کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5559131 | 1403269 | 2017 | 9 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Type 1 Gaucher disease (CYP2D6-eliglustat)
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موضوعات مرتبط
علوم پزشکی و سلامت
داروسازی، سم شناسی و علوم دارویی
فارماکولوژی، سم شناسی و اقلام دارویی (عمومی)
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چکیده انگلیسی
Type 1 Gaucher disease is a rare genetic disease characterized by enzymatic deficit leading to glucosylceramide overload in body tissues (lysosomal overload disease). Standard treatment is based on substitutive enzyme therapy by intravenous perfusion. A new drug for oral administration, eliglustat, was recently awarded marketing approval in Europe and the USA. Eliglustat acts by reducing the enzyme substrate. Eliglustat is mainly eliminated by a CYP2D6 pathway. CYP2D6 exhibits genetic variability or expression, leading to 20-fold differences in serum levels. In marketing approval documents, both the FDA and the EMA mention the requirement for CYP2D6 genotyping before prescribing eliglustat: the drug is contraindicated for ultra-rapid metabolizers (under-dosing inefficacy) and slow metabolizers should be given a 50% reduced daily dose (risk of overdose-related adverse effects). Finally, potential drug interactions (inhibition or induction of CYP2D6 or CYP3A40) are also dependent on CYP2D6 genotyping, such that prescribers must be aware of a patient's genotype before prescribing eliglustat.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Thérapie - Volume 72, Issue 2, April 2017, Pages 323-326
Journal: Thérapie - Volume 72, Issue 2, April 2017, Pages 323-326
نویسندگان
Laurent Becquemont,