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Regulators increasingly expect comprehensive physicochemical characterisation and explicit immunotoxicology (complement activation and anti-PEG assessments) within a quality-by-design CMC framework

However, while a pilot human study showed increased MPS with 36 g/day in low-protein diets [99], subsequent human trials are limited and inconsistent

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[PUBMED Abstract] Kuehn HS, Boisson B, Cunningham-Rundles C, et al.: Loss of B Cells in Patients with Heterozygous Mutations in IKAROS
