Evidence map›Paper›PMID 34697913›Full record

Trial reportCPT: pharmacometrics & systems pharmacology2022

Population pharmacokinetics and standard uptake value ratio of aducanumab, an amyloid plaque-removing agent, in patients with Alzheimer's disease.

Kumar Kandadi Muralidharan, Xiao Tong, Kenneth G Kowalski, Raj Rajagovindan, Lin Lin, Samantha Budd Haberlain, Ivan Nestorov

Open access · goldAbstract readClinical Trial, Phase IClinical Trial, Phase IIClinical Trial, Phase III
In one paragraph

Trial report in CPT: pharmacometrics & systems pharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 22 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Kumar Kandadi MuralidharanClinical Pharmacology and Pharmacometrics, Biogen, Cambridge, Massachusetts, USA.
Xiao TongClinical Pharmacology and Pharmacometrics, Biogen, Cambridge, Massachusetts, USA.
Kenneth G KowalskiKowalski PMetrics Consulting, LLC, Northville, Michigan, USA.
Raj RajagovindanDevelopment Imaging, Biogen, Cambridge, Massachusetts, USA.
Lin LinClinical Pharmacology and Pharmacometrics, Biogen, Cambridge, Massachusetts, USA.
Samantha Budd HaberlainClinical Development, Biogen, Cambridge, Massachusetts, USA.
Ivan NestorovClinical Pharmacology and Pharmacometrics, Biogen, Cambridge, Massachusetts, USA.
Biogen (United States) · US

Funding

Biogen
6 · The paper itself

Abstract

Aducanumab is a human immunoglobulin G1 anti-amyloid beta (Aβ) antibody currently being evaluated for potential treatment of patients with early Alzheimer's disease. This paper describes the relationship between the population pharmacokinetics (PopPKs) and pharmacokinetics-pharmacodynamics (PKs-PDs) of aducanumab using data from phase I to III clinical studies, with standard uptake value ratio (SUVR) used as a PD marker. Across clinical studies, aducanumab was administered intravenously either as a single dose ranging from 0.3 to 60 mg/kg or as multiple doses of 1, 3, 6, or 10 mg/kg every 4 weeks. A titration regimen with maintenance doses of 3, 6, or 10 mg/kg was also evaluated. Aducanumab PK was characterized with a two-compartment model with first-order elimination. No nonlinearities in PKs were observed. The PopPK-PD model was developed using a sequential estimation approach. The time course of amyloid plaques, as expressed by composite SUVR measured using positron emission tomography, was described using an indirect response model with drug effect stimulating the elimination of SUVR. None of the identified covariates on PK and the PopPK-PD model were clinically relevant. The PopPK-PD model showed that magnitude, duration, and consistency of dosing are important factors determining the degree of Aβ removal. The intrinsic pharmacology of aducanumab remained consistent across studies.

Indexed as

AgedAlzheimer DiseaseAntibodies, Monoclonal, HumanizedDose-Response Relationship, DrugFemaleHumansMaleModels, BiologicalPlaque, AmyloidPositron-Emission TomographyaducanumabAntibodies, Monoclonal, Humanized

Identifiers

PMID34697913
PMCPMC8752104
OpenAlexW3208101326

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.