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Pharmacokinetics and immunogenicity of T0001, a newly developed anti-TNF alpha fusion protein, in healthy volunteers

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机构: [1]Peking Univ, Peoples Hosp, Dept Pharm, Beijing 100044, Peoples R China; [2]Peking Univ, Sch Pharmaceut Sci, Dept Pharm Adm & Clin Pharm, Beijing 100191, Peoples R China; [3]Xuzhou Med Coll, Jiangsu Key Lab New Drug Res & Clin Pharm, Xuzhou 221004, Peoples R China; [4]Peking Univ, Peoples Hosp, Dept Rheumatol & Immunol, Beijing 100044, Peoples R China; [5]Shanghai Fudan Zhangjiang Biopharmaceut Co Ltd, Dept Med, Shanghai 201210, Peoples R China; [6]Beijing Inst Radiat Med, Dept Pharmacol & Toxicol, Beijing 100850, Peoples R China; [7]Capital Med Univ, Beijing Childrens Hosp, Dept Pharm, Beijing 100045, Peoples R China; [8]Capital Med Univ, Beijing Anding Hosp, Dept Pharm, Beijing 100088, Peoples R China; [9]Peking Univ, Peoples Hosp, Dept Sci Res, Beijing 100044, Peoples R China; [10]Acad Sinica, Shanghai Pharmaceut Holding Co Ltd, Shanghai 200020, Peoples R China
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关键词: Clinical trial Pharmacokinetics Immunogenicity TNF alpha T0001

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Purpose T0001 was the first mutant of recombinant fusion protein of human tumor necrosis factor receptor and Fc fragment (rhTNFR:Fc) based on etanercept on a global scale. This study was carried out to investigate the pharmacokinetics (PK) and immunogenicity of T0001 in healthy Chinese volunteers. Methods This study was randomized, with a single ascending dose, and the first-in-human clinical trial of T0001. Healthy Chinese volunteers (n = 56; male: female = 1:1) were randomly assigned to receive a single subcutaneous (sc) injection of 10, 20, 35, 50, 65 or 75 mg of T0001. Blood samples were collected at designated time points after sc injection to assess immunogenicity and pharmacokinetics of T0001. Result During the study, no serious adverse events were observed. T0001 was slowly absorbed with a median T-max of 84 h and slowly eliminated with a T-1/2Z of 42.1-58.2 h. In the dose-exposure proportionality analysis, the estimated points for AUC(0-a) and C-max were 0.87 with a 90% CI of 0.76-0.98 and 0.86 with a 90% CI of 0.74-0.97 respectively. The plasma concentration of free (unbound T0001) plasma TNF alpha and total (bound and unbound T0001) TNF alpha both increased significantly after the injection of T0001. Ten out of 56 volunteers (17.9%) tested positive for anti-drug antibodies (ADAs) at a low level. Conclusions T0001 was safe and well-tolerated at doses up to 75 mg. C-max and AUC(0-infinity) had an increasing tendency with dose levels, but we could not conclude that T0001 has linear PK properties in this study.

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出版当年[2016]版:
大类 | 3 区 医学
小类 | 3 区 药学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 药学
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出版当年[2015]版:
Q2 PHARMACOLOGY & PHARMACY
最新[2023]版:
Q3 PHARMACOLOGY & PHARMACY

影响因子: 最新[2023版] 最新五年平均 出版当年[2015版] 出版当年五年平均 出版前一年[2014版] 出版后一年[2016版]

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第一作者机构: [1]Peking Univ, Peoples Hosp, Dept Pharm, Beijing 100044, Peoples R China; [2]Peking Univ, Sch Pharmaceut Sci, Dept Pharm Adm & Clin Pharm, Beijing 100191, Peoples R China;
通讯作者:
通讯机构: [1]Peking Univ, Peoples Hosp, Dept Pharm, Beijing 100044, Peoples R China;
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