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CARDIOVASCULAR SYSTEM › LIPID MODIFYING AGENTS › LIPID MODIFYING AGENTS, PLAIN › Other lipid modifying agents
alipogene tiparvovec
C10AX10
Forms & Strengths
- AAV1-LPL(S447X) suspension for intramuscular injection
- Concentration: 3 x 10^12 genomic particles (gc)/mL
Adult Dosing
- Single administration via multiple intramuscular injections
- Total calculated dose based on body weight: 1 x 10^14 gc/kg
Pediatric Dosing
- Safety and efficacy have not been established in pediatric patients
- Not recommended for use in patients under 18 years of age
Indications
- Treatment of adult patients diagnosed with familial lipoprotein lipase deficiency (LPLD)
- Indicated for patients suffering from pancreatitis attacks
Mechanism of Action
- Recombinant adeno-associated virus type 1 (AAV1) vector containing the human lipoprotein lipase gene variant LPL(S447X)
- Facilitates transfer and local expression of the LPL enzyme in skeletal muscle cells
- Reduces chylomicronemia and lowers plasma triglyceride levels in deficient patients
Contraindications
- History of severe hypersensitivity to the active substance or any excipients
- Presence of neutralizing antibodies against AAV1 viral capsid
- Active systemic viral, bacterial, or fungal infections
- Advanced hepatic disease or severe renal impairment
Adverse Reactions
- Transient injection site pain and erythema
- Elevated creatine phosphokinase (CPK)
- Development of anti-AAV1 antibodies
- Transient asymptomatic elevations in liver transaminases
Drug Interactions
- Immunosuppressive agents (e.g., corticosteroids, cyclosporine) may alter immune response to the AAV1 vector and should be managed carefully
- Concurrent use with hepatotoxic drugs may increase risk of liver function test abnormalities
Curated Content: Needs Vetting Before Put to Clinical Use