Prediction of Clearance of Monoclonal and Polyclonal Antibodies and Non-Antibody Proteins in Children: Application of Allometric Scaling

Allometric scaling can be used for the extrapolation of pharmacokinetic parameters from adults to children. The objective of this study was to predict clearance of therapeutic proteins (monoclonal and polyclonal antibodies and non-antibody proteins) allometrically in preterm neonates to adolescents....

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Main Author: Iftekhar Mahmood
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:Antibodies
Subjects:
Online Access:https://www.mdpi.com/2073-4468/9/3/40
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author Iftekhar Mahmood
author_facet Iftekhar Mahmood
author_sort Iftekhar Mahmood
collection DOAJ
description Allometric scaling can be used for the extrapolation of pharmacokinetic parameters from adults to children. The objective of this study was to predict clearance of therapeutic proteins (monoclonal and polyclonal antibodies and non-antibody proteins) allometrically in preterm neonates to adolescents. There were 13 monoclonal antibodies, seven polyclonal antibodies, and nine therapeutic proteins (non-antibodies) in the study. The clearance of therapeutic proteins was predicted using the age dependent exponents (ADE) model and then compared with the observed clearance values. There were in total 29 therapeutic proteins in this study with 75 observations. The number of observations with ≤30%, ≤50%, and >50% prediction error was 60 (80%), 72 (96%), and 3 (4%), respectively. Overall, the predicted clearance values of therapeutic proteins in children was good. The allometric method proposed in this manuscript can be used to select first-in-pediatric dose of therapeutic proteins in pediatric clinical trials.
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spelling doaj.art-9f96fe9db3e840ec85cd5e3bf904d7292023-11-20T09:10:55ZengMDPI AGAntibodies2073-44682020-08-01934010.3390/antib9030040Prediction of Clearance of Monoclonal and Polyclonal Antibodies and Non-Antibody Proteins in Children: Application of Allometric ScalingIftekhar Mahmood0Mahmood Clinical Pharmacology, Consultancy, LLC, 1709, Piccard Dr, Rockville, MD 20850, USAAllometric scaling can be used for the extrapolation of pharmacokinetic parameters from adults to children. The objective of this study was to predict clearance of therapeutic proteins (monoclonal and polyclonal antibodies and non-antibody proteins) allometrically in preterm neonates to adolescents. There were 13 monoclonal antibodies, seven polyclonal antibodies, and nine therapeutic proteins (non-antibodies) in the study. The clearance of therapeutic proteins was predicted using the age dependent exponents (ADE) model and then compared with the observed clearance values. There were in total 29 therapeutic proteins in this study with 75 observations. The number of observations with ≤30%, ≤50%, and >50% prediction error was 60 (80%), 72 (96%), and 3 (4%), respectively. Overall, the predicted clearance values of therapeutic proteins in children was good. The allometric method proposed in this manuscript can be used to select first-in-pediatric dose of therapeutic proteins in pediatric clinical trials.https://www.mdpi.com/2073-4468/9/3/40allometrychildrenclearancetherapeutic proteinsmonoclonal antibodiespolyclonal antibodies
spellingShingle Iftekhar Mahmood
Prediction of Clearance of Monoclonal and Polyclonal Antibodies and Non-Antibody Proteins in Children: Application of Allometric Scaling
Antibodies
allometry
children
clearance
therapeutic proteins
monoclonal antibodies
polyclonal antibodies
title Prediction of Clearance of Monoclonal and Polyclonal Antibodies and Non-Antibody Proteins in Children: Application of Allometric Scaling
title_full Prediction of Clearance of Monoclonal and Polyclonal Antibodies and Non-Antibody Proteins in Children: Application of Allometric Scaling
title_fullStr Prediction of Clearance of Monoclonal and Polyclonal Antibodies and Non-Antibody Proteins in Children: Application of Allometric Scaling
title_full_unstemmed Prediction of Clearance of Monoclonal and Polyclonal Antibodies and Non-Antibody Proteins in Children: Application of Allometric Scaling
title_short Prediction of Clearance of Monoclonal and Polyclonal Antibodies and Non-Antibody Proteins in Children: Application of Allometric Scaling
title_sort prediction of clearance of monoclonal and polyclonal antibodies and non antibody proteins in children application of allometric scaling
topic allometry
children
clearance
therapeutic proteins
monoclonal antibodies
polyclonal antibodies
url https://www.mdpi.com/2073-4468/9/3/40
work_keys_str_mv AT iftekharmahmood predictionofclearanceofmonoclonalandpolyclonalantibodiesandnonantibodyproteinsinchildrenapplicationofallometricscaling