抗体药物偶联物的药代动力学和免疫原性评估的实际考虑。

Practical considerations for the pharmacokinetic and immunogenic assessment of antibody-drug conjugates.

机构信息

Department of Bioanalysis, TNO Triskelion, Utrechtsweg 48, 3704 HE, Zeist, The Netherlands,

出版信息

BioDrugs. 2014 Aug;28(4):383-91. doi: 10.1007/s40259-014-0096-z.

Abstract

Currently, the most bioanalytically challenging drugs are antibody-drug conjugates (ADCs), constructs comprising a monoclonal antibody and a cytotoxic drug connected by a linker. The bioanalytical challenges arise from the heterogeneous nature of ADCs and their complex in vivo behavior, resulting in a high number of analytes to be measured. Measuring the concentration of biologics in blood/plasma/serum is a necessity to properly assess their pharmacokinetic (PK)/pharmacodynamic behaviors in vivo. An additional bioanalytical challenge is to monitor the stability of the ADCs, as cytotoxic drugs released from the ADC in blood circulation may pose a potential safety risk because of their high cytotoxic potency. The nature of ADCs does not only complicate bioanalysis, but also immunogenicity assessment. Questions, such as 'Which part of the ADCs is the anti-drug antibodies directed against?' may arise, and their answer normally includes several immunogenicity risk assessment strategies. This review will focus on the bioanalytical challenges of ADCs, current approaches involving ligand-binding assays (LBAs), liquid chromatography and mass spectrometry platforms, and recommendations on which approach to use for which stage of drug development, and will close with immunogenicity assessment. In order to appropriately tackle the bioanalytical and immunogenic challenges of ADCs and consider every angle, the authors of this review have expertise in ligand binding and liquid chromatography-mass spectrometry.

摘要

目前,最具生物分析挑战性的药物是抗体药物偶联物(ADC),这些构建物由单克隆抗体和通过连接子连接的细胞毒性药物组成。生物分析挑战源于 ADC 的异质性及其复杂的体内行为,导致需要测量大量的分析物。测量血液/血浆/血清中生物制剂的浓度是正确评估其体内药代动力学(PK)/药效学行为的必要条件。另一个生物分析挑战是监测 ADC 的稳定性,因为在血液循环中从 ADC 释放的细胞毒性药物由于其高细胞毒性效力可能构成潜在的安全风险。ADC 的性质不仅使生物分析复杂化,而且还使免疫原性评估复杂化。可能会出现“抗药物抗体针对 ADC 的哪个部分?”这样的问题,其答案通常包括几种免疫原性风险评估策略。这篇综述将重点介绍 ADC 的生物分析挑战、涉及配体结合测定(LBA)、液相色谱和质谱平台的当前方法,以及关于在药物开发的哪个阶段使用哪种方法的建议,并以免疫原性评估作为结束。为了适当地解决 ADC 的生物分析和免疫原性挑战并考虑到各个角度,本文的作者在配体结合和液相色谱-质谱方面具有专业知识。

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