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Comparison of dose regimens for the administration of recombinant pro-urokinase in a canine thrombosis model.

Abstract
Pro-urokinase represents an important addition to the array of thrombolytic drugs currently available for clinical use because of its high clot specificity but distinctly different mechanism compared with that of t-PA. Recombinant pro-urokinase (r-proUK) is a single-chain precursor of high molecular weight urokinase which has been expressed in a mouse myeloma cell line. The present study was conducted to determine the dosing regimen which would produce optimal clot lysis and restoration of blood flow 2 h after treatment with r-proUK, using a dog model of arterial thrombosis. Efficacy was indicated by lysis of a radio-labelled clot which was formed in the heat-damaged femoral arteries of 39 male beagle dogs. The animals were divided into six heparinized treatment groups, each receiving one of five dosing regimens or the vehicle for r-proUK. The total dose (80,000 U/kg) was divided into an initial loading bolus, followed by either a second bolus or by infusions for various time periods, as shown below: Group Treatment Regimen % Lysis 1 r-proUK Bolus/bolus, 50%/50% at 0 and 15 min 52 +/- 7 2 r-proUK Bolus/bolus, 50%/50% at 0 and 30 min 62 +/- 7 3 r-proUK Bolus/infusion, 20%/80% infused to 30 min 41 +/- 8 4 r-proUK Bolus/infusion, 20%/80% infused to 60 min 66 +/- 5 5 r-proUK Bolus/infusion, 50%/50% infused to 30 min 73 +/- 4 6 Vehicle Bolus/infusion, 50%/50% infused to 30 min 12 +/- 6 It was concluded that optimal clot lysis and restoration of femoral flow was accomplished using a regimen in which 50% of the dose was given as a bolus, followed immediately by the remaining 50% given as a 30 min intravenous infusion (Group 5). At the dose used in this study, r-proUK did not produce degradation of fibrinolytic or hemostatic plasma proteins.
AuthorsS E Burke, N L Lubbers, R A Nelson, J Henkin
JournalThrombosis and haemostasis (Thromb Haemost) Vol. 77 Issue 5 Pg. 1025-30 (May 1997) ISSN: 0340-6245 [Print] GERMANY
PMID9184422 (Publication Type: Comparative Study, Journal Article)
Chemical References
  • Biomarkers
  • Fibrinolytic Agents
  • Recombinant Proteins
  • alpha-Macroglobulins
  • plasmin-alpha(2)-macroglobulin complex
  • Fibrinogen
  • Plasminogen
  • saruplase
  • Tissue Plasminogen Activator
  • Fibrinolysin
  • Urokinase-Type Plasminogen Activator
Topics
  • Animals
  • Biomarkers (blood)
  • Cell Line
  • Dogs
  • Drug Administration Schedule
  • Femoral Artery
  • Fibrinogen (analysis)
  • Fibrinolysin (analysis)
  • Fibrinolysis
  • Fibrinolytic Agents (administration & dosage, therapeutic use)
  • Hemostasis
  • Hot Temperature
  • Infusions, Intravenous
  • Injections, Intravenous
  • Male
  • Mice
  • Plasmacytoma
  • Plasminogen (analysis)
  • Recombinant Proteins (administration & dosage, therapeutic use)
  • Thrombosis (drug therapy)
  • Tissue Plasminogen Activator (therapeutic use)
  • Urokinase-Type Plasminogen Activator (administration & dosage, therapeutic use)
  • alpha-Macroglobulins (analysis)

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