных атипичным гемолитико-уремическим синдромом. Терапевтический архив. 2020; 92 (6): 76–80. DOI: 10.26442/00403660.2020.06.000649
________________________________________________
Lavrishcheva Iu.V., Jakovenko A.A., Kudlay D.A. The experience of using the Russian biosimilar of the original drug eculizumab for the treatment of patients with atypical hemolytic-uremic syndrome. Therapeutic Archive. 2020; 92 (6): 76–80.
DOI: 10.26442/00403660.2020.06.000649
Атипичный гемолитико-уремический синдром (аГУС) – хроническое системное заболевание генетической природы, в основе которого лежит неконтролируемая активация альтернативного пути комплемента, ведущая к генерализованному тромбообразованию в сосудах микроциркуляторного русла (комплемент-опосредованная тромботическая микроангиопатия). На сегодняшний день наиболее эффективным и патогенетически обоснованным методом лечения больных аГУС является терапия препаратом экулизумаб. На примере трех клинических случаев пациентов с верифицированным диагнозом аГУС продемонстрированы высокая эффективность и безопасность первого в мире биоаналога экулизумаба в лечении взрослых пациентов с аГУС (комплемент-опосредованной тромботической микроангиопатией).
Atypical hemolytic-uremic syndrome (aHUS) is a chronic systemic disease of a genetic nature, which is based on uncontrolled activation of the alternative complement pathway, leading to generalized thrombosis in the vessels of the microvasculature (complement-mediated thrombotic microangiopathy). To date, therapy with eculizumab is the most effective and pathogenetically substantiated method of treating patients with ASH. Using the example of three clinical cases of patients with a verified diagnosis of aHUS, the high efficiency and safety of the world's first bioanalogue of eculizumab in the treatment of adult patients with aHUS (complement-mediated thrombotic microangiopathy) was demonstrated.
1. Yoshida Y, Kato H, Ikeda Y, Nangaku M. Pathogenesis of Atypical Hemolytic Uremic Syndrome. J Atheroscler Thromb. 2019;26(2):99-110. doi: 10.5551/jat.RV17026
2. Schramm EC, Roumenina LT, Rybkine T, et al. Mapping interactions between complement C3 and regulators using mutations in atypical hemolytic uremic syndrome. Blood. 2015;125:2359-69. doi: 10.1182/blood-2014-10-609073
3. Frimat M, Tabarin F, Dimitrov JD, et al. Complement activation by heme as a secondary hit for atypical hemolytic uremic syndrome. Blood. 2013;122:282-92. doi: 10.1182/ blood-2013-03-489245
4. Marinozzi MC, Vergoz L, Rybkine T, et al. Complement factor B mutations in atypical hemolytic uremic syndrome-diseaserelevant or benign? J Am Soc Nephrol. 2014; 25:2053-65. doi: 10.1681/ASN.2013070796
5. Bernabeu-Herrero ME, Jimenez-Alcazar M, Anter J, et al. Complement factor H, FHR-3 and FHR-1 variants associate in an extended haplotype conferring increased risk of atypical hemolytic uremic syndrome. Mol Immunol. 2015;67:276-86. doi: 10.1016/j.molimm.2015.06.021
6. Raina R, Krishnappa V, Blaha T, et al. Atypical Hemolytic-Uremic Syndrome: An Update on Pathophysiology, Diagnosis, and Treatment. Ther Apher Dial. 2019;23(1):4-21. doi: 10.1111/1744-9987.12763
7. Sansbury FH, Cordell HJ, Bingham C, et al. Factors determining penetrance in familial atypical haemolytic uraemic syndrome. J Med Genet. 2014;51:756-64. doi: 10.1136/jmedgenet-2014-102498
8. Bresin E, Rurali E, Caprioli J, et al. Combined complement gene mutations in atypical hemolytic uremic syndrome influence clinical phenotype. J Am Soc Nephrol. 2013;24:475-86. doi: 10.1681/ASN.2012090884
9. Fremeaux-Bacchi V, Fakhouri F, Garnier A, et al. Genetics and outcome of atypical hemolytic uremic syndrome: a nationwide French series comparing children and adults. Clin J Am Soc Nephrol. 2013;8:554-62. doi: 10.2215/CJN.04760512
10. Couzi L, Contin-Bordes C, Marliot F, et al. Inherited deficiency of membrane cofactor protein expression and varying manifestations of recurrent atypical hemolytic uremic syndrome in a sibling pair. Am J Kidney Dis. 2008;52(2):e5-9. doi: 10.1053/j.ajkd.2008.02.359
11. Almalki AH, Sadagah LF, Qureshi M, et al. Atypical hemolytic-uremic syndrome due to complement factor I mutation. World J Nephrol. 2017;6(6):243-50. doi: 10.5527/wjn.v6.i6.243
12. Zhang K, Lu Y, Harley KT, Tran MH. Atypical Hemolytic Uremic Syndrome: A Brief Review. Hematol Rep. 2017;9(2):7053. doi: 10.4081/hr.2017.7053
13. Sridharan M, Go RS, Willrich MAV. Atypical hemolytic uremic syndrome: Review of clinical presentation, diagnosis and management. J Immunol Methods. 2018;461:15-22. doi: 10.1016/j.jim.2018.07.006
14. Knoop M, Haller H, Menne J. Human genetics in atypical hemolytic uremic syndrome-its role in diagnosis and treatment. Internist (Berl). 2018;59(8):799-804. doi: 10.1007/s00108-018-0455-9
15. Smith-Jackson K, Yang Y, Denton H, et al. Hyperfunctional complement C3 promotes C5-dependent atypical hemolytic uremic syndrome in mice. J Clin Invest. 2019;12(3):1061-75. doi: 10.1172/JCI99296
16. Loirat C, Frémeaux-Bacchi V. Atypical hemolytic uremic syndrome. Orphanet J Rare Dis. 2011;6:60. doi: 10.1186/1750-1172-6-60
17. Fakhouri F, Zuber J, Frémeaux-Bacchi V, Loirat C. Haemolytic uraemic syndrome. Lancet. 2017;390(10095):681-96. doi: 10.1016/S0140-6736(17)30062-4
18. Rieger M, Mannucci PM, Kremer Hovinga JA, et al. ADAMTS13 autoantibodies in patients with thrombotic microangiopathies and other immunomediated diseases. Blood. 2005;106(4):1262-7. doi: 10.1182/blood-2004-11-4490
19. Sepúlveda RA, Tagle R, Jara A. Atypical hemolytic uremic syndrome. Rev Med Chil. 2018;146(6):770-9. doi: 10.4067/s0034-98872018000600770
20. Waters AM, Licht C. aHUS caused by complement dysregulation: new therapies on the horizon. Pediatr Nephrol. 2011;26(1):41-57.
doi: 10.1007/s00467-010-1556-4
21. Wijnsma KL, Duineveld C, Wetzels JFM, van de Kar NCAJ. Eculizumab in atypical hemolytic uremic syndrome: strategies toward restrictive use. Pediatr Nephrol. 2019;34(11):2261-77. doi: 10.1007/s00467-018-4091-3
22. Fakhouri F, Hourmant M, Campistol JM, et al. Terminal Complement Inhibitor Eculizumab in Adult Patients With Atypical Hemolytic Uremic Syndrome: A Single-Arm, Open-Label Trial. Am J Kidney Dis. 2016;68(1):84-93. doi: 10.1053/j.ajkd.2015.12.034
23. Kato H, Miyakawa Y, Hidaka Y, et al. Safety and effectiveness of eculizumab for adult patients with atypical hemolytic-uremic syndrome in Japan: interim analysis of post-marketing surveillance. Clin Exp Nephrol. 2019;23(1):65-75. doi: 10.1007/s10157-018-1609-8
24. Ito S, Hidaka Y, Inoue N, et al. Safety and effectiveness of eculizumab for pediatric patients with atypical hemolytic-uremic syndrome in Japan: interim analysis of post-marketing surveillance. Clin Exp Nephrol. 2019;23(1):112-21. doi: 10.1007/s10157-018-1610-2
25. Olson SR, Lu E, Sulpizio E, et al. When to Stop Eculizumab in Complement-Mediated Thrombotic Microangiopathies. Am J Nephrol. 2018;48(2):96-107. doi: 10.1159/000492033
26. Иванов Р., Секарева Г., Кравцова О. и др. Правила проведения исследований биоаналоговых лекарственных средств (биоаналогов). Фармакокинетика и фармакодинамика. 2014;1:21-36 [Ivanov R, Sekareva G, Kravcova O, et al. Pravila provedenija issledovanij bioanalogovyh lekarstvennyh sredstv (bioanalogov). Farmakokinetika i farmakodinamika. 2014;1:21-36 (In Russ.)].
27. Kulagin A, Ptushkin V, Lukina E, et al. Phase III clinical trial of Elizaria® and Soliris® in adult patients with paroxysmal nocturnal hemoglobinuria: results of comparative analysis of efficacy, safety, and pharmacological data. Blood. 2019;134(Suppl. 1):3748. doi: 10.1182/blood-2019-125693
28. Эмирова Х.М., Орлова О.М., Музуров А.Л. и др. Применения Элизарии® при атипичном гемолитико-уремическом синдроме. Педиатрия. 2019;98(5):225-9 [Jemirova HM, Orlova OM, Muzurov AL,
et al. Primenenija Elizarii® pri atipichnom gemolitiko-uremicheskom sindrome. Pediatrija. 2019;98(5):225-9 (In Russ.)].
29. Lavrishcheva IV, Jakovenko AA, Kudlay DA. A case report of atypical hemolytic-uremic syndrome treatment with the first Russian eculizumab in adult patient. Urology & Nephrology Open Access Journal. 2020;8(2):37-40.
30. Goodship TH, Cook HT, Fakhouri F, et al.: Atypical hemolytic uremic syndrome and C3 glomerulopathy: conclusions from a kidney disease: improving global outcomes (KDIGO) controversies conference. Kidney Int. 2017;91:539-51. doi: 10.1016/j.kint.2016.10.005
31. Loirat C, Fakhouri F, Ariceta G, et al. An international consensus approach to the management of atypical hemolytic uremic syndrome in children. Pediatr Nephrol. 2016;31:15-39.
32. Wong EKS, Goodship THJ, Kavanagh D. Complement therapy in atypical haemolytic uraemic syndrome (aHUS). Molecular Immunology. 2013;56(3):199-212.
33. Legendre CM, Licht C, Muus P, et al. Terminal complement inhibitor eculizumab in atypical hemolytic-uremic syndrome. N Engl J Med. 2013;368:2169-81.
34. Licht C, Greenbaum LA, Muus P, et al. Efficacy and safety of eculizumab in atypical hemolytic uremic syndrome from 2-year extensions of phase 2 studies. Kidney Int. 2015;87:1061-73.
35. Emirova K, Volokhina E, Tolstova E, van den Heuvel B. Recovery of renal function after long-term dialysis and resolution of cardiomyopathy in a patient with aHUS receiving eculizumab. BMJ Case Rep. 2016;2016. pii: bcr2015213928. doi: 10.1136/bcr-2015-213928
________________________________________________
1. Yoshida Y, Kato H, Ikeda Y, Nangaku M. Pathogenesis of Atypical Hemolytic Uremic Syndrome. J Atheroscler Thromb. 2019;26(2):99-110. doi: 10.5551/jat.RV17026
2. Schramm EC, Roumenina LT, Rybkine T, et al. Mapping interactions between complement C3 and regulators using mutations in atypical hemolytic uremic syndrome. Blood. 2015;125:2359-69. doi: 10.1182/blood-2014-10-609073
3. Frimat M, Tabarin F, Dimitrov JD, et al. Complement activation by heme as a secondary hit for atypical hemolytic uremic syndrome. Blood. 2013;122:282-92. doi: 10.1182/ blood-2013-03-489245
4. Marinozzi MC, Vergoz L, Rybkine T, et al. Complement factor B mutations in atypical hemolytic uremic syndrome-diseaserelevant or benign? J Am Soc Nephrol. 2014; 25:2053-65. doi: 10.1681/ASN.2013070796
5. Bernabeu-Herrero ME, Jimenez-Alcazar M, Anter J, et al. Complement factor H, FHR-3 and FHR-1 variants associate in an extended haplotype conferring increased risk of atypical hemolytic uremic syndrome. Mol Immunol. 2015;67:276-86. doi: 10.1016/j.molimm.2015.06.021
6. Raina R, Krishnappa V, Blaha T, et al. Atypical Hemolytic-Uremic Syndrome: An Update on Pathophysiology, Diagnosis, and Treatment. Ther Apher Dial. 2019;23(1):4-21. doi: 10.1111/1744-9987.12763
7. Sansbury FH, Cordell HJ, Bingham C, et al. Factors determining penetrance in familial atypical haemolytic uraemic syndrome. J Med Genet. 2014;51:756-64. doi: 10.1136/jmedgenet-2014-102498
8. Bresin E, Rurali E, Caprioli J, et al. Combined complement gene mutations in atypical hemolytic uremic syndrome influence clinical phenotype. J Am Soc Nephrol. 2013;24:475-86. doi: 10.1681/ASN.2012090884
9. Fremeaux-Bacchi V, Fakhouri F, Garnier A, et al. Genetics and outcome of atypical hemolytic uremic syndrome: a nationwide French series comparing children and adults. Clin J Am Soc Nephrol. 2013;8:554-62. doi: 10.2215/CJN.04760512
10. Couzi L, Contin-Bordes C, Marliot F, et al. Inherited deficiency of membrane cofactor protein expression and varying manifestations of recurrent atypical hemolytic uremic syndrome in a sibling pair. Am J Kidney Dis. 2008;52(2):e5-9. doi: 10.1053/j.ajkd.2008.02.359
11. Almalki AH, Sadagah LF, Qureshi M, et al. Atypical hemolytic-uremic syndrome due to complement factor I mutation. World J Nephrol. 2017;6(6):243-50. doi: 10.5527/wjn.v6.i6.243
12. Zhang K, Lu Y, Harley KT, Tran MH. Atypical Hemolytic Uremic Syndrome: A Brief Review. Hematol Rep. 2017;9(2):7053. doi: 10.4081/hr.2017.7053
13. Sridharan M, Go RS, Willrich MAV. Atypical hemolytic uremic syndrome: Review of clinical presentation, diagnosis and management. J Immunol Methods. 2018;461:15-22. doi: 10.1016/j.jim.2018.07.006
14. Knoop M, Haller H, Menne J. Human genetics in atypical hemolytic uremic syndrome-its role in diagnosis and treatment. Internist (Berl). 2018;59(8):799-804. doi: 10.1007/s00108-018-0455-9
15. Smith-Jackson K, Yang Y, Denton H, et al. Hyperfunctional complement C3 promotes C5-dependent atypical hemolytic uremic syndrome in mice. J Clin Invest. 2019;12(3):1061-75. doi: 10.1172/JCI99296
16. Loirat C, Frémeaux-Bacchi V. Atypical hemolytic uremic syndrome. Orphanet J Rare Dis. 2011;6:60. doi: 10.1186/1750-1172-6-60
17. Fakhouri F, Zuber J, Frémeaux-Bacchi V, Loirat C. Haemolytic uraemic syndrome. Lancet. 2017;390(10095):681-96. doi: 10.1016/S0140-6736(17)30062-4
18. Rieger M, Mannucci PM, Kremer Hovinga JA, et al. ADAMTS13 autoantibodies in patients with thrombotic microangiopathies and other immunomediated diseases. Blood. 2005;106(4):1262-7. doi: 10.1182/blood-2004-11-4490
19. Sepúlveda RA, Tagle R, Jara A. Atypical hemolytic uremic syndrome. Rev Med Chil. 2018;146(6):770-9. doi: 10.4067/s0034-98872018000600770
20. Waters AM, Licht C. aHUS caused by complement dysregulation: new therapies on the horizon. Pediatr Nephrol. 2011;26(1):41-57.
doi: 10.1007/s00467-010-1556-4
21. Wijnsma KL, Duineveld C, Wetzels JFM, van de Kar NCAJ. Eculizumab in atypical hemolytic uremic syndrome: strategies toward restrictive use. Pediatr Nephrol. 2019;34(11):2261-77. doi: 10.1007/s00467-018-4091-3
22. Fakhouri F, Hourmant M, Campistol JM, et al. Terminal Complement Inhibitor Eculizumab in Adult Patients With Atypical Hemolytic Uremic Syndrome: A Single-Arm, Open-Label Trial. Am J Kidney Dis. 2016;68(1):84-93. doi: 10.1053/j.ajkd.2015.12.034
23. Kato H, Miyakawa Y, Hidaka Y, et al. Safety and effectiveness of eculizumab for adult patients with atypical hemolytic-uremic syndrome in Japan: interim analysis of post-marketing surveillance. Clin Exp Nephrol. 2019;23(1):65-75. doi: 10.1007/s10157-018-1609-8
24. Ito S, Hidaka Y, Inoue N, et al. Safety and effectiveness of eculizumab for pediatric patients with atypical hemolytic-uremic syndrome in Japan: interim analysis of post-marketing surveillance. Clin Exp Nephrol. 2019;23(1):112-21. doi: 10.1007/s10157-018-1610-2
25. Olson SR, Lu E, Sulpizio E, et al. When to Stop Eculizumab in Complement-Mediated Thrombotic Microangiopathies. Am J Nephrol. 2018;48(2):96-107. doi: 10.1159/000492033
26. Иванов Р., Секарева Г., Кравцова О. и др. Правила проведения исследований биоаналоговых лекарственных средств (биоаналогов). Фармакокинетика и фармакодинамика. 2014;1:21-36 [Ivanov R, Sekareva G, Kravcova O, et al. Pravila provedenija issledovanij bioanalogovyh lekarstvennyh sredstv (bioanalogov). Farmakokinetika i farmakodinamika. 2014;1:21-36 (In Russ.)].
27. Kulagin A, Ptushkin V, Lukina E, et al. Phase III clinical trial of Elizaria® and Soliris® in adult patients with paroxysmal nocturnal hemoglobinuria: results of comparative analysis of efficacy, safety, and pharmacological data. Blood. 2019;134(Suppl. 1):3748. doi: 10.1182/blood-2019-125693
28. Эмирова Х.М., Орлова О.М., Музуров А.Л. и др. Применения Элизарии® при атипичном гемолитико-уремическом синдроме. Педиатрия. 2019;98(5):225-9 [Jemirova HM, Orlova OM, Muzurov AL,
et al. Primenenija Elizarii® pri atipichnom gemolitiko-uremicheskom sindrome. Pediatrija. 2019;98(5):225-9 (In Russ.)].
29. Lavrishcheva IV, Jakovenko AA, Kudlay DA. A case report of atypical hemolytic-uremic syndrome treatment with the first Russian eculizumab in adult patient. Urology & Nephrology Open Access Journal. 2020;8(2):37-40.
30. Goodship TH, Cook HT, Fakhouri F, et al.: Atypical hemolytic uremic syndrome and C3 glomerulopathy: conclusions from a kidney disease: improving global outcomes (KDIGO) controversies conference. Kidney Int. 2017;91:539-51. doi: 10.1016/j.kint.2016.10.005
31. Loirat C, Fakhouri F, Ariceta G, et al. An international consensus approach to the management of atypical hemolytic uremic syndrome in children. Pediatr Nephrol. 2016;31:15-39.
32. Wong EKS, Goodship THJ, Kavanagh D. Complement therapy in atypical haemolytic uraemic syndrome (aHUS). Molecular Immunology. 2013;56(3):199-212.
33. Legendre CM, Licht C, Muus P, et al. Terminal complement inhibitor eculizumab in atypical hemolytic-uremic syndrome. N Engl J Med. 2013;368:2169-81.
34. Licht C, Greenbaum LA, Muus P, et al. Efficacy and safety of eculizumab in atypical hemolytic uremic syndrome from 2-year extensions of phase 2 studies. Kidney Int. 2015;87:1061-73.
35. Emirova K, Volokhina E, Tolstova E, van den Heuvel B. Recovery of renal function after long-term dialysis and resolution of cardiomyopathy in a patient with aHUS receiving eculizumab. BMJ Case Rep. 2016;2016. pii: bcr2015213928. doi: 10.1136/bcr-2015-213928
Авторы
Ю.В. Лаврищева1, А.А. Яковенко2, Д.А. Кудлай3
1ФГБУ «Национальный медицинский исследовательский центр им. В.А. Алмазова» Минздрава России, Санкт-Петербург;
2ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова» Минздрава России, Санкт-Петербург, Россия;
3АО «Генериум», Москва, Россия
Исследование выполнено на базе ФГБУ «НМИЦ им. В.А. Алмазова».
1 Almazov National Medical Research Centre, Saint Petersburg, Russia;
2 Pavlov First Saint Petersburg State Medical University, Saint Petersburg, Russia;
3 JSC GENERIUM, Moscow, Russia