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单克隆抗体药代动力学药效学模型研究进展

Advances in pharmacokinetic and pharmacodynamic modeling of monoclonal antibody

  • 摘要: 治疗性单克隆抗体是目前新药研发的一个热点。和小分子药物相比,单克隆抗体药物相对分子质量大,与靶点的结合具有更高的特异性和选择性。用于描述其药代动力学(PK)和药效学(PD)行为的PK模型和PK/PD模型也有了新的发展。本文从吸收、分布、消除等方面综述了单克隆抗体药物的PK特征,对当前用于该类药物PK研究的靶点介导药物处置(TMDD)模型和生理药代动力学模型(PBPK)进行了介绍,并基于药物与靶点作用的4类应用(免疫毒性治疗、靶细胞消除、改变细胞功能和靶向给药)分别介绍了单克隆抗体药物的PK/PD模型。

     

    Abstract: The successes of therapeutic monoclonal antibodies(mAbs)in clinical practice has drawn more attention to mAbs development. Compared to chemical drugs with small molecules, mAbs have larger molecular weight; besides, they show much higher selectivity and specificity. As a result, new pharmacokinetic(PK)and pharmacokinetic/pharmacodynamic(PK/PD)models have been proposed to guide mAbs development. This article summarizes the unique PK characteristics of mAbs and introduces the models used in PK investigation of mAbs, such as target-mediated drug disposition(TMDD)model and physiologically based pharmacokinetic(PBPK)model. In addition, four different categories of PK/PD models for mAbs in immuno-toxicotherapy, target-cell elimination, alteration of cellular function and drug targeting are also reviewed in the present article.

     

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