Evidence map›Paper›PMID 38794321›Full record

ArticlePharmaceutics2024

A Minimal PBPK/PD Model with Expansion-Enhanced Target-Mediated Drug Disposition to Support a First-in-Human Clinical Study Design for a FLT3L-Fc Molecule.

Iraj Hosseini, Brett Fleisher, Jennifer Getz, Jérémie Decalf, Mandy Kwong, Meric Ovacik, Travis W Bainbridge, Christine Moussion, Gautham K Rao, Kapil Gadkar and 2 more

Abstract read
In one paragraph

Article in Pharmaceutics, 2024. 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
–field-weighted citation impact
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.

  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

12 authors.

Iraj HosseiniGenentech, Inc., South San Francisco, CA 94080, USA.ORCID 0000-0001-6838-773X
Brett FleisherGenentech, Inc., South San Francisco, CA 94080, USA.
Jennifer GetzGenentech, Inc., South San Francisco, CA 94080, USA.ORCID 0000-0003-1777-8401
Jérémie DecalfGenentech, Inc., South San Francisco, CA 94080, USA.ORCID 0000-0002-1113-6128
Mandy KwongGenentech, Inc., South San Francisco, CA 94080, USA.
Meric OvacikGenentech, Inc., South San Francisco, CA 94080, USA.
Travis W BainbridgeGenentech, Inc., South San Francisco, CA 94080, USA.ORCID 0000-0002-7771-7574
Christine MoussionGenentech, Inc., South San Francisco, CA 94080, USA.
Gautham K RaoGenentech, Inc., South San Francisco, CA 94080, USA.ORCID 0009-0004-8867-4137
Kapil GadkarGenentech, Inc., South San Francisco, CA 94080, USA.
Amrita V KamathGenentech, Inc., South San Francisco, CA 94080, USA.
Saroja RamanujanGenentech, Inc., South San Francisco, CA 94080, USA.ORCID 0000-0002-0909-9786

Funding

Genentech NA
6 · The paper itself

Abstract

FLT3L-Fc is a half-life extended, effectorless Fc-fusion of the native human FLT3-ligand. In cynomolgus monkeys, treatment with FLT3L-Fc leads to a complex pharmacokinetic/pharmacodynamic (PK/PD) relationship, with observed nonlinear PK and expansion of different immune cell types across different dose levels. A minimal physiologically based PK/PD model with expansion-enhanced target-mediated drug disposition (TMDD) was developed to integrate the molecule's mechanism of action, as well as the complex preclinical and clinical PK/PD data, to support the preclinical-to-clinical translation of FLT3L-Fc. In addition to the preclinical PK data of FLT3L-Fc in cynomolgus monkeys, clinical PK and PD data from other FLT3-agonist molecules (GS-3583 and CDX-301) were used to inform the model and project the expansion profiles of conventional DC1s (cDC1s) and total DCs in peripheral blood. This work constitutes an essential part of our model-informed drug development (MIDD) strategy for clinical development of FLT3L-Fc by projecting PK/PD in healthy volunteers, determining the first-in-human (FIH) dose, and informing the efficacious dose in clinical settings. Model-generated results were incorporated in regulatory filings to support the rationale for the FIH dose selection.

Indexed as

expansion-enhanced target-mediated drug disposition (TMDD)first-in-human (FIH) doseFLT3Lmodel-informed drug development (MIDD)

Identifiers

PMID38794321
PMCPMC11125320

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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.