Comparison of safety and biological efficacy of anakinra (Kineret R) dispensed in polycarbonate plastic versus borosilicate glass syringes: a patient-level analysis of VCUART2 and VCUART3 clinical trials. (Record no. 11609)

MARC details
000 -LEADER
fixed length control field 03768nam a22003497a 4500
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fixed length control field 230411s20232023 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0022-3565
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1124/jpet.122.001404 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code jpet.122.001404 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 36868827
245 ## - TITLE STATEMENT
Title Comparison of safety and biological efficacy of anakinra (Kineret R) dispensed in polycarbonate plastic versus borosilicate glass syringes: a patient-level analysis of VCUART2 and VCUART3 clinical trials.
251 ## - Source
Source Journal of Pharmacology & Experimental Therapeutics. 2023 Mar 03
252 ## - Abbreviated Source
Abbreviated source J Pharmacol Exp Ther. 2023 Mar 03
253 ## - Journal Name
Journal name The Journal of pharmacology and experimental therapeutics
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2023
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2023
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2023 Mar 03
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Medline status Publisher
266 ## - Date added to catalog
Date added to catalog 2023-04-11
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 1997 - present (after 1 year), Available in print through MWHC library: 1999 - March 2003
520 ## - SUMMARY, ETC.
Abstract Anakinra is a recombinant human interleukin-1 (IL-1) receptor antagonist approved for the treatment of inflammatory diseases. Kineret R is available as a solution prepared in a borosilicate glass syringe. For implementing a placebo-controlled double-blind randomized clinical trial, anakinra is commonly transferred into plastic syringes. However, there is limited data on anakinra's stability in polycarbonate syringes. We described the results of our previous studies on the use of anakinra in glass (VCUART3) versus plastic syringes (VCUART2) compared to placebo. These studies were conducted in patients with ST-elevation myocardial infarction (STEMI), and we assessed the anti-inflammatory effects of anakinra versus placebo, by comparing the area-under-the-curve for high-sensitive cardiac reactive protein (AUC-CRP) levels during the first 14 days of STEMI, its clinical effects on heart failure (HF) hospitalization, cardiovascular death, or new diagnosis of HF as well as adverse events profile between groups. The levels of AUC-CRP were 75 (50-255 mg.day/L) for anakinra in plastic syringes vs 255 (116-592 mg.day/L) in placebo and 60 (24-139 mg.day/L), 86 (43-123 mg.day /L) for anakinra once and twice daily in glass syringes, respectively compared to placebo 214 (131-394 mg.day/L). The rate of adverse events was also comparable between groups. There were no differences in the rate of HF hospitalization or cardiovascular death in patients who received anakinra in plastic or glass syringes. Fewer cases of new-onset heart failure occurred in patients receiving anakinra in plastic or glass syringes compared to placebo. Anakinra stored in plastic (polycarbonate) syringes provides comparable biological and clinical effect to glass (borosilicate) syringes. Significance Statement Anakinra (Kineret R) 100 mg administered subcutaneously in patients with STEMI for a duration of up to 14 days appears to have comparable safety and biological efficacy signals when delivered in prefilled glass or transferred into plastic polycarbonate syringes. This may have important implications for the feasibility of designing clinical trials in STEMI and other clinical conditions. Copyright © 2023 American Society for Pharmacology and Experimental Therapeutics.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Heart & Vascular Institute
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Lipinski, Michael
Institution Code MHVI
790 ## - Authors
All authors Talasaz A, Sculthorpe R, Pak M, Lipinski M, Roberts C, Markley R, Trankle C, Canada JM, Wohlford GF, Golino M, Dixon DL, Van Tassell B, Abbate A
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1124/jpet.122.001404">https://dx.doi.org/10.1124/jpet.122.001404</a>
Public note https://dx.doi.org/10.1124/jpet.122.001404
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 04/11/2023   04/11/2023 04/11/2023 Journal Article

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