Nnane Ivo P, Han Chao, Jiao Qun, Tam Susan H, Davis Hugh M, Xu Zhenhua
Global Clinical Pharmacology, Janssen Research and Development, LLC, Spring House, PA, USA.
Biologics Development Sciences, Janssen Research and Development, LLC, Spring House, PA, USA.
Basic Clin Pharmacol Toxicol. 2017 Jul;121(1):13-21. doi: 10.1111/bcpt.12761. Epub 2017 Mar 8.
The purpose of this study was to evaluate the pharmacokinetics (PK) of anti-oncostatin M (OSM) IgG1 monoclonal antibodies, CNTO 1119 and its Fc variant (CNTO 8212), which incorporates the LS(Xtend) mutation to extend terminal half-life (T ), after a single intravenous (IV) or subcutaneous (SC) administration in cynomolgus monkeys, and to predict human PK. In study 1, single doses of CNTO 1119 and CNTO 8212 were administered IV or SC at 3 mg/kg to cynomolgus monkeys (n = 3 per group). In study 2, single doses of CNTO 8212 were administered IV at 1, 5 or 20 mg/kg, or SC at 5 mg/kg to cynomolgus monkeys (n = 5 per group). Serial blood samples were collected for assessment of serum concentrations of CNTO 1119 and/or CNTO 8212. A two-compartment population PK model with first-order elimination was utilized to simultaneously describe the serum concentrations of CNTO 1119 and CNTO 8212 over time after IV and SC administration in cynomolgus monkeys. The typical population PK parameter estimates for CNTO 1119 in cynomolgus monkeys were clearance (CL) = 2.81 mL/day/kg, volume of distribution of central compartment (V ) = 31.3 mL/kg, volume of distribution of peripheral compartment (V ) = 23.3 mL/kg, absolute bioavailability (F) = 0.84 and T = 13.4 days. In comparison, the typical population PK parameter estimates for CNTO 8212 in cynomolgus monkeys were CL = 1.41 mL/day/kg, V = 39.8 mL/kg, V = 32.6 mL/kg, F = 0.75 and T = 35.7 days. The mean CL of CNTO 8212 was ~50% lower compared with that for CNTO 1119 in cynomolgus monkeys. The overall volume of distribution (V +V ) for CNTO 8212 was about 32% larger compared with that for CNTO 1119, but generally similar to the vascular volume in cynomolgus monkeys. The T of CNTO 8212 was significantly (p < 0.05) longer by about 2.7-fold than that for CNTO 1119 in cynomolgus monkeys. Thus, the modification of the Fc portion of an anti-OSM IgG1 mAb for higher FcRn binding affinity resulted in lower systemic clearance and a longer terminal half-life in cynomolgus monkeys. CNTO 8212 demonstrated linear PK after a single IV dose (1-20 mg/kg) in cynomolgus monkeys. The predicted human PK parameters suggest that CNTO 8212 is likely to exhibit slow clearance and long terminal half-life in human beings and may likely allow less frequent dosing in the clinical setting.
本研究的目的是评估抗制瘤素M(OSM)IgG1单克隆抗体CNTO 1119及其Fc变体(CNTO 8212)的药代动力学(PK),后者包含LS(Xtend)突变以延长终末半衰期(T)。在食蟹猴中单次静脉注射(IV)或皮下注射(SC)给药后,预测人体PK。在研究1中,将CNTO 1119和CNTO 8212以3mg/kg的剂量静脉注射或皮下注射给食蟹猴(每组n = 3)。在研究2中,将CNTO 8212以1、5或20mg/kg的剂量静脉注射,或以5mg/kg的剂量皮下注射给食蟹猴(每组n = 5)。采集系列血样以评估CNTO 1119和/或CNTO 8212的血清浓度。采用具有一级消除的二室群体PK模型,同时描述食蟹猴静脉注射和皮下注射后CNTO 1119和CNTO 8212随时间变化的血清浓度。食蟹猴中CNTO 1119的典型群体PK参数估计值为清除率(CL)= 2.81 mL/天/千克,中央室分布容积(V)= 31.3 mL/千克,外周室分布容积(V)= 23.3 mL/千克,绝对生物利用度(F)= 0.84,T = 13.4天。相比之下,食蟹猴中CNTO 8212的典型群体PK参数估计值为CL = 1.41 mL/天/千克,V = 39.8 mL/千克,V = 32.6 mL/千克,F = 0.75,T = 35.7天。食蟹猴中CNTO 8212的平均CL比CNTO 1119低约50%。CNTO 8212的总体分布容积(V+V)比CNTO 1119大32%左右,但总体上与食蟹猴的血容量相似。食蟹猴中CNTO 8212的T比CNTO 1119显著长约2.7倍(p < 0.05)。因此,对抗OSM IgG1单克隆抗体的Fc部分进行修饰以提高FcRn结合亲和力,导致食蟹猴的全身清除率降低,终末半衰期延长。在食蟹猴中单次静脉注射剂量(1 - 20mg/kg)后,CNTO 8212表现出线性PK。预测的人体PK参数表明,CNTO 8212在人体中可能表现出清除缓慢和终末半衰期长的特点,并且在临床环境中可能允许减少给药频率。