A database of FDA approved therapeutic peptides and proteins
Details of Th1199 which contains 1 entries. |
Entry 1 | |
(1) Primary information | |
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ID | 1805 |
ThPP ID | Th1199 |
Therapeutic Peptide/Protein Name | Ramucirumab |
Sequence | HINGE-REGION(215-229) EVQLVQSGGGLVKPGGSLRLSCAASGFT view full sequnce in fasta |
Functional Classification | IIIc |
Molecular Weight | 143600 |
Chemical Formula | C6374H9864N1692O1996S46 |
Isoelectric Point | NA |
Hydrophobicity | NA |
Melting Point (℃) | NA |
Half Life | 15 days |
Description | Ramucirumab is a human monoclonal antibody (IgG1) against vascular endothelial growth factor receptor 2 (VEGFR2), a type II trans-membrane tyrosine kinase receptor expressed on endothelial cells. By binding to VEGFR2, ramucirumab prevents binding of its ligands (VEGF-A, VEGF-C, and VEGF-D), thereby preventing VEGF-stimulated receptor phosphorylation and downstream ligand-induced proliferation, permeability, and migration of human endothelial cells. VEGFR stimulation also mediates downstream signalling required for angiogenesis and is postulated to be heavily involved in cancer progression, making it a highly likely drug target. In contrast to other agents directed against VEGFR-2, ramucirumab binds a specific epitope on the extracellular domain of VEGFR-2, thereby blocking all VEGF ligands from binding to it. Ramucirumab is indicated for us in advanced gastric or gastro-esophageal junction adenocarcinoma as a single agent or in combination with paclitaxel after prior fluoropyrimidine- or platinum-containing chemotherapy. |
Indication/Disease | For use in advanced gastric or gastro-esophageal junction adenocarcinoma as a single agent or in combination with paclitaxel after prior fluoropyrimidine- or platinum-containing chemotherapy. |
Pharmacodynamics | Ramucirumab inhibits ligandstimulated activation of VEGF Receptor 2, thereby inhibiting ligand-induced proliferation, and migration of human endothelial cells. Ramucirumab inhibited angiogenesis in an in vivo animal model. |
Mechanism of Action | Ramucirumab is a human monoclonal antibody (IgG1) against vascular endothelial growth factor receptor 2 (VEGFR2), a type II trans-membrane tyrosine kinase receptor expressed on endothelial cells. By binding to VEGFR2, ramucirumab prevents binding of its ligands (VEGF-A, VEGF-C, and VEGF-D), thereby preventing VEGF-stimulated receptor phosphorylation and downstream ligand-induced proliferation, permeability, and migration of human endothelial cells. |
Toxicity | Ramucirumab packaging includes warnings for arterial thromboembolic events, hypertension, infusion-related reactions, gastrointestinal perforation, clinical deterioration in patients with cirrhosis, and reversible posterior leukoencephalopathy syndrome. The most common reactions observed in single-agent-treated patients at a rate of >10% and >2% higher than placebo were hypertension and diarrhea. The most common adverse reactions observed in patients treated with ramucirumab plus paclitaxel at a rate of of >30% and >2% higher than placebo plus paclitaxel were fatigue, neutropenia, diarrhea, and epistaxis. |
Metabolism | |
Absorption | |
Volume of Distribution | 5.5 L |
Clearance | 0.014 L/hour |
Categories | Antineoplastic and Immunomodulating Agents |
Patents Number | US2013067098 |
Date of Issue | 40849 |
Date of Expiry | 48154 |
Drug Interaction | Belimumab, Pamidronate |
Target | Vascular endothelial growth factor receptor 2 |
Information of corresponding available drug in the market | |
Brand Name | Cyramza |
Company | Eli Lilly and Company |
Brand Discription | CYRAMZA (ramucirumab) is a recombinant human IgG1 monoclonal antibody that specifically binds to vascular endothelial growth factor receptor 2. CYRAMZA has an approximate molecular weight of 147 kDa. CYRAMZA is produced in genetically engineered mammalian NS0 cells. |
Prescribed for | CYRAMZA®as a single agent, or in combination with paclitaxel, is indicated for the treatment of patients with advanced or metastatic, gastric or gastro-esophageal junction adenocarcinoma with disease progression on or after prior fluoropyrimidine-or platinum-containing chemotherapy. |
Chemical Name | NA |
Formulation | 10 mg/mL |
Physcial Appearance | Solution |
Route of Administration | Intravenous |
Recommended Dosage | Either 8mg/kg or 10 mg/kg every 2 weeks |
Contraindication | NA |
Side Effects | Hemorrhage; Arterial Thromboembolic Events; Hypertension; Infusion-Related Reactions; Gastrointestinal Perforation; Impaired Wound Healing; Patients with Child-Pugh B or C Cirrhosis; Reversible Posterior Leukoencephalopathy Syndrome; Proteinuria Including Nephrotic Syndrome; Thyroid Dysfunction. |
Useful Link | http://www.rxlist.com/cyramza-drug.htm |
PubMed ID | 28285368, 28277882, 28276858, 28260227, 28220199, 28220020, 28212372, 28203696, 28203161 |
3-D Structure | Th1199 Heavy chianor (Download)Th1199 Light chian (View) or (Download) |