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使用半机械 PK/PD 模型将抗体药物偶联物从临床前到临床的疗效进行转化:以 RC88 为例的案例研究。

Translation of the efficacy of antibody-drug conjugates from preclinical to clinical using a semimechanistic PK/PD model: A case study with RC88.

机构信息

RemeGen, Ltd., Yantai, Shandong, China.

Rongchang Industry College, Shandong, China.

出版信息

Clin Transl Sci. 2023 Jul;16(7):1232-1242. doi: 10.1111/cts.13526. Epub 2023 May 31.

Abstract

Three semimechanistic pharmacokinetic/pharmacodynamic (PK/PD) models, Simeoni, Jumbe, and Hybrid, were used for the efficacy translation of RC88 from preclinical to clinical. RC88 is a mesothelin-targeting antibody-drug conjugate for malignant solid tumor. In the preclinical study, the relationship between PKs and PDs was determined using the xenograft mouse model derived from ovarian cancer and lung cancer cell lines. A secondary parameter representing the efficacy index of the drug, termed as tumor static concentration (TSC), was calculated using the three semimechanistic PK/PD models. A mechanism-based target-mediated drug disposition model was used to predict the human PKs. TSC from mice and predicted human PK were integrated to predict human efficacy dose. Results showed that 2 cell lines were sensitive to drugs, and the predicted efficacy dose was between 0.82 and 1.96 mg/kg q1w.

摘要

三种半机械药代动力学/药效学(PK/PD)模型,Simeoni、Jumbe 和 Hybrid,被用于将 RC88 从临床前转化为临床。RC88 是一种针对间皮素的抗体药物偶联物,用于治疗恶性实体瘤。在临床前研究中,使用源自卵巢癌细胞系和肺癌细胞系的异种移植小鼠模型确定了 PKs 和 PDs 之间的关系。使用三个半机械 PK/PD 模型计算了代表药物疗效指数的次要参数,称为肿瘤静态浓度(TSC)。使用基于机制的靶向介导的药物处置模型来预测人体 PKs。将来自小鼠的 TSC 和预测的人体 PK 整合起来预测人体疗效剂量。结果表明,2 种细胞系对药物敏感,预测的疗效剂量在 0.82 至 1.96 mg/kg q1w 之间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6c5/10339704/86b51f86dcc3/CTS-16-1232-g002.jpg

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