Techspec schreef op 14 oktober 2018 18:30:
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Halfwaardetijden kunnen zowel positief (bij profylaxe) als negatief zijn (bijwerkingen die veel te lang aanhouden).
Ruconest (rhC1inh) werkt overigens beter/breder dan een plasma derived C1inh;
Recombinant human C1 inhibitor (rhC1INH) is even more promising. RhC1Inh is a multiple-action-multiple-target inhibitor that interferes with C1 of the classical pathway and to a lesser extent the alternative pathway of complement, the kinin and the coagulation system [62]. Of note, rhC1INH also binds to and inhibits MBL [63] and MASP-2 [64] and hence, activation of the lectin pathway by MBL or ficolins—a major advantage over plasma-derived C1 inhibitor [63].
RhC1INH showed very promising results in an animal model of transient cerebral ischemia when administered up to 18 hours after ischemic stroke [63] whereas plasma-derived C1 inhibitor and MASP-2 specific antibodies were mainly effective when administered before the acute ischemic event. Similarly, administration of rhC1INH led to significant reduction in complement deposition and significant inhibition of tubular damage and tubular epithelial cells apoptosis in a swine model of renal I/R injury.
Doordat Ruconest veel breder werkt is mogelijk de reden dat het effectief werkte tijdens de trail bij profylactisch gebruik