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PRODUCT CATALOGUE
KEEP LIFE FLOWING
KEDRION S.p.A.
www.kedrion.com
Member of
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VISION
Everyone has the right to life, liberty and security of person*
At times, natural, accidental and social causes stand in the way of the natural right to life,
liberty and security of person.
Because of the specific nature of its products, Kedrion helps individuals, communities
and institutions to limit or remove the obstacles that prevent them from enjoying these
rights.
Kedrion contributes to transforming natural right (life, liberty, security) into the social
right to live in the best possible conditions. To do this, it gathers, processes, activates
and makes it possible to use the vital energy that is generated, regenerated, stored and
carried in the blood, so that it can be transferred from human being to human being and
so that anyone and everyone can enjoy fundamental rights.
MISSION
Kedrion produces and markets pharmaceuticals that are derived from human plasma
and can improve peoples quality of life.
It works to maintain standards of excellence in the sector and strives for continuous
improvement to confirm its national leadership and increase its visibility and presence
at the international level.
In the international context, it aims to reinforce its role as strategic partner for health systems
in countries aiming to achieve self-sufficiency in the field of plasmaderivatives.
Kedrion produces wealth for investors, workers and the local area and it achieves this in
a way that is consistent with its vision and the values of responsibility, transparency, trust
and respect for people.
VALUES
Kedrion declares that:
social responsibility is the guiding principle of the companys activities
transparency and full information are central to its relationships with stakeholders
trust in the company and within it is constantly fostered by activities that are
competent, honest and informed
Its attention to and respect for people takes real form in the safety and quality of its
products and processes.
Kedrion, in order to monitor products and processes and ensure their safety, has
developed the Kedrion Quality Programme divided into 8 phases:
KEDRION PRODUCTS*
EMOCLOT
Antihaemophilic factor VIII concentrate
AIMAFIX
Antihaemophilic factor IX concentrate
Coagulation Products
UMAN COMPLEX
Plasma inhibitors
Albumin Solutions
Immunoglobulins
HAEMOPHILIA
AND OTHER HAEMORRHAGIC
DISEASES
SOURCE/RECOVERED
PLASMA
S/D TREATMENT
THAWING (-1C +3C)
CRYO POOR
PLASMA
SUPERNATANT
PLASMA
EMOSINT
S/D TREATED
PLASMA
DDAVP - desmopressin
CRYO PASTE
AT III KEDRION
PROTHROMBIN
COMPLEX
CONCENTRATE
AT III
UMAN ALBUMIN
CRITICAL CARE
Ig VENA
FRACTION II+III
SUPERNATANT
FRACTION IV
SUPERNATANT
FRACTION II+III
FRACTION II
TETANUS GAMMA
FRACTION V
ALBUMIN SOLUTION
FACTOR
IX
IMMUNORHO/RHOGAM
FACTOR
VIII
IMMUNOHBs/UMAN BIG
i.m. hepatitis B immunoglobulin
VENBIG/KEYVEN
i.v. hepatitis B immunoglobulin
PLASMASAFE**
____________________________________
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HAEMOPHILIA
AND OTHER
HAEMORRHAGIC
DISEASES
PRODUCTION DIAGRAM
SOURCE/RECOVERED
PLASMA
THAWING (-1C +3C)
CRYO POOR
PLASMA
CRYO PASTE
PROTHROMBIN
COMPLEX
CONCENTRATE
1st STEP
S/D Treatment - a mixture of TNBP (tri-N-butyl-phosphate)
and a vegetable detergent (Tween 80):
method effective against lipid enveloped viruses
FACTOR
IX
FACTOR
VIII
2nd STEP
Dry Heat Treatment
30 min at a temperature of 100 C
This method is effective against enveloped and
non enveloped viruses; being applied at the end of
the process it represents a further guarantee with
respect to unpredictable cross-contamination
AIMAFIX
EMOCLOT
Product Characteristics:
Product Characteristics:
AIMAFIX is a highly purified double virus inactivated plasma-derived factor IX concentrate. AIMAFIX has been employed for treatment of patients with haemophilia B since 1993
in more than 20 countries. Experience and a recent single blind randomized crossover
study have shown that this pd-FIX is well tolerated, has a low thrombogenic activity and
no evidence of inhibitor development.
YEARS 2010/2011
Activity FVIII
(I.U./vial)
1017
Specific activity
(I.U./mg)
113
vWF:Ag
(I.U./vial)
56
vWF:RCo
(I.U./vial)
428
Analysis
YEARS 2009/2011
Specific activity
(I.U./mg)
116
Total proteins
(mg/ml)
99
Heparin
(I.U./vial)
44
ATIII
(I.U./vial)
0,98
Activated Factors
Absent
Not detectable
vWF:RCo/Ag
(ratio)
0,70
FII Activity
(I.U./vial)
vWF:RCo/FVIII
(ratio)
0,41
FVII Activity
(I.U./vial)
Not detectable
Total proteins
(mg/ml)
0,9
FX Activity
(I.U./vial)
Not detectable
Albumin
Absent
Presentations: 500 I.U./10 ml, 1.000 I.U./10 ml, powder and solvent for solution for infusion + set for reconstitution and administration.
Storage: Store at temperature + 2C / +8C, protected from light.
Shelf Life: 3 years.
___________________________________
Occurrence of inhibitors in previously untreated or minimally treated patients with haemophilia A after exposure to a plasma-derived solvent-detergent factor VIII concentrate.
A. Gringeri, M. Monzini, G. Tagariello, A. Scaraggi, P.M. Mannucci and the Emoclot15 study members, Haemophilia
(2006), 12: 128-132
10
Product information abridged from the Italian Summary of Product Characteristics (SPC).
As not all the information provided applies to your country, please refer to your local SPC.
Clinical use:
Treatment and prophylaxis of bleeding in patients with haemophilia A (congenital Factor
VIII deficiency)Treatment of acquired Factor VIII deficiency. Treatment of hemophiliacs
with antibodies against Factor VIII. Efficacy of EMOCLOT in von Willebrands disease has
not been proved by a specific clinical trial, therefore the product is not indicated in von
Wille-brands disease.
Product information abridged from the Italian Summary of Product Characteristics (SPC).
As not all the information provided applies to your country, please refer to your local SPC.
Clinical use:
Treatment and prophylaxis of bleeding in patients with haemophilia B (congenital factor
IX deficiency).
This product may be used in the management of acquired factor IX deficiency.
Presentations: 500 I.U./10 ml, 1.000 I.U./10ml, 200 I.U./5 ml, powder and solvent for
solution for infusion + set for reconstitution and administration.
Storage: Store at temperature +2C +8C, protected from light.
Shelf Life: 2 years for 500 I.U./10 ml and 1.000 I.U./10 ml; 3 years for 200 I.U./5ml.
____________________________________
Pharmacokinetics, thrombogenicity and safety of a double viral inactivated factor IX concentrate compared with a
prothrombin complex concentrate.
A. Ruiz-Sez, A. Hong, A. Arguello, M. Echenagucia, A. Bodas, F. Fabbrizzi, F. Minchilli and N.B. De Bosch, Haemophilia
(2005), 11: 583-588
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EMOSINT
UMAN COMPLEX
Product Characteristics:
Product Characteristics:
500 I.U./vial
500 I.U./vial
400 I.U./vial
Clinical use:
- Mild and moderate haemophilia A - type I von Willebrand disease;
- Preparation for surgery of haemophiliacs and patients with von Willebrand disease;
The lack of factor VII ( 1,3 I.U./vial) and the content of ATIII ( 1,2 I.U./vial) and heparin
( 60 I.U./vial) could suggest a less thrombogenicity of the product, leaving the efficacy
and the anti-inhibitor activity unchanged.
Presentation: 500 I.U./20 ml, powder and solvent for solution for infusion + infusion set.
Storage: Store at temperature + 2C +8C, protected from light.
Shelf Life: 3 years.
___________________________________
Pharmacokinetics, thrombogenicity and safety of a double viral inactivated factor IX concentrate compared with a
prothrombin complex concentrate.
A. Ruiz-Sez, A. Hong, A. Arguello, M. Echenagucia, A. Bodas, F. Fabbrizzi, F. Minchilli and N.B. De Bosch, Haemophilia
(2005), 11: 583-588
12
Product information abridged from the Italian Summary of Product Characteristics (SPC).
As not all the information provided applies to your country, please refer to your local SPC.
Product information abridged from the Italian Summary of Product Characteristics (SPC).
As not all the information provided applies to your country, please refer to your local SPC.
Clinical use:
-Treatment of bleeding and perioperative prophylaxis of bleeding in acquired deficiency
of the prothrombin complex coagulation factors, such as deficiency caused by treatment
with vitamin K antagonists, or in case of overdose of vitamin K antagonists, when rapid
correction of the deficiency is required
________________________________
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The precipitation and removal of fraction I and III as well as the precipitation and filtration of fraction
II+III in the production process, have been validated for all our immunoglobulins. A specific inactivation step (S/D treatment) has been added for both i.m. and i.v. immunoglobulins.
Ig VENA and VENBIG also have a fifth specific inactivation step: low pH treatment and pepsin treatment at low pH, respectively.
Production Diagram
SOURCE/RECOVERED
PLASMA
CRYO POOR
PLASMA
SUPERNATANT
PLASMA
4th STEP
S/D Treatement
A mixture of TNBP
(tri-N-butyl-phosphate)
and Sodium Cholate
Low pH treatment
i.m. IMMUNOGLOBULINS
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Ig VENA
Product Characteristics:
Presentations:
Ig VENA 50 g/L 20 ml solution for infusion; 50 g/L 50 ml; 100 ml; 200 ml solution for infusion + infusion set.
Storage: Store at temperature between + 2C +8C, protected from light.
Shelf life: 2 years when stored in intact package.
Ig VENA is Kedrions human normal immunoglobulin 5% for i.v. use. It is a fully functional
native immunoglobulin with five different validated steps of viral inactivation/removal and
a high level of efficacy and tolerability.
___________________________________
CONSISTENCY
Terapia con immunoglobuline per via endovenosa: studio prospettico di sorveglianza degli effetti collaterali.
A. Soresina, A.G. Ugazio, Rivista di Immunologia e Allergologia Pediatrica (2007), 5: 37-45;
Intravenous Immunoglobulin Therapy in the treatment of the acute phase of chronic idiopathic thrombocytopenic purpura
in adults.
A. Grossi, F. Balestri, D. Tognoni, F. Minchilli, B. Fiorentino, C. Guarnieri, M. Scarpellini, S. Guazzini, Haema (2006), 9
(4): 567-571
IgG Subclasses
Batches
Batch
087601
29,8
20,6
1,20
0,36
087610
32,7
21,5
1,15
0,36
99,5%
Fragments: 5%
Fragments : 5%
0,45%
AntiHBsAg-Ab (UI/ml)
0,05
2,1
087625
31,3
21,5
1,10
0,38
Polymers: 3.0%
Polymers: 3.0%
0,05%
087636
35,8
18,0
1,48
0,48
IgA: (g/ml) 50
4,3
087647
35,8
19,7
1,37
0,43
IgM: (g/ml) 10
0,6
087651
34,3
20,6
1,31
0,48
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Average
33,26
20,32
1,27
0,42
Ig anti D: no reaction
negative
PKA (UI/ml): 35
PKA (UI/ml): 35
<2
ACA %: 50
ACA %: 50
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VENBIG / KEYVENB
INTEGRITY
European Pharmacopeia
Internal Controls
Average
Fc Integrity: 60%
Fc Integrity: 60%
95,83%
A Post Marketing Surveillance prospectic study on side effects of Ig VENA on 192 patients assessed the extremely low incidence of Adverse Drug Reaction related to Ig VENA
infusions (*).
Product Characteristics:
VENBIG is a human hepatitis B immunoglobulin for i.v. administration, with a very high
safety profile guaranteed by five validated inactivation/removal steps.
Number and type of ADRs in 1670 treatments with Ig VENA on 192 patients
Type of ADR
4 (2.1%)
4 (34%)
Mild
5 (2.6%)
8 (66%)
Mild
Total
Symptomatology
2 Fever
2 Headache
7 Fever
1 Headache
Clinical use:
Replacement therapy in adults, and children and adolescents (0-18 years) in:
Primary immunodeficiency syndromes with impaired antibody production
Hypogammaglobulinaemia and recurrent bacterial infections in patients with chronic
lymphocytic leukaemia, in whom prophylactic antibiotics have failed.
Hypogammaglobulinaemia and recurrent bacterial infections in plateau phase multiple
myeloma patients who have failed to respond to pneumococcal immunisation.
Hypogammaglobulinaemia in patients after allogeneic haematopoietic stem cell transplantation (HSCT).
Congenital AIDS with recurrent bacterial infections.
Immunomodulation in adults, and children and adolescents (0-18 years) in:
Primary immune thrombocytopenia (ITP), in patients at high risk of bleeding or prior to
surgery to correct the platelet count.
Guillain Barr syndrome.
Kawasaki disease
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Product information abridged from the Italian Summary of Product Characteristics (SPC).
As not all the information provided applies to your country, please refer to your local SPC.
Product information abridged from the Italian Summary of Product Characteristics (SPC).
As not all the information provided applies to your country, please refer to your local SPC.
Clinical use:
Prevention of hepatitis B virus recurrence after liver transplantation for hepatitis B virus
liver failure in combination with antiviral therapy.
Immunoprophylaxis of hepatitis B:
- In case of accidental exposure in non-immunised subjects (including persons whose vac
cination is incomplete or status unknown)
- In haemodialysed patients, until vaccination has become effective
- In the newborn of a hepatitis B virus carrier-mother
- In subjects who did not show an immune response (no measurable hepatitis B antibodies)
after vaccination and for whom a continuous prevention is necessary due to the continuous
risk of being infected with hepatitis B.
Presentations: VENBIG 500 I.U./10ml; 2.500 I.U./50ml; powder and solvent for solution
for infusion + infusion set.
Storage: Do not store above 25C.
Shelf life: 3 years.
________________________________
Protocol liver biopsies in long-term management of patients transplanted for hepatitis B-related liver disease.
S. Targhetta, F. Villamil, P. Inturri, P. Pontisso, S. Fagiuoli, U. Cillo, A. Cecchetto, S. Gianni, R. Naccarato, P. Buerra, World
Journal of Gastroenterology (2006), 12: 1706-1712
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IMMUNORHO / RHOGAM
Product Characteristics:
IMMUNORHO is Kedrions human anti-D immunoglobulin in powder, for i.m. use, its safety profile is guaranteed by four validated inactivation/removal steps.
Clinical use:
Prevention of hepatitis B virus re-infection after liver transplantation for hepatitis B induced liver failure.
Immunoprophylaxis of hepatitis B
- In case of accidental exposure in non-immuni sed subjects (including persons whose
vaccination is incomplete or status unknown)
- In haemodialysed patients, until vaccination has become effective
- In the newborn of a hepatitis B virus carrier-mother
- In subjects who did not show an immune re-sponse (no measurable hepatitis B antibodies) after vaccination and for whom a continuous prevention is necessary due to the
continuous risk of being in-fected with hepatitis B.
Clinical use:
Prevention of Rh(D) immunisation in Rh(D) negative women.
Antenatal prophylaxis
- Planned antenatal prophylaxis
- Antenatal prophylaxis following complications of pregnancy including: Abortion/threatened abortion, ectopic pregnancy or hydatidiform mole, intrauterine fetal death, transplacental haemorrhage resulting from ante-partum haemorrhage, amniocentesis, chorionic
biopsy, obstetric manipulative procedures e.g. external version, invasive interventions,
cordocentesis, blunt abdominal trauma or fetal therapeutic intervention.
Postnatal prophylaxis
- Delivery of a Rh(D) positive (D, Dweak, Dpartial) baby
Treatment of Rh(D) negative persons after incompatible transfusions of Rh(D) positive
blood or other products containing red blood cells e.g. platelet concentrate.
Presentations: IMMUNOHBs 180 I.U./1ml; 540 I.U./ 3 ml solution for injection, for
intramuscular use; 1000 I.U./3 ml with pre-filled ready-to-use syringe.
Storage: Store at temperature + 2C +8C.
Shelf life: 3 years.
Presentation: IMMUNORHO 200 mcg (1.000 I.U.) and 300 mcg (1.500 I.U.), powder and
solvent for solution for injection for i.m. use; 300 mcg (1.500 I.U.), solution for injection
for i.m. use.
Storage: Store below 25C.
__________________________________
Protocol liver biopsies in long-term management of patients transplanted for hepatitis B-related liver disease.
S. Targhetta, F. Villamil, P. Inturri, P. Pontisso, S. Fagiuoli, U. Cillo, A. Cecchetto, S. Gianni, R. Naccarato, P. Buerra,
World Journal of Gastroenterology (2006), 12: 1706-1712
Clinical use:
1. Post-exposure prophylaxis.Immediate prophylaxis after tetanus prone injuries in patients not adequately vaccinated, in patients whose immunisation status is not known with
cer-tainty, and in patients with severe deficiencyin anti-body production.
2. Therapy of clinically manifest tetanus. Active tetanus vaccination should always be administered in conjunction with tetanus immunoglobulin unless there are contraindications
or confirmationof adequate vaccination.
Presentations:
TETANUS GAMMA 250 I.U./1 ml; 250 I.U./2 ml; 500 I.U./2 ml solution for injection for
intramuscular use.
Storage: Should be stored in a refrigerator +2C +8C, protected from light.
Shelf life: 3 years.
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Product information abridged from the Italian Summary of Product Characteristics (SPC).
As not all the information provided applies to your country, please refer to your local SPC.
Product Characteristics: TETANUS GAMMA is Kedrions human tetanus immunoglobulin ready to use, in pre-filled syringe for i.m. use, its safety profile is guaranteed by four
validated inactivation/removal steps.
Product information abridged from the Italian Summary of Product Characteristics (SPC).
As not all the information provided applies to your country, please refer to your local SPC.
TETANUS GAMMA
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AT III KEDRION
Product Characteristics:
Highly purified double virus-inactivated antithrombin concentrate.
CRITICAL CARE
Activity
505 I.U./ml
pH
6,0-7,5
Osmolality
240 mosmol/Kg
Solubility
10 min
Specific Activity
Proteic Composition
90% AT
Heparin Content
Eterolog Proteins
Absent
Clinical use:
In patients with congenital antithrombin deficiency:
- Prophylaxis of deep vein thrombosis and thromboembolism in high risk patients (especially during surgery or during the peri-partum period), in association with heparin if indicated;
- Prevention of progression of deep vein thrombosis and thromboembolism in association
with heparin, when indicated.
In patients with acquired antithrombin deficiency:
disseminated intravascular coagulation (DIC) associated with: severe sepsis, politrauma,
burns, pregnancy; other acute consumption coagulopathies.
Presentations:
AT III KEDRION 500 I.U./10ml;1.000 I.U./20ml; powder and solvent for solution for infusion.
Storage: Store in refrigerator at +2C +8C, protected from light.
___________________________________
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Product information abridged from the Italian Summary of Product Characteristics (SPC).
As not all the information provided applies to your country, please refer to your local SPC.
AT III
Two different steps of viral inactivation (pasteurization) and virus removal (nanofiltration) are applied to ATIII Kedrion before sterile filtration and subsequent filling and lyophilization.
Production Diagram
SOURCE/RECOVERED
PLASMA
1st STEP
2nd STEP
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UMAN ALBUMIN
Product Characteristics:
UMAN ALBUMIN is a human albumin solution with a very low content of aluminum, polymers and aggregates:
Analysis
Eu. ph requrements
1,4%
< 5%
Aluminium
pKA
18 mcg/l
3,5 I.U./ml
< 35 I.U./ml
129 mmoli/l
196 g/l
Clinical use:
Restoration and maintenance of circulating blood volume where volume deficiency has
been demonstrated, and use of a colloid is appropriate. The choice of albumin rather than
artificial colloid will depend on the clinical situation of the individual patient, based on
official recommendations.
Presentations:
UMAN ALBUMIN 200gr/l (in 50 and 100 ml vial); 250gr/l (in 50 ml vial); 5gr/100 ml (in 250
ml vial); solution for infusion.
Storage: Do not store the product above 30C, protected from light.
Shelf life: 3 years when stored in intact package.
_________________________________
Switch therapy with ciproflaxin vs. intravenous ceftazidime in the treatment of spontaneous bacterial peritonitis in patients
with cirrhosis: similar efficacy at lower cost.
P. Angeli, S. Guarda, S. Fasolato, E. Miola, R. Craighero, F.D. Piccolo, C. Antona, L. Brollo, M. Franchin, U. Cillo, C.
Merke, A. Gatta, Alimentary Pharmacology & Therapeutics (2006)
Five different steps have been validated for their ability to remove/inactivate viruses. Four steps are
part of the Cohn fractionation method while a specific step of pasteurization has been added.
1st STEP
Precipitation and Removal of
Fraction I
2nd STEP
Precipitation and filtration of
Fraction II+III
FRACTION II+III
SUPERNATANT
FRACTION IV
SUPERNATANT
FRACTION V
ALBUMIN SOLUTION
Production Diagram
SOURCE/RECOVERED
PLASMA
CRYO POOR
PLASMA
SUPERNATANT
PLASMA
3rd STEP
Precipitation and filtration of Fraction IV
4th STEP
Precipitation of crude Fraction V
5th STEP
Heat treatment at 60C for 10h (pasteurization)
Product information abridged from the Italian Summary of Product Characteristics (SPC).
As not all the information provided applies to your country, please refer to your local SPC.
UMAN ALBUMIN
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