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2014 ; 3
(10
): e144
Nephropedia Template TP
gab.com Text
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English Wikipedia
Population Pharmacokinetics of Obinutuzumab (GA101) in Chronic Lymphocytic
Leukemia (CLL) and Non-Hodgkin s Lymphoma and Exposure-Response in CLL
#MMPMID25353187
Gibiansky E
; Gibiansky L
; Carlile DJ
; Jamois C
; Buchheit V
; Frey N
CPT Pharmacometrics Syst Pharmacol
2014[Oct]; 3
(10
): e144
PMID25353187
show ga
Treatment regimens involving obinutuzumab (GA101) demonstrated increased efficacy
to rituximab in clinical trials for non-Hodgkin's lymphoma (NHL) and chronic
lymphocytic leukemia (CLL). However, the pharmacokinetic (PK) properties and the
exposure-response relationships of obinutuzumab still need to be fully described.
Data from four clinical trials of obinutuzumab were analyzed to describe the PK
properties in patients with NHL or CLL and the pharmacodynamic (PD) properties in
patients with CLL. A population PK model with linear time-dependent clearance
described the obinutuzumab concentration-time course. Diagnosis, baseline tumor
size (BSIZ), body weight, and gender were the main covariates affecting
obinutuzumab exposure. In patients with CLL, exposure was not associated with
safety but showed positive trends of correlation with efficacy. Although efficacy
correlated positively with exposure, since both efficacy and exposure correlated
negatively with BSIZ, it was not possible to determine with certainty whether it
would be beneficial to adjust the dose according to BSIZ.