Celsus Laboratories

HEPARIN (LOW MOLECULAR WEIGHT) FRAGMENTS

CENTAXARIN® [FH-0309] (ML-009723) is the sodium salt of heparin fragments of an average molecular weight of about 6,000. It is obtained by oxidative-depolymerization of heparin sodium of porcine intestinal mucosa and meets the compendial quality of the European Pharmacopoeia for low molecular weight heparins (LMWH). LMWH chains consist of derivatives of D-glucosamine (N-sulfated, N-acetylated, and/or O-sulfated) and hexuronic acid (L-iduronic or D-glucuronic acid, including O-sulfated derivatives).

As compared to unfractionated heparin, LMWH exhibit a reduced anticoagulant effect because heparin fragments of less than 5400 Daltons do not effectively catalyze thrombin-antithrombin interaction. However, LMWH have an enhanced capacity to inhibit Factor Xa associated with the surface-bound prothrombinase complex thereby contributing to an improved antithrombotic effect.

  


Following subcutaneous administration, the bio-availability of LMWH is greater than that of unfractionated heparin; i.e. 80 to 90% compared to 10 to 20%, respectively.

The plasma concentration of Centaxarin® is easily predicted since there is a direct relationship between the administered dose and the anti-Factor Xa activity in plasma measured as area under the curve (AUC). The half-life of Centaxarin® is twice that of unfractionated heparin and is less dose-dependent. One mg of protamine sulfate neutralizes approximately 100 anti-Factor Xa Units of administered Centaxarin®. The effect on APTT is almost immediately and completely neutralized. The effect on anti- Factor Xa is antagonized by 78%, based on AUC evaluation.

The chemistry of Centaxarin® corresponds to that of the active ingredient of the listed drug ARDEPARIN SODIUM INJECTION. Since there are no exclusivity impediments, Centaxarin® can be made available to an appropriate sponsor of an ANDA for a generic LMWH.

References

European Pharmacopoeia 1997; 0828; 934-937.
Malinowski K, Koza M, Iqbal O, et al. Comparative pharmacologic studies on a new LMWH (ML-009723) and Enoxaparin. Thromb Haemost 1993; 69:1260.
Malinowska K, Iqbal O, Hoppensteadt D, et al. In vivo study of bleeding and antithrombotic effects of LMWH ML-009723. Semin Thromb Haemost 1993;19: 58-61.
Heit JA, Berkowitz SD, Bona R, Cabanas V, Corson JD, Elliott CG, Lyons R. Efficacy and Safety of Low Molecular Weight Heparin (Ardeparin Sodium) Copmpared to Warfarin for the Prevention of Venous Thromboembolism after Total Knee Replacement Surgery: A Double-blind, Dose-ranging Study. Thromb Haemost 1997; 77(1):32-8.


HEPARIN SODIUM, END-AMIDATED [HN-0362] is derived from heparin sodium of porcine intestinal mucosa by periodate oxidation and coupling of the terminal aldehydes with ethylene diamine under reducing conditions. The reduction in aldehyde content is determined by the 3- methyl-2-benzothiazolone hydrazine test (MBTH) and 2, 4, 6-trinitrobenzene sulfonic acid was used to determine free amino residues.

References

Sawicki E, Hauser TR, Stanley TW. Elbert W. The 3-methyl-2-benzothiazolone hydrazone test. Anal Chem 1961; 33:93-96.
Yosizawa Z, Kotoku T, Yamauchi F, Matsuna M. Stability of the biological activities of heparins to mild acid treatments. Biochim Biophys Acta 1967; 141:358-365,

HEPARIN SODIUM, NITROUS ACID DEAMINATED [DH-0325] is obtained by deaminative hydrolysis of heparin sodium of porcine intestinal mucosa. Nitrous acid selectively cleaves the glycosidic bonds of the N-sulfated glucosamine residues with formation of di, tetra, hexa and higher saccharides terminated with 2,5-anhydro-D-mannose (AM) residues as reducing terminal groups. The terminal AM residues may be stabilized with sodium borohydride or coupled to an aminated surface by reductive amination. The formation of AM may be determined using the Indole reaction which is quite specific for anhydrosugars.

References

Braswell E. Heparin: Molecular weight and degradation studies. Biochim Biophys Acta 1968; 158:103-116.
Kosakai M, Yamauchi F, Yosizawa Z. Isolation and characterization of sulfated disaccharides from the deamination products of porcine heparin. J Biochem 1978; 83: 1567-75.
Dische Z, Borenfreund E. A spectrophotometric method for the microdetermination of hexosamines. J Biol Chem 1950; 184:517-522.
Hoffman J, Larm O, Scholander E. A new method for covalent coupling of heparin and other glycosaminoglycans to substances containing primary amino groups. Carbohydr Res 1983: 117; 328-331.
Larm O, Larsson R, Olsson P. A new non-thrombogenic surface prepared by selective covalent binding of heparin via a modified reducing terminal residue. Chromat., Med. Dev., Art. Org. 1983:11; 161-173.

HEPARIN SODIUM, PARTIALLY DE-N-SULFATED [PD-0324] is produced by selective de-N-sulfation of heparin sodium of porcine intestinal mucosa. Residual amino groups are determined by the trinitrobenzenesulfonate method before and after de-N-sulfation. The Nsulfate content may be directly determined by turbidimetry of the inorganic sulfate liberated after treatment of the sample with nitrous acid.

References

Inoue Y, Nagasawa K. Selective N-desulfation of heparin with dimethyl sulfoxide containing water or methanol. Carbohydr Res 1976; 46:87-95.
Nagasawa K, Inoue Y. De-N-sulfation. Meth Carbohydr Chem 1980; VIII: 291-4.

HEPARIN SODIUM, PERIODATE-OXIDIZED [RH-0326] is manufactured pursuant to FDA Drug Master File # 11641 by controlled periodate-oxidation of heparin sodium of porcine intestinal mucosa. Periodate-oxidation causes cleavage of carbon-carbon bonds if the adjacent carbons bear hydroxyl groups or a hydroxyl and an amino group. Thus, unsulfated uronic acid residues in heparin are susceptible to periodate or Smith degradation with formation of polysaccharides having aldehydes as reducing terminal groups. Heparin containing aldehyde moieties will undergo reversible Schiff-base reactions with organic amines, and if treated with sodium cyanoborohydride the Schiff base intermediate is reduced to its corresponding amine forming an irreversible bond.

References

Fransson LA, Lewis W. Relationship between anticoagulant activity of heparin and susceptibility to periodate oxidation. FEBS 1979; 97:119-23.
Sirvio LM. Process for producing biocompatible surfaces. PCT WO 96/37241 (1995).
Verhoeven O, Cahalan LL, Hendriks M et al. Method for making heparinized biomaterials. US Patent 5679659 (1997).
Larson DF, Arzouman D, Kleinert L, Patula V, Williams S. Comparison of Sarns 3M heparin bonded to Duraflo II and control circuits in the porcine model: macro- and microanalysis of thrombi accumulation in circuit arterial filters. Perfusion 2000; 15(1): 13-20.

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