Evidence map›Paper›PMID 42682178›Full record

ArticleClinical and translational science2026

Physiologically Based Pharmacokinetic Modeling to Predict Human Starting Dose and Pharmacokinetics for Rocbrutinib.

Lu Wang, Dandan Yang, Rong Shao, Jinliang Chen, Xiaodan Wang, Zheng Wang, Bo Jiang

Abstract read
In one paragraph

Article in Clinical and translational science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Lu WangCenter of Clinical Pharmacology, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID https://orcid.org/0000-0001-8858-4896
Dandan YangCenter of Clinical Pharmacology, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID https://orcid.org/0009-0007-7168-0364
Rong ShaoCenter of Clinical Pharmacology, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID https://orcid.org/0000-0002-9854-4545
Jinliang ChenCenter of Clinical Pharmacology, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID https://orcid.org/0000-0002-7981-0510
Xiaodan WangCenter of Clinical Pharmacology, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Zheng WangLupeng Pharmaceutical co. Ltd, GuangZhou, China.
Bo JiangCenter of Clinical Pharmacology, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID https://orcid.org/0000-0003-2406-0959

Funding

National Major Science and Technology Projects of China 2020ZX09201022
6 · The paper itself

Abstract

Rocbrutinib is a fourth-generation Bruton's tyrosine kinase (BTK) inhibitor that covalently binds wild-type BTK and non-covalently engages the C481S mutant. Its pharmacokinetic (PK) characteristics in healthy Chinese subjects remain unclear. This study aimed to support maximum recommended starting dose (MRSD) selection and predict exposure of rocbrutinib in healthy Chinese subjects via an integrated model-informed strategy. We determined key extrapolation parameters and preclinical PK in CD-1 mice and beagle dogs. Three approaches were employed to determine the MRSD: The no observed adverse effect level (NOAEL) dose method based on body surface area, the NOAEL exposure method based on a physiologically based pharmacokinetic (PBPK) model, and the minimum effective dose method based on a PBPK model. The PBPK model was developed and validated using preclinical and clinical PK data. Predicted MRSD values by the NOAEL dose method, the NOAEL exposure method, and the minimum effective dose method were 48.7, 9.8, and 10.5 mg, respectively. Considering the lowest predicted value and available tablet strength, a starting dose of 12.5 mg was selected. Predicted plasma concentration-time profiles were consistent with those observed in animals and humans. The fold error for C

Indexed as

Models, BiologicalProtein Kinase InhibitorsPyrazolesPyrimidinesAdultAgammaglobulinaemia Tyrosine KinaseAnimalsDogsDose-Response Relationship, DrugFemaleHealthy VolunteersHumansMaleMiceYoung AdultAgammaglobulinaemia Tyrosine KinaseBTK protein, humanProtein Kinase InhibitorsPyrazolesPyrimidinesdose selectionhuman PK simulationPBPK modelrocbrutinib

Identifiers

PMID42682178
PMCPMC13535669

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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.