基于模型的Copanlisib间歇性剂量治疗方案的益处/风险分析
Peter N Morcos1, Jonathan Moss2, Josh Veasy2
1Bayer HealthCare Pharmaceuticals, Inc., Whippany, New Jersey, USA.
Clinical pharmacology and therapeutics
|January 16, 2024
概括
在Copanlisib中使用.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 血液学 血液学 血液学
背景情况:
- 科潘利西布是一种静脉注射的酸丁3-激酶 (PI3K) 抑制剂,用于复发性毛囊性淋巴瘤.
- 关于PI3K抑制剂在血液性恶性瘤中的耐受性和剂量优化存在担忧.
- 目前的Copanlisib剂量方案是在I期试验中确定为最大耐受剂量 (MTD).
研究的目的:
- 为了证明所选择的Copanlisib的剂量方案.
- 评估Copanlisib的暴露-有效性和暴露-安全性关系.
主要方法:
- 暴露-有效性分析利用了CHRONOS-3试验III期的数据.
- 暴露安全性分析汇总了来自两个大型临床试验的数据.
- 基于模型的益处/风险框架评估了剂量方案的适当性.
主要成果:
- 在MTD的Copanlisib暴露和疗效之间观察到显著的正线性关系.
- 在暴露和等级≥3治疗出现的不良事件 (TEAE) 之间发现了边界显著的线性关系.
- 对于其他安全终点,没有发现显著的暴露与安全关系.
结论:
- 已建立的可潘利西布剂量方案在所达到的暴露范围内是适当的.
- 益处与风险的概况支持了当前在复发性毛囊淋巴瘤中使用Copanlisib的剂量策略.
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