Evidence map›Paper›PMID 33918602›Full record

ArticlePharmaceutics2021

Pharmacokinetic-Pharmacodynamic Modelling of Systemic IL13 Blockade by Monoclonal Antibody Therapy: A Free Assay Disguised as Total.

John Hood, Ignacio González-García, Nicholas White, Leeron Marshall, Vincent F S Dubois, Paolo Vicini, Paul G Baverel

Open access · goldAbstract read
In one paragraph

Article in Pharmaceutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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

7 authors at 1 institution in 2 countries.

John HoodClinical Pharmacology and Quantitative Pharmacology, AstraZeneca, Cambridge CB21 6GH, UK.
Ignacio González-GarcíaClinical Pharmacology and Quantitative Pharmacology, AstraZeneca, Cambridge CB21 6GH, UK.ORCID 0000-0003-3663-3259
Nicholas WhiteClinical Pharmacology and Quantitative Pharmacology, AstraZeneca, Cambridge CB21 6GH, UK.
Leeron MarshallClinical Pharmacology and Quantitative Pharmacology, AstraZeneca, Cambridge CB21 6GH, UK.
Vincent F S DuboisClinical Pharmacology and Quantitative Pharmacology, AstraZeneca, Cambridge CB21 6GH, UK.ORCID 0000-0002-7423-5473
Paolo ViciniClinical Pharmacology and Quantitative Pharmacology, AstraZeneca, Cambridge CB21 6GH, UK.
Paul G BaverelClinical Pharmacology and Quantitative Pharmacology, AstraZeneca, Cambridge CB21 6GH, UK.
AstraZeneca (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A sequential pharmacokinetic (PK) and pharmacodynamic (PD) model was built with Nonlinear Mixed Effects Modelling based on data from a first-in-human trial of a novel biologic, MEDI7836. MEDI7836 is a human immunoglobulin G1 lambda (IgG1λ-YTE) monoclonal antibody, with an Fc modification to reduce metabolic clearance. MEDI7836 specifically binds to, and functionally neutralizes interleukin-13. Thirty-two healthy male adults were enrolled into a dose-escalation clinical trial. Four active doses were tested (30, 105, 300, and 600 mg) with 6 volunteers enrolled per cohort. Eight volunteers received placebo as control. Following single subcutaneous administration (SC), individual time courses of serum MEDI7836 concentrations, and the resulting serum IL13 modulation in vivo, were quantified. A binding pharmacokinetic-pharmacodynamic (PK-PD) indirect response model was built to characterize the exposure-driven modulation of the target over time by MEDI7836. While the validated bioanalytical assay specification quantified the level of free target (i.e., a free IL13 assay), emerging clinical data suggested dose-dependent increase in systemic IL13 concentration over time, indicative of a total IL13 assay. The target time course was modelled as a linear combination of free target and a percentage of the drug-target complex to fit the clinical data. This novel PK-PD modelling approach integrates independent knowledge about the assay characteristics to successfully elucidate apparently complex observations.

Indexed as

assaydose-exposure-responseIL13monoclonal antibodiesNONMEMpharmacokinetic-pharmacodynamic modellingpopulation analysis

Identifiers

PMID33918602
PMCPMC8069034
OpenAlexW3156060866

What OpenQuestion holds

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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.