部份中文替西白介素基因重组处方资料（仅供参考）
英文名：Teceleukin
商品名：Imunace 35
中文名：替西白介素基因重组
生产商：盐野义制药
イムネース注35
药物类别名称
转基因白细胞介素-2配方
批准日期：1992年5月
欧文商標名
Imunace35
一般的名称：
テセロイキン（遺伝子組換え）（JAN）［日局］
Teceleukin（Genetical Recombination）
略号：rIL-2
分子式：C698H1127N179O204S8
分子量：15547.01
本質：转基因人类白细胞介素-2是一种由134种氨基酸残留物组成的蛋白质,甲氧丁与N-终点线结合。
性状
它是无色净度的液体。
药用药理学
1. 药理作用
(1) 抗肿瘤作用(体外)
6健康成人(5男1女)在培养72小时后,通过向外周血淋巴细胞中加入70个单位/mL获得,诱导3系人肾癌培养细胞具有很强的细胞毒性活性。 然而,对正常细胞(ConA刺激的人类正常淋巴细胞)的影响没有显示。
(2) 抗肿瘤作用(体内)
14 显示生存和转移抑制作用的延伸对Renca(自发小鼠肾癌)。
此外,对化学致癌性小鼠肾癌有显著的转移抑制作用。
2. 作用机制
它主要与T细胞和NK细胞结合,通过激活它们,它诱导具有高细胞毒性的杀伤细胞损害肿瘤。它也结合到B细胞和巨噬细胞,激活免疫。
适应症：
1. 血管造影肉瘤
2. 肾癌
用量用法：
1.血管造影肉瘤
溶解在盐水溶液或5%葡萄糖注射液或类似,通常,70万单位每天在成人,静脉注射每天分为1-2次,每天。
应该注意的是,最大剂量为每天140万单位,虽然年龄和适当的增加或减少取决于症状。
2.肾癌
溶解在盐水溶液或5%葡萄糖注射液或类似,通常,70万单位每天在成人,静脉注射每天分为1-2次,每天。
应该注意的是,最大剂量为每天210万单位,虽然年龄和适当的增加或减少取决于症状。
要小心,因为肝功能测试值异常和液体保留更可能通过增加量来表示。
参考:注射的制备方法
1.为每瓶每日注射添加1mL水(350,000单位Tessereokin),并溶解。
2.输注除200~500mL如盐水溶液或5%葡萄糖注射液等外,一旦剂量静脉注射。
临床表现
1. 血管造影肉瘤
批准时一般临床试验的疗效评价指标为11例,性能效率为36.4%(CR1和PR3例)。
表2见临床结果(血管肉瘤)
2. 肾癌
批准时一般临床试验的疗效评价指标为119例,性能效率为14.3%(CR3和PR14例)。其中,干扰素(IFN)无效66例,性能效率为13.6%(CR1和PR8例)。
表3见临床结果(肾癌)
包装规格
注 35:1瓶：附着在水1mL上,用于每日注射。
制造和销售
盐野义制药有限公司
注：以上中文处方资料不够完整，使用者以原处方资料为准。
完整说明资料附件：
http://www.pmda.go.jp/PmdaSearch/iyakuDetail/ResultDataSetPDF/340018_6399411D1022_1_16
IMUNACE35 for Injection（イムネース注35）
Brand name: IMUNACE35 for Injection
　Active ingredient: Teceleukin (Genetical recombination)
　Dosage form: injection
　Print on wrapping:
Effects of this medicine
This medicine improves immunity by activating lymphocytes, and it damages cancer cells via immune reactions. Furthermore, it shows an inhibitory effect against metastasis of cancer.
It is usually used for the treatment of angiosarcoma and kidney cancer.
Before using this medicine, be sure to tell your doctor and pharmacist
•If you have previously experienced any allergic reactions (itch, rash, etc.) to any medicines and vaccines.
•If you are pregnant or breastfeeding.
•If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)
Dosing schedule (How to take this medicine)
•Your dosing schedule prescribed by your doctor is<<to be written by a healthcare professional>>
•In general, for adults, this medicine is administered by intravenous drip infusion daily in 1 to 2 divided doses on consecutive days.
•The schedule for use is determined according to your symptoms. Consult with your doctor about your concrete schedule for use.
Precautions while taking this medicine
•If you are breastfeeding, avoid breastfeeding while using this medicine.
Possible adverse reactions to this medicine
The most commonly reported adverse reactions include fever, chill, shiver, malaise, loss of appetite, nausea, vomiting, headache, diarrhea, weight gain, edema, water retention, decreased urine output, retention of pleural effusion (dry cough, breathlessness, chest pain), breathing difficulty, deperession, hypotension, irregular heartbeat, palpitation, frequent pulse and cold sense in lower limbs. If any of these symptoms occur, consult with your doctor or pharmacist.
The symptoms described below are rarely seen as initial symptoms of the adverse reactions indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately.
•weight gain, swelling, decreased urine output  [retention of body fluid]
•swelling, shortness of breath, cough  [congestive heart failure]
•feeling depressed and unmotivated, sleeplessness, malaise, suicide attempt  [depression, suicide attempt]
•infection by bacteria, fever, cough  [(in case of using a large amount of it) induced infection, exacerbation of infection]
•malaise, yellowness in skin and in the white of eyes, thirstiness, increased urine output  [autoimmune phenomenon]
The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above.
Shionogi & Co., Ltd.Injection
Published: 2/2014
The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse reactions (risks) as well as efficacies (benefits). It is important to minimize adverse reactions and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment.