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ARALAST NP is a plasma-derived human alpha-1 proteinase inhibitor (A1PI) indicated for chronic augmentation therapy in adults with clinically evident emphysema due to severe congenital alpha-1 proteinase inhibitor deficiency (Alpha-1 antitrypsin deficiency). Developed by Baxalta (later acquired by Shire and subsequently Takeda), it is supplied as a sterile, lyophilized powder for reconstitution and administered via once-weekly intravenous infusion. The therapy works by increasing antigenic and functional serum levels and lung epithelial lining fluid levels of A1PI, which restores the capacity to inhibit neutrophil elastase. This inhibition protects the lung parenchyma from proteolytic damage and slows the progression of emphysema in patients with severe deficiency.
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