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一种用于实体瘤中可能过表达 EGFR 的患者的抗 EGFR 抗体药物偶联物 Depatuxizumab Mafodotin 的整合群体药代动力学模型与个体模型的比较。

An Integrated Population Pharmacokinetic Model Versus Individual Models of Depatuxizumab Mafodotin, an Anti-EGFR Antibody Drug Conjugate, in Patients With Solid Tumors Likely to Overexpress EGFR.

机构信息

Clinical Pharmacology and Pharmacometrics, AbbVie Inc, North Chicago, IL, USA.

AbbVie Deutschland GmbH & Co KG, Clinical Pharmacology and Pharmacometrics, Ludwigshafen am Rhein, Germany.

出版信息

J Clin Pharmacol. 2019 Sep;59(9):1225-1235. doi: 10.1002/jcph.1418. Epub 2019 Apr 16.

Abstract

Depatuxizumab mafodotin (depatux-m) is an antibody-drug conjugate (ADC) designed for the treatment of tumors expressing epidermal growth factor receptor (EGFR), consisting of a veneered "humanized" recombinant IgG1κ antibody that has binding properties specific to a unique epitope of human EGFR with noncleavable maleimido-caproyl linkers each attached to a potent antimitotic cytotoxin, monomethyl auristatin F. We aimed to describe the development and comparison of 2 population pharmacokinetic modeling approaches. Data from 2 phase 1 studies enrolling patients with glioblastoma multiforme or advanced solid tumors were included in the analysis. Patients in these studies received doses of depatux-m ranging from 0.5 to 4.0 mg/kg as monotherapy, in combination with temozolomide, or radiation plus temozolomide depending on the study and/or arm. First, an integrated ADC model to simultaneously describe the concentration-time data for ADC, total antibody, and cys-mafodotin was built using a 2-compartment model for ADC for each drug-to-antibody ratio. Then, 3 individual models were developed for ADC, total antibody, and cys-mafodotin separately using 2-compartment models for ADC and total antibody and a 1-compartment model for cys-mafodotin. Visual predictive checks suggested accurate model fitting across a range of concentrations. The analysis showed that both an integrated complex ADC model and the individual models that have shorter computational time would result in similar outcomes.

摘要

Depatuxizumab mafodotin(depatux-m)是一种抗体药物偶联物(ADC),专为表达表皮生长因子受体(EGFR)的肿瘤设计,由具有与人类 EGFR 独特表位特异性结合特性的“人源化”重组 IgG1κ 抗体组成,每个抗体上都有不可裂解的马来酰亚胺己酰基连接子,每个连接子都连接有一个有效的抗有丝分裂细胞毒素单甲基奥瑞他汀 F。我们旨在描述两种群体药代动力学建模方法的开发和比较。分析中包括了两项招募胶质母细胞瘤或晚期实体瘤患者的 1 期研究的数据。这些研究中的患者接受了 depatux-m 单药治疗、与替莫唑胺联合治疗或联合放疗和替莫唑胺治疗,剂量范围为 0.5 至 4.0mg/kg,具体取决于研究和/或臂。首先,使用针对每个药物抗体比的 ADC 的 2 隔室模型,构建了一个同时描述 ADC、总抗体和 cys-mafodotin 浓度-时间数据的集成 ADC 模型。然后,使用针对 ADC 和总抗体的 2 隔室模型和针对 cys-mafodotin 的 1 隔室模型,分别为 ADC、总抗体和 cys-mafodotin 开发了 3 个单独的模型。视觉预测检查表明,在一系列浓度下,模型拟合准确。分析表明,集成复杂的 ADC 模型和计算时间更短的单个模型都将产生相似的结果。

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