Li Xian-ping, Li Jing, Yan Heng, Zhou Bo, Li Bo-hua, Qian Wei-zhu, Hou Sheng, Wang Hao, Hao Fei, Guo Ya-jun
International Cancer Research Institute, Second Military Medical University, Shanghai 200433, China.
Acta Pharmacol Sin. 2012 Aug;33(8):1085-94. doi: 10.1038/aps.2012.65. Epub 2012 Jul 16.
To evaluate the pharmacokinetics (PK), pharmacodynamics (PD) and primary tolerability of an anti-CD11a monoclonal antibody (CMAB001) in Chinese healthy volunteers and psoriatic patients.
Two open-label studies were conducted. One was a parallel-group, single-center, dose-escalation test, including 24 healthy adult volunteers from 18 to 45 years in age. All subjects randomly received a single subcutaneous injection dose of 0.5, 1.0 or 2.0 mg/kg. The other was a multiple-dose study: 10 adult psoriatic patients were administered weekly subcutaneous injections of 1.0 mg/kg for 7 weeks.
CMAB001 was well tolerated in the single- and multiple-dose studies. Slow absorption was observed in both studies. In the single-dose study, the concentration of CMAB001 reached its highest level 2 d later after the injection, and the C(max) increased in an approximate dose-proportionate manner, while the area under curve (AUC) showed much greater than dose-proportionate increase. In the multiple-dose study, the steady-state serum concentration level was attained following the 4th injection.
CMAB001 exhibited a nonlinear pharmacokinetic profile over the dose range from 0.5 to 2.0 mg/kg, and was well tolerated in healthy volunteers and psoriatic patients.
评估抗CD11a单克隆抗体(CMAB001)在中国健康志愿者和银屑病患者中的药代动力学(PK)、药效动力学(PD)及初步耐受性。
进行了两项开放标签研究。一项是平行组、单中心、剂量递增试验,包括24名年龄在18至45岁的健康成年志愿者。所有受试者随机接受0.5、1.0或2.0mg/kg的单次皮下注射剂量。另一项是多剂量研究:10名成年银屑病患者每周皮下注射1.0mg/kg,共7周。
在单剂量和多剂量研究中,CMAB001耐受性良好。两项研究均观察到吸收缓慢。在单剂量研究中,CMAB001浓度在注射后2天达到最高水平,C(max)以近似剂量比例的方式增加,而曲线下面积(AUC)的增加远大于剂量比例。在多剂量研究中,第4次注射后达到稳态血清浓度水平。
在0.5至2.0mg/kg剂量范围内,CMAB001呈现非线性药代动力学特征,在健康志愿者和银屑病患者中耐受性良好。