ଇନୋଟର୍ସେନ

ଏହା ବଂଶାନୁକ୍ରମିକ ଟ୍ରାନସଥାଇରେଟିନ-ମଧ୍ୟସ୍ଥ ଆମିଲଏଡୋସିସ୍ (HATTR) ରୋଗରେ ହେଉଥିବା ସ୍ନାୟୁ କ୍ଷତିର ଚିକିତ୍ସା

ଇନୋଟର୍ସେନ (ଇଂରାଜୀ ଭାଷାରେ Inotersen), ଟେଗସେଡି ଏହାର ଏକ ବିକ୍ରୟ ନାମ, ହେଉଛି ଏକ ଔଷଧ ଯାହା ବଂଶାନୁକ୍ରମିକ ଟ୍ରାନସଥାଇରେଟିନ-ମଧ୍ୟସ୍ଥ ଆମିଲଏଡୋସିସ୍ (HATTR) ରୋଗରେ ହେଉଥିବା ସ୍ନାୟୁ କ୍ଷତିର ଚିକିତ୍ସା ପାଇଁ ବ୍ୟବହୃତ ହୁଏ ।[] ଏହା ସେହି ଲୋକମାନଙ୍କରେ ବ୍ୟବହୃତ ହୁଏ ଯେଉଁମାନେ ଏପର୍ଯ୍ୟନ୍ତ ଚାଲିବାରେ ସକ୍ଷମ ଅଟନ୍ତି | [] ଚର୍ମ ତଳେ ଇଞ୍ଜେକସନ ଆକାରରେ ଏହା ଦିଆଯାଏ ।[]

ଇନୋଟର୍ସେନ
Clinical data
Trade namesTegsedi
SynonymsGSK-2998728, ISIS-420915
AHFS/Drugs.commonograph
data
Pregnancy
category
  • US: N (Not classified yet)
Routes of
administration
Subcutaneous injection
Legal status
Legal status
Chemical and physical data
FormulaC230H318N69O121P19S19
Molar mass୭,୧୮୩.୦୮ g·mol−1
3D model (JSmol)
  • CC1=CN(C(=O)NC1=O)C2CC(C(O2)COP(=S)(O)OC3CC(OC3COP(=S)(O)OC4CC(OC4COP(=S)(O)OC5C(OC(C5OCCOC)N6C=NC7=C6N=C(NC7=O)N)COP(=S)(O)OC8C(OC(C8OCCOC)N9C=C(C(=O)NC9=O)C)COP(=S)(O)OC1C(OC(C1OCCOC)N1C=C(C(=O)NC1=O)C)COP(=O)(OC1C(OC(C1OCCOC)N1C=C(C(=NC1=O)N)C)COP(=S)(O)OC1C(OC(C1OCCOC)N1C=C(C(=O)NC1=O)C)CO)S)N1C=NC2=C1N=C(NC2=O)N)N1C=C(C(=O)NC1=O)C)OP(=S)(O)OCC1C(CC(O1)N1C=NC2=C(N=CN=C21)N)OP(=S)(O)OCC1C(CC(O1)N1C=C(C(=NC1=O)N)C)OP(=S)(O)OCC1C(CC(O1)N1C=NC2=C(N=CN=C21)N)OP(=S)(O)OCC1C(CC(O1)N1C=C(C(=O)NC1=O)C)OP(=S)(O)OCC1C(CC(O1)N1C=NC2=C1N=C(NC2=O)N)OP(=S)(O)OCC1C(CC(O1)N1C=NC2=C(N=CN=C21)N)OP(=S)(O)OCC1C(CC(O1)N1C=NC2=C(N=CN=C21)N)OP(=S)(O)OCC1C(C(C(O1)N1C=NC2=C(N=CN=C21)N)OCCOC)OP(=S)(O)OCC1C(C(C(O1)N1C=C(C(=O)NC1=O)C)OCCOC)OP(=S)(O)OCC1C(C(C(O1)N1C=C(C(=NC1=O)N)C)OCCOC)OP(=S)(O)OCC1C(C(C(O1)N1C=C(C(=NC1=O)N)C)OCCOC)OP(=S)(O)OCC1C(C(C(O1)N1C=C(C(=NC1=O)N)C)OCCOC)O
  • InChI=1S/C230H318N69O121P19S19/c1-98-53-280(219(312)262-178(98)231)140-43-110(121(382-140)66-364-425(328,444)406-114-47-144(292-90-254-150-183(236)244-85-249-188(150)292)387-126(114)71-368-423(326,442)404-112-45-142(282-59-104(7)197(303)274-225(282)318)383-122(112)67-363-421(324,440)403-111-44-141(281-58-103(6)196(302)273-224(281)317)385-124(111)69-366-427(330,446)410-119-52-149(297-95-260-156-194(297)268-217(242)271-204(156)310)391-130(119)75-372-431(334,450)419-167-139(401-215(177(167)362-42-32-352-22)299-97-261-157-195(299)269-218(243)272-205(157)311)84-381-438(341,457)418-165-136(398-213(175(165)360-40-30-350-20)291-64-109(12)202(308)279-230(291)323)82-379-437(340,456)417-163-135(397-211(173(163)358-38-28-348-18)289-62-107(10)200(306)277-228(289)321)81-378-435(338,454)414-161-132(394-209(171(161)356-36-26-346-16)286-56-101(4)181(234)265-222(286)315)78-375-433(336,452)412-159-120(65-300)392-207(169(159)354-34-24-344-14)288-61-106(9)199(305)276-227(288)320)402-422(325,441)367-70-125-115(48-145(386-125)293-91-255-151-184(237)245-86-250-189(151)293)407-426(329,445)365-68-123-113(46-143(384-123)283-60-105(8)198(304)275-226(283)319)405-424(327,443)371-74-129-118(51-148(390-129)296-94-259-155-193(296)267-216(241)270-203(155)309)409-429(332,448)370-72-127-116(49-146(388-127)294-92-256-152-185(238)246-87-251-190(152)294)408-428(331,447)369-73-128-117(50-147(389-128)295-93-257-153-186(239)247-88-252-191(153)295)411-430(333,449)374-77-138-166(176(361-41-31-351-21)214(400-138)298-96-258-154-187(240)248-89-253-192(154)298)420-439(342,458)380-83-137-164(174(359-39-29-349-19)212(399-137)290-63-108(11)201(307)278-229(290)322)416-436(339,455)377-80-134-162(172(357-37-27-347-17)210(396-134)287-57-102(5)182(235)266-223(287)316)415-434(337,453)376-79-133-160(170(355-35-25-345-15)208(395-133)285-55-100(3)180(233)264-221(285)314)413-432(335,451)373-76-131-158(301)168(353-33-23-343-13)206(393-131)284-54-99(2)179(232)263-220(284)313/h53-64,85-97,110-149,158-177,206-215,300-301H,23-52,65-84H2,1-22H3,(H,324,440)(H,325,441)(H,326,442)(H,327,443)(H,328,444)(H,329,445)(H,330,446)(H,331,447)(H,332,448)(H,333,449)(H,334,450)(H,335,451)(H,336,452)(H,337,453)(H,338,454)(H,339,455)(H,340,456)(H,341,457)(H,342,458)(H2,231,262,312)(H2,232,263,313)(H2,233,264,314)(H2,234,265,315)(H2,235,266,316)(H2,236,244,249)(H2,237,245,250)(H2,238,246,251)(H2,239,247,252)(H2,240,248,253)(H,273,302,317)(H,274,303,318)(H,275,304,319)(H,276,305,320)(H,277,306,321)(H,278,307,322)(H,279,308,323)(H3,241,267,270,309)(H3,242,268,271,310)(H3,243,269,272,311)/t110-,111-,112-,113-,114-,115-,116-,117-,118-,119-,120+,121+,122+,123+,124+,125+,126+,127+,128+,129+,130+,131+,132+,133+,134+,135+,136+,137+,138+,139+,140+,141+,142+,143+,144+,145+,146+,147+,148+,149+,158+,159+,160+,161+,162+,163+,164+,165+,166+,167+,168+,169+,170+,171+,172+,173+,174+,175+,176+,177+,206+,207+,208+,209+,210+,211+,212+,213+,214+,215+,421?,422?,423?,424?,425?,426?,427?,428?,429?,430?,431?,432?,433?,434?,435?,436?,437?,438?,439?/m0/s1
  • Key:KLEGMTRDCCDFJK-XDQSQZFTSA-N

ଇଞ୍ଜେକସନ ନେଇଥିବା ସ୍ଥାନରେ ଲାଲ ରଙ୍ଗ ଓ ଯନ୍ତ୍ରଣା, ଅଇ, ମୁଣ୍ଡବିନ୍ଧା, ଥକାପଣ, କମ୍ ପ୍ଲାଟୈଲେଟ ଏବଂ ଜ୍ୱର ସ୍ଥାନରେ ସାଧାରଣ ପାର୍ଶ୍ୱ ପ୍ରତିକ୍ରିୟା ଲାଲତା ଏବଂ ଯନ୍ତ୍ରଣା ହୋଇପାରେ । ଅନ୍ୟ ପାର୍ଶ୍ୱ ପ୍ରତିକ୍ରିୟାରେ ବୃକ୍‌କ ପ୍ରଦାହ, ଷ୍ଟ୍ରୋକ, ଜୀବସାର କ ଅଭାବ, ଆଲର୍ଜି ପ୍ରତିକ୍ରିୟା ଏବଂ ଯକୃତ ସମସ୍ୟା ହୋଇପାରେ ।[] [] ଏହା ଏକ ଆଣ୍ଟିସେନ୍ସ ଓଲିଗୋନିଉକ୍ଲିଓଟାଇଡ ଅଟେ ।[]

୨୦୧୮ ମସିହାରେ ଆମେରିକା ଏବଂ ୟୁରୋପରେ ଡାକ୍ତରୀ ଚିକିତ୍ସାରେ ବ୍ୟବହାର ପାଇଁ ଇନୋଟର୍ସେନ ଅନୁମୋଦିତ ହୋଇଥିଲା ।[] [] ଯୁକ୍ତରାଜ୍ୟରେ ୨୦୨୧ ସୁଦ୍ଧା ଏହାର ଚିକିତ୍ସା ପିଛା ବାର୍ଷିକ ୩୩୨,୦୦୦ ପାଉଣ୍ଡ ଖର୍ଚ୍ଚ ହୁଏ ।[] ଯୁକ୍ତରାଷ୍ଟ୍ରରେ ଏହି ପରିମାଣର ମୂଲ୍ୟ ପ୍ରାୟ ୫୨୧,୦୦୦ ଡଲାର ଥିବାବେଳେ କାନାଡ଼ାରେ ଏହା ପ୍ରାୟ ୪୨୦,୦୦୦ କାନାଡ଼ା ଡଲାର ଅଟେ ।[] []

  1. ଆଧାର ଭୁଲ: ଅଚଳ <ref> ଚିହ୍ନ; Tegsedi EPAR ନାମରେ ଥିବା ଆଧାର ଭିତରେ କିଛି ଲେଖା ନାହିଁ ।
  2. "Tegsedi 284 mg solution for injection in pre-filled syringe - Summary of Product Characteristics (SmPC)". (emc). 15 October 2019. Archived from the original on 7 October 2020. Retrieved 3 October 2020.
  3. "Tegsedi- inotersen injection, solution". DailyMed. 2 September 2020. Archived from the original on 7 October 2020. Retrieved 3 October 2020.
  4. ୪.୦ ୪.୧ ୪.୨ ୪.୩ ୪.୪ "Inotersen Monograph for Professionals". Drugs.com (in ଇଂରାଜୀ). Archived from the original on 4 December 2021. Retrieved 26 November 2021.
  5. ୫.୦ ୫.୧ "Tegsedi". Archived from the original on 8 October 2020. Retrieved 26 November 2021.
  6. ଆଧାର ଭୁଲ: ଅଚଳ <ref> ଚିହ୍ନ; FDA2021 ନାମରେ ଥିବା ଆଧାର ଭିତରେ କିଛି ଲେଖା ନାହିଁ ।
  7. BNF 81: March-September 2021. BMJ Group and the Pharmaceutical Press. 2021. p. 1109. ISBN 978-0857114105.
  8. "Tegsedi Prices, Coupons & Patient Assistance Programs". Drugs.com (in ଇଂରାଜୀ). Archived from the original on 22 November 2021. Retrieved 26 November 2021.
  9. "CADTH Canadian Drug Expert Committee Recommendation" (PDF). CADTH. Archived (PDF) from the original on 20 October 2020. Retrieved 26 November 2021.