Preclinical and clinical pharmacokinetic/pharmacodynamic considerations for antibody-drug conjugates
Puja Sapra1, Alison Betts, Joseph Boni
1Bioconjugates Discovery and Development, Oncology Research Unit, Pfizer Worldwide Research and Development, Pearl River, NY, 10965, USA.
Abstract:
Antibody-drug conjugates (ADCs) represent a promising therapeutic modality for the clinical management of cancer. Here we discuss the clinical pharmacology and safety of ADCs that are either approved or in late stages of clinical development. We have taken examples of ADCs employing either DNA damaging payloads (such as calicheamicin) or tubulin depolymerizing agents (such as auristatins and maytansinoids) to discuss the impact of dose and dosage intervals on pharmacokinetics/pharmacodynamics (PK/PD) and safety of ADCs. We also discuss the development of PK/PD models that were validated using preclinical and clinical data from two approved ADCs (ado-trastuzumab emtansine (T-DM1, Kadcyla™) and brentuximab vedotin (SGN-35, Adcetris™). These models could be used to predict clinical efficacious doses of ADCs.
Insights
Antibody-drug conjugates (ADCs) offer a promising cancer therapy. This review explores their clinical pharmacology, safety, and the development of PK/PD models to predict effective dosing for ADCs.
Area of Science:
- Oncology
- Pharmacology
- Drug Development
Background:
- Antibody-drug conjugates (ADCs) are an emerging class of therapeutics for cancer treatment.
- ADCs combine targeted antibody delivery with potent cytotoxic payloads.
- Approved and late-stage clinical ADCs are crucial for advancing cancer therapy.
Purpose of the Study:
- To review the clinical pharmacology and safety of approved and late-stage ADCs.
- To examine the influence of dosing on the pharmacokinetics/pharmacodynamics (PK/PD) and safety of ADCs.
- To discuss the application of PK/PD models for predicting efficacious ADC doses.
Main Methods:
- Review of clinical pharmacology and safety data for ADCs.
- Analysis of ADCs utilizing DNA damaging agents (e.g., calicheamicin) and tubulin depolymerizing agents (e.g., auristatins, maytansinoids).
- Development and validation of PK/PD models using preclinical and clinical data from approved ADCs (T-DM1, brentuximab vedotin).
Main Results:
- Dose and dosage intervals significantly impact ADC PK/PD and safety profiles.
- Validated PK/PD models can accurately predict clinical outcomes.
- Examples include ado-trastuzumab emtansine (T-DM1) and brentuximab vedotin (SGN-35).
Conclusions:
- PK/PD modeling is essential for optimizing ADC therapy.
- These models can guide the selection of clinical efficacious doses for ADCs.
- Further development of ADCs relies on understanding their complex PK/PD relationships.
More Related Videos
11:02Genetic Encoding of a Non-Canonical Amino Acid for the Generation of Antibody-Drug Conjugates Through a Fast Bioorthogonal Reaction
Published on: September 14, 2018
08:47Synthesis and Bioconjugation of Thiol-Reactive Reagents for the Creation of Site-Selectively Modified Immunoconjugates
Published on: March 6, 2019
Related Concept Videos
Phase II Conjugation Reactions: Overview
Pharmacokinetic–Pharmacodynamic Relationship: Problems
Biopharmaceutical Factors Influencing Drug Product Design: Overview
Factors Affecting Protein-Drug Binding: Patient-Related Factors
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
Factors Affecting Protein-Drug Binding: Protein-Related Factors
The physicochemical properties of a drug play a significant role in its ability to bind to proteins. Lipophilic drugs, which dissolve in fats, oils, and lipids, can be bound by...
Pharmacokinetics: Drug–Drug Interactions
