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抗药物抗体对临床前药代动力学评估的影响。

Impact of anti-drug antibodies in preclinical pharmacokinetic assessment.

机构信息

Department of Pharmacokinetic and Drug Metabolism, Amgen Inc., One Amgen Center Drive, Thousand Oaks, CA 91320, USA.

出版信息

AAPS J. 2013 Jul;15(3):856-63. doi: 10.1208/s12248-013-9484-4. Epub 2013 May 8.

Abstract

The administration of human biotherapeutics is often associated with a higher incidence of immunogenicity in preclinical species. The presence of anti-drug antibodies (ADAs) in the test samples can affect the accurate measurement of therapeutic protein (TP) in bioanalytical methods designed to support pharmacokinetic (PK) and toxicokinetic (TK) assessments. The impact can vary depending on the bioanalytical method platform and study dosing design. The goal of this study is to evaluate the impact of ADA response on the bioanalytical methods in support of PK/TK and the associated study data interpretation. Sprague Dawley rats were administered with four weekly doses of 50 mg/kg TP, a humanized monoclonal antibody. The TP in serum samples was measured using three bioanalytical methods that quantified bound and/or unbound TP to ADA. The ADA response in the animals was classified into negative, low, medium, and high based on the magnitude of the response. The presence of ADA in samples led to discrepant TP measurements between the methods, especially at time points where the TP concentrations were low. This could be due to ADA interference to the accurate measurement of ADA-bound TP concentrations. The TP concentration at last time point (C last) was reduced by 82.8%, 98.6%, and 99.8%, respectively, for samples containing low, medium, and high levels of ADA. The interfering effects of the ADA on bioanalytical methods and exposure were evident as early as 2 weeks post-dosing. This modeling approach can provide the better understanding of ADA impact on PK exposure in multiple doses.

摘要

人用生物治疗药物的给药常常与临床前物种的免疫原性发生率较高相关。在用于支持药代动力学(PK)和毒代动力学(TK)评估的生物分析方法的检测样本中存在抗药物抗体(ADA),可能会影响治疗性蛋白(TP)的准确测量。这种影响可能因生物分析方法平台和研究给药设计而异。本研究的目的是评估 ADA 反应对支持 PK/TK 的生物分析方法的影响,以及相关研究数据的解释。将 Sprague Dawley 大鼠给予每周 50mg/kg 的 TP(一种人源化单克隆抗体)四次剂量。使用三种生物分析方法来测量血清样本中的 TP,这三种方法均定量了 ADA 结合和/或未结合的 TP。根据反应的大小,将动物的 ADA 反应分为阴性、低、中、高。ADA 存在于样品中导致方法之间的 TP 测量结果不一致,尤其是在 TP 浓度较低的时间点。这可能是由于 ADA 干扰了 ADA 结合的 TP 浓度的准确测量。含有低、中、高 ADA 水平的样品的最后时间点(C last)的 TP 浓度分别降低了 82.8%、98.6%和 99.8%。ADA 对生物分析方法和暴露的干扰作用早在给药后 2 周就很明显。这种建模方法可以更好地理解 ADA 对多次给药 PK 暴露的影响。

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