机构:[1]Pfizer La Jolla, Clin Pharmacol Oncol Business Unit, San Diego, CA 92121 USA;[2]Ohio State Univ, Sch Pharm, Columbus, OH 43210 USA;[3]Capital Med Univ, Beijing Tiantan Hosp, Dept Emergency, Beijing 100050, Peoples R China;诊疗科室急诊科首都医科大学附属天坛医院[4]Pfizer La Jolla, Clin Pharmacol Oncol Business Unit, 10555 Sci Ctr Dr CB10-1719, San Diego, CA 92121 USA
Biologics, including monoclonal antibodies (mAbs) and other therapeutic proteins such as cytokines and growth hormones, have unique characteristics compared to small molecules. This paper starts from an overview of the pharmacokinetics (PK) of biologics from a mechanistic perspective, the determination of a starting dose for first-in-human (FIH) studies, and dosing regimen optimisation for phase II/III clinical trials. Subsequently, typical clinical pharmacology issues along the corresponding pathways for biologics development are summarised, including drug-drug interactions, QTc prolongation, immunogenicity, and studies in specific populations. The relationships between the molecular structure of biologics, their pharmacokinetic and pharmacodynamic characteristics, and the corresponding clinical pharmacology strategies are summarised and depicted in a schematic diagram.
第一作者机构:[2]Ohio State Univ, Sch Pharm, Columbus, OH 43210 USA;
通讯作者:
通讯机构:[1]Pfizer La Jolla, Clin Pharmacol Oncol Business Unit, San Diego, CA 92121 USA;[4]Pfizer La Jolla, Clin Pharmacol Oncol Business Unit, 10555 Sci Ctr Dr CB10-1719, San Diego, CA 92121 USA