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Alimentary Pharmacology & Therapeutics
Article . 2021 . Peer-reviewed
License: CC BY NC ND
Data sources: Crossref
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Alimentary Pharmacology & Therapeutics
Article
License: CC BY NC ND
Data sources: UnpayWall
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Population pharmacokinetics of subcutaneous infliximab CT‐P13 in Crohn’s disease and ulcerative colitis

Authors: Jurij Hanzel; Laura H. Bukkems; Krisztina B. Gecse; Geert R. D’Haens; Ron A. A. Mathôt;

Population pharmacokinetics of subcutaneous infliximab CT‐P13 in Crohn’s disease and ulcerative colitis

Abstract

SummaryBackgroundInfliximab is a chimeric monoclonal antibody against tumour necrosis factor‐alpha for the treatment of Crohn's disease (CD) and ulcerative colitis (UC). Recently, a subcutaneous formulation of CT‐P13, an infliximab biosimilar, was approved for clinical use.AimsTo characterise CT‐P13 pharmacokinetics (PK) and its clinically relevant determinants after subcutaneous administration through population PK modelling.MethodsData from a two‐part Phase I study with intravenous (5 mg/kg) and variable maintenance subcutaneous dosing of CT‐P13 with frequent PK sampling in patients with CD or UC were used. Population PK analysis was conducted by non‐linear mixed effects modelling. Covariates affecting PK parameters were chosen based on their clinical relevance (effect size of ≥20%) using a full fixed‐effect modelling approach.ResultsCT‐P13 PK was described by a two‐compartment model with linear elimination. The half‐life in a typical 70 kg patient with serum albumin of 44 g/L was 10.8 days. The typical value for clearance was 0.355 L/d, absorption constant 0.273/d, bioavailability 79.1%, central volume of distribution 3.10 L and peripheral volume of distribution 1.93 L. Clinically relevant covariates affecting clearance were body weight (+43.2% from 70 to 120 kg), the presence of anti‐drug antibodies (+39%) and serum albumin concentration (+30.1% from 44 to 32 g/L). Simulated drug exposure was comparable between routes of administration for patients weighing 50 or 70 kg, but lower with subcutaneous dosing in patients weighing 120 kg.ConclusionsThis first population PK model for subcutaneous CT‐P13 supports fixed subcutaneous maintenance dosing, although heavy patients had lower cumulative drug exposure.

Country
Netherlands
Keywords

Crohn Disease, Gastrointestinal Agents, Antibodies, Monoclonal, Humans, Colitis, Ulcerative, Infliximab Biosimilar in IBD, Infliximab, Serum Albumin

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
50
Top 1%
Top 10%
Top 1%
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