First-in-human study to assess guselkumab (anti-IL-23 mAb) pharmacokinetics/safety in healthy subjects and patients with moderate-to-severe psoriasis.

Purpose: The purpose of this study is to evaluate the pharmacokinetics, immunogenicity, safety, and tolerability of guselkumab, a human monoclonal antibody with high affinity and specificity for binding to interleukin-23. Methods: In this first-in-human, phase 1, randomized study, a single intraveno...

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Publicado en:European Journal of Clinical Pharmacology Vol. 72; no. 11; pp. 1303 - 1311
Autores principales: Zhuang, Yanli, Calderon, Cesar, Marciniak, Stanley, Bouman-Thio, Esther, Szapary, Philippe, Yang, Tong-Yuan, Schantz, Allen, Davis, Hugh, Zhou, Honghui, Xu, Zhenhua
Formato: clinical trial research tables/charts Journal Article
Publicado: Springer Nature Nov2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2016
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00228-016-2110-5
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        atl: First-in-human study to assess guselkumab (anti-IL-23 mAb) pharmacokinetics/safety in healthy subjects and patients with moderate-to-severe psoriasis.
      aug:
        au:
          Zhuang, Yanli
          Calderon, Cesar
          Marciniak, Stanley
          Bouman-Thio, Esther
          Szapary, Philippe
          Yang, Tong-Yuan
          Schantz, Allen
          Davis, Hugh
          Zhou, Honghui
          Xu, Zhenhua
        affil: Biologics Clinical Pharmacology , Janssen Research & Development, LLC , 1400 McKean Road Spring House 19477 USA
      sug:
        subj:
          Antibodies, Monoclonal Metabolism
          Psoriasis Drug Therapy
          Human
          Male
          Female
          Clinical Trials
          Interleukins
          Administration, Intravenous
          Injections, Subcutaneous
          Antibodies, Monoclonal Administration and Dosage
          Antibodies, Monoclonal Therapeutic Use
          Metabolic Clearance Rate
          Male
          Female
      ab: Purpose: The purpose of this study is to evaluate the pharmacokinetics, immunogenicity, safety, and tolerability of guselkumab, a human monoclonal antibody with high affinity and specificity for binding to interleukin-23. Methods: In this first-in-human, phase 1, randomized study, a single intravenous (IV; 0.03-10 mg/kg) or subcutaneous (SC; 10-300 mg) dose of guselkumab was administered to 47 healthy subjects, and a single SC dose (placebo, 10, 30, 100, 300 mg) was administered to 24 patients with moderate-to-severe psoriasis. Results: Mean maximum observed serum concentration and area under the zero-to-infinity serum concentration-time curve of guselkumab increased in an approximately dose-proportional manner over the dose range of 0.03-10 mg/kg following a single IV administration or 10-300 mg following a single SC administration. Mean clearance and volume of distribution ranged from 3.62-6.03 mL/day/kg and 99.38-123.22 mL/kg, respectively. Mean half-life ranged from 12 to 19 days in healthy subjects and patients with psoriasis. Among guselkumab-treated subjects/patients, 1/30 (3.3 %) healthy subjects in the IV group, 0/6 healthy subjects in the SC group, and 1/20 (5.0 %) patients with psoriasis tested positive for antibodies to guselkumab. No clinically significant adverse events were identified in this study. Conclusion: Guselkumab pharmacokinetic profiles were generally comparable between healthy subjects and patients with psoriasis. Guselkumab, administered as an IV infusion or SC injection, was well tolerated in healthy subjects and patients with psoriasis.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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