==== Reference: Usmani SS, Bedi G, Samuel JS, Singh S, Kalra S, Kumar P, et al. (2017) THPdb: Database of FDA-approved peptide and protein therapeutics. PLoS ONE 12(7) e0181748.====

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Th1093 details
Primary information
ID1473
ThPP IDTh1093
Therapeutic Peptide/Protein NameEculizumab
SequenceN.A. view full sequnce in fasta
Functional ClassificationIa
Molecular Weight148000
Chemical FormulaN.A.
Isoelectric PointN.A.
HydrophobicityN.A.
Melting Point (℃)N.A.
Half Life272 ± 82 hrs (mean ± SD)
DescriptionSoliris is a formulation of eculizumab which is a recombinant humanized monoclonal IgG2/4;K antibody. Recombinant; produced in murine myeloma cell culture. Eculizumab contains human constant regions from human IgG2 sequences and human IgG4 sequences and murine complementarity-determining regions grafted onto the human framework light- and heavy-chain variable regions and has a molecular weight of approximately 148 kDa.
Indication/DiseaseFor the treatment of patients with paroxysmal nocturnal hemoglobinuria (PNH) to reduce hemolysis.
PharmacodynamicsEculizumab is a monoclonal antibody directed against the complement protein C5. This antibody blocks the cleavage of C5 and halts the process of complement-mediated cell destruction. Eculizumab is a product of Alexion Pharmaceuticals and has been shown to be effective in treating paroxysmal nocturnal hemoglobinuria. Eculizumab was approved by the FDA in March, 2007.
Mechanism of ActionA genetic mutation in PNH patients leads to the generation of populations of abnormal RBCs (known as PNH cells) that are deficient in terminal complement inhibitors (CD-59), rendering PNH RBCs sensitive to persistent terminal complement-mediated destruction. The destruction and loss of these PNH cells (intravascular hemolysis) results in low RBC counts (anemia) and also fatigue, difficulty in functioning, pain, dark urine, shortness of breath, and blood clots. Eculizumab, the active ingredient in Soliris, is a monoclonal antibody that binds to the complement protein C5 specifically and with high affinity, thereby inhibiting its cleavage to C5a and C5b and subsequent generation of the terminal complement complex C5b-9. Soliris inhibits terminal complement mediated intravascular hemolysis in PNH patients and therefore the destruction of PNH erythrocytes that lack complement protection with CD-59.
ToxicityN.A.
MetabolismN.A.
AbsorptionN.A.
Volume of Distribution7.7 L
Clearance22 mL/hr [typical PNH patient weighing 70 kg]
CategoriesN.A.
Patents NumberCA2189015
Date of Issue14/04/14
Date of Expiry01/05/19
Drug InteractionN.A.
TargetComplement C5
Information of corresponding available drug in the market
Brand NameSoliris
CompanyAlexion, Inc
Brand DiscriptionSoliris, a complement inhibitor, is a formulation of eculizumab which is a recombinant humanized monoclonal IgG2/4κ antibody produced by murine myeloma cell culture and purified by standard bioprocess technology. Eculizumab contains human constant regions from human IgG2 sequences and human IgG4 sequences and murine complementarity-determining regions grafted onto the human framework light- and heavy-chain variable regions. Eculizumab is composed of two 448 amino acid heavy chains and two 214 amino acid light chains and has a molecular weight of approximately 148 kDa.
Prescribed forindicated for the treatment of patients with paroxysmal nocturnal hemoglobinuria (PNH) to reduce hemolysis
Chemical NameN.A.
FormulationThe product is formulated at pH 7 and each vial contains 300 mg of eculizumab, 13.8 mg sodium phosphate monobasic, 53.4 mg sodium phosphate dibasic, 263.1 mg sodium chloride, 6.6 mg polysorbate 80 (vegetable origin) and Water for Injection, USP.
Physcial AppearanceSterile, clear, colorless, preservative-free 10 mg/mL solution for Intravenous infusion and is supplied in 30-mL single-use vials
Route of AdministrationN.A.
Recommended Dosage600 mg weekly for the first 4 weeks, followed by 900 mg for the fifth dose 1 week later, then 900 mg every 2 weeks thereafter.
ContraindicationN.A.
Side EffectsLife-threatening and fatal meningococcal infections have occurred in patients treated with Soliris. Meningococcal infection may become rapidly life-threatening or fatal if not recognized and treated early.
Useful Linkhttp://www.rxlist.com/soliris-drug/side-effects-interactions.htm http://www.fda.gov/AboutFDA/CentersOffices/OfficeofMedicalProductsandTobacco/CDER/ucm273089.htm http://www.drugs.com/cdi/eculizumab.html https://en.wikipedia.org/wiki/Eculizumab
PubMed ID18784156, 17989688, 16990386
3-D StructureN.A.