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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Br+J+Clin+Pharmacol
2016 ; 81
(5
): 918-28
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Population pharmacokinetic analysis of sifalimumab from a clinical phase IIb
trial in systemic lupus erythematosus patients
#MMPMID26659791
Zheng B
; Yu XQ
; Greth W
; Robbie GJ
Br J Clin Pharmacol
2016[May]; 81
(5
): 918-28
PMID26659791
show ga
AIMS: Sifalimumab, a human immunoglobulin (Ig) G1 monoclonal antibody against
INF-alpha, is being studied as a treatment for systemic lupus erythematosus
(SLE). This analysis characterized population pharmacokinetics (PK) of
sifalimumab following repeat fixed dose and evaluated the utility of fixed dosing
vs. body weight normalized dosing in SLE patients. METHODS: PK data were
collected in a phase IIb study where 298 patients received multiple intravenous
doses (200-1200 mg) of sifalimumab every 4 weeks for 52 weeks. A population
pharmacokinetic model was developed using 3961 quantifiable serum concentrations
and the impact of patient demographics, clinical indices and biomarkers on
pharmacokinetic parameters was evaluated. The appropriateness of the final model
was evaluated using visual predictive check and bootstrap. RESULTS: A two
compartment model with first order elimination adequately described sifalimumab
serum PK. The estimated typical clearance (CL) and central volume of distribution
(V1 ) were 184 ml day(-1) and 2.82 l with 24% and 16% between-subject variability
(BSV), respectively. Body weight, dose, 21 INF gene signature baseline and
concomitant steroid use were identified as statistically significant covariates
for CL and V1 and accounted for <10% of PK variability in the final model.
Typical values and BSV of PK parameters from the current analysis with fixed
dosing were similar to previous population PK results with body weight normalized
dosing. CONCLUSIONS: The transition from body weight normalized dosing to fixed
dosing did not impact sifalimumab PK. These findings support the use of fixed
dosing for sifalimumab in future clinical studies evaluating it as a potential
treatment for SLE.