Evidence map›Paper›PMID 31325056›Full record

ArticleThe AAPS journal2019

Model-Informed Drug Development Approach Supporting Approval of Adalimumab (HUMIRA) in Adolescent Patients with Hidradenitis Suppurativa: a Regulatory Perspective.

Youwei Bi, Jiang Liu, Jie Wang, Roselyn E Epps, David Kettl, Kendall Marcus, Shirley Seo, Hao Zhu, Yaning Wang

Abstract read
PubMed Publisher
In one paragraph

Article in The AAPS journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 45 citations in OpenAlex.

  1. Review
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  3. Scoping review of the role of pharmacometrics in model-informed drug development.Journal of pharmacokinetics and pharmacodynamics · 2025
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  4. Review
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  6. Model-informed drug discovery and development approaches to inform clinical trial design and regulatory decisions: A primer for the MENA region.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Youwei BiOffice of Clinical Pharmacology, Office of Translational Sciences, New Hampshire, USA.
Jiang LiuOffice of Clinical Pharmacology, Office of Translational Sciences, New Hampshire, USA. Jiang.Liu@fda.hhs.gov.
Jie WangOffice of Clinical Pharmacology, Office of Translational Sciences, New Hampshire, USA.
Roselyn E EppsDivision of Dermatology and Dental Products, Office of New Drug, US Food and Drug Administration, 10903 New Hampshire Avenue, Silver Spring, MD, 20993, USA.
David KettlDivision of Dermatology and Dental Products, Office of New Drug, US Food and Drug Administration, 10903 New Hampshire Avenue, Silver Spring, MD, 20993, USA.
Kendall MarcusDivision of Dermatology and Dental Products, Office of New Drug, US Food and Drug Administration, 10903 New Hampshire Avenue, Silver Spring, MD, 20993, USA.
Shirley SeoOffice of Clinical Pharmacology, Office of Translational Sciences, New Hampshire, USA.
Hao ZhuOffice of Clinical Pharmacology, Office of Translational Sciences, New Hampshire, USA.
Yaning WangOffice of Clinical Pharmacology, Office of Translational Sciences, New Hampshire, USA.
United States Food and Drug Administration · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

On October 16, 2018, FDA expanded the adalimumab dosing regimen to adolescent hidradenitis suppurativa (HS) patients 12 years and older, weighing at least 30 kg without new clinical data. This approval was mainly supported by the model-informed drug development approach. Population pharmacokinetic simulations suggest body weight-tiered dosing regimens in adolescent patients will achieve similar exposure to adult patients across all weight range. Adalimumab has a well-established, 16-year long-term safety profile in various diseases in adult and pediatric populations. Current data of adalimumab in the pediatric population demonstrate no exposure-response relationship for adverse events. The effectiveness in adolescent patients was extrapolated from two adequate and well-controlled phase 3 studies in adult patients, assuming similar positive exposure-efficacy relationships in adults and adolescents. This article provides the insight of the application of MIDD on the adalimumab approval in adolescent HS patients and its implication on drug development and regulatory decision especially for pediatrics or rare diseases.

Indexed as

Models, BiologicalAdalimumabAdolescentAge FactorsAnti-Inflammatory AgentsChildDose-Response Relationship, DrugDrug ApprovalDrug DevelopmentHidradenitis SuppurativaHumansTreatment OutcomeAdalimumabAnti-Inflammatory Agentsadalimumabhidradenitis suppurativamodel-informed drug developmentpediatric drug developmentregulatory perspective

Identifiers

PMID31325056
OpenAlexW2963418741

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.