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10.1111/bcp.12860

http://scihub22266oqcxt.onion/10.1111/bcp.12860
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suck abstract from ncbi


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pmid26648084
      Br+J+Clin+Pharmacol 2016 ; 81 (5 ): 908-17
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  • Pharmacokinetics and safety of single doses of tabalumab in subjects with rheumatoid arthritis or systemic lupus erythematosus #MMPMID26648084
  • Witcher J ; Fleischmann R ; Chindalore VL ; Hansen RJ ; Hu L ; Radtke D ; Voelker J ; Gomez E ; McColm J
  • Br J Clin Pharmacol 2016[May]; 81 (5 ): 908-17 PMID26648084 show ga
  • AIMS: Two phase 1 studies evaluated the pharmacokinetics (PK), safety and biological activity of tabalumab, a human monoclonal antibody against B-cell activating factor (BAFF), administered intravenously (i.v.) or subcutaneously (s.c.) in subjects with rheumatoid arthritis (RA) or systemic lupus erythematosus (SLE). METHODS: In study A, subjects with RA (n = 23) or SLE (n = 6) received a single i.v. dose of tabalumab (RA 0.01, 0.04, 0.125, 0.5, 2.0, and 8.0 mg kg(-1) and SLE 0.125 or 2.0 mg kg(-1) ) or placebo. In study B, subjects with RA received a single tabalumab dose i.v. (10 mg) (n = 12) or s.c. (20 mg) (n = 12). Serum tabalumab and CD20+ B cells were evaluated and safety was assessed throughout both studies. RESULTS: Tabalumab PK were non-linear across the 0.01 to 8.0 mg kg(-1) dose range. Clearance (CL) decreased from 2.9 to 0.1 l day(-1) and terminal half-life (t1/2 ) increased from about 1.6 to 25 days. Subjects with RA or SLE had similar PK. After s.c. dosing, tabalumab time to maximal concentration (tmax ) was 5.5 days. Absolute bioavailability (F) was approximately 62%. Following tabalumab dosing, CD20+ B cells transiently increased from baseline followed by a progressive decrease below baseline. CONCLUSION: A single tabalumab dose administered i.v. or s.c. was well tolerated and had non-linear CL over the dose range investigated in subjects with RA and SLE. The non-linearity likely reflects target-mediated CL due to binding to BAFF. Tabalumab showed biological activity based on changes in peripheral CD20+ lymphocyte numbers in both subjects with RA and SLE.
  • |Adult [MESH]
  • |Aged [MESH]
  • |Antibodies, Monoclonal, Humanized [MESH]
  • |Antibodies, Monoclonal/administration & dosage/adverse effects/*pharmacokinetics [MESH]
  • |Antigens, CD20/immunology [MESH]
  • |Arthritis, Rheumatoid/*drug therapy [MESH]
  • |B-Cell Activating Factor/*antagonists & inhibitors [MESH]
  • |B-Lymphocyte Subsets/drug effects/immunology [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Injections, Intravenous [MESH]
  • |Injections, Subcutaneous [MESH]
  • |Lupus Erythematosus, Systemic/*drug therapy [MESH]
  • |Male [MESH]


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