Suppr超能文献

基于非小细胞肺癌患者和健康受试者的汇总数据,建立洛拉替尼的时变清除率的群体药代动力学模型。

Population pharmacokinetic model with time-varying clearance for lorlatinib using pooled data from patients with non-small cell lung cancer and healthy participants.

机构信息

Pfizer Oncology, New York, New York, USA.

Pfizer Oncology, La Jolla, San Diego, California, USA.

出版信息

CPT Pharmacometrics Syst Pharmacol. 2021 Feb;10(2):148-160. doi: 10.1002/psp4.12585. Epub 2021 Feb 1.

Abstract

Lorlatinib, a selective inhibitor of anaplastic lymphoma kinase (ALK) and c-ROS oncogene 1 (ROS1) tyrosine kinase, is indicated for the treatment of ALK-positive metastatic non-small cell lung cancer (NSCLC) following progression on crizotinib and at least one other ALK inhibitor, or alectinib/ceritinib as the first ALK inhibitor therapy for metastatic disease. The population pharmacokinetics (PopPK) of lorlatinib was conducted by nonlinear mixed effects modeling of data from 330 patients with ALK-positive or ROS1-positive NSCLC and 95 healthy participants from six phase I studies in healthy volunteers; demographic, metabolizer phenotype, and patient prognostic factors were evaluated as covariates. Lorlatinib plasma PK was well-characterized by a two-compartment model with sequential zero-order and first-order absorption and a time-varying induction of clearance. Single dose clearance was estimated to be 9.04 L/h. Assuming that the metabolic auto-induction of lorlatinib reaches saturation in ~ 5 half-lives, clearance was estimated to approach a maximum of 14.5 L/h at steady-state after a period of ~ 7.25 days. The volume of distribution of the central compartment was estimated to be 121 L and the first-order absorption rate constant was estimated to be 3.1 h . Baseline albumin and lorlatinib total daily dose were significant covariates on lorlatinib clearance. Use of proton pump inhibitors was found to be a significant covariate on the lorlatinib absorption rate constant. These factors were assessed to have no clinically meaningful impact on lorlatinib plasma exposure, and no dose adjustments are considered necessary based on the examined covariates.

摘要

洛拉替尼是一种间变性淋巴瘤激酶(ALK)和 c-ROS 原癌基因 1(ROS1)酪氨酸激酶的选择性抑制剂,适用于克唑替尼治疗后进展的ALK 阳性转移性非小细胞肺癌(NSCLC)患者,以及至少一种其他 ALK 抑制剂,或阿来替尼/塞瑞替尼作为转移性疾病的一线 ALK 抑制剂治疗。洛拉替尼的群体药代动力学(PopPK)是通过对来自 6 项健康志愿者 I 期研究的 330 名 ALK 阳性或 ROS1 阳性 NSCLC 患者和 95 名健康参与者的数据进行非线性混合效应建模进行的;将人口统计学、代谢表型和患者预后因素作为协变量进行评估。洛拉替尼的血浆 PK 特征良好,由一个两室模型描述,该模型具有顺序零级和一级吸收以及清除的时变诱导作用。单次剂量清除率估计为 9.04 L/h。假设洛拉替尼的代谢自动诱导在约 5 个半衰期内达到饱和,在约 7.25 天的时间内,清除率估计在稳态下接近 14.5 L/h 的最大值。中央室的分布容积估计为 121 L,一级吸收速率常数估计为 3.1 h -1 。基线白蛋白和洛拉替尼总日剂量是洛拉替尼清除率的显著协变量。质子泵抑制剂的使用被发现是洛拉替尼吸收速率常数的显著协变量。这些因素被评估为对洛拉替尼血浆暴露没有临床意义的影响,并且根据检查的协变量,不需要进行剂量调整。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a56/7894400/b3dd415d254b/PSP4-10-148-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验