2018
DOI: 10.1111/cts.12597
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Pharmacokinetic and Pharmacodynamic Considerations in the Design of Therapeutic Antibodies

Abstract: The design and development of therapeutic monoclonal antibodies (mAbs) through optimizing their pharmacokinetic ( PK ) and pharmacodynamic ( PD ) properties is crucial to improve efficacy while minimizing adverse events. Many of these properties are interdependent, which highlights the inherent challenges in therapeutic antibody design, where improving one antibody property can sometimes lead to changes in others. Here, we discuss optimization approaches for … Show more

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Cited by 35 publications
(35 citation statements)
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References 112 publications
(237 reference statements)
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“…It is well established that antibodies with more basic pI values tend to have increased tissue uptake and faster clearance. 46,322 This phenomenon is likely related to the propensity of positively charged residues to interact with negatively charged cell membranes. Reducing the pI of an antibody, for example, by engineering the variable domains, allows for improvement of several PK parameters.…”
Section: Charge and Isoelectric Pointmentioning
confidence: 99%
See 1 more Smart Citation
“…It is well established that antibodies with more basic pI values tend to have increased tissue uptake and faster clearance. 46,322 This phenomenon is likely related to the propensity of positively charged residues to interact with negatively charged cell membranes. Reducing the pI of an antibody, for example, by engineering the variable domains, allows for improvement of several PK parameters.…”
Section: Charge and Isoelectric Pointmentioning
confidence: 99%
“…Acidification is thought to decrease interactions at cell surfaces, decrease nonspecific tissue uptake, decrease clearance, and increase bioavailability. 322 On the other hand, increasing pI tends to increase clearance and volume of distribution but could possibly be used to favor penetration of the blood-brain barrier. Significant changes in PK properties have been proposed to occur only once the pI has been changed by >1 pH unit.…”
Section: Charge and Isoelectric Pointmentioning
confidence: 99%
“…FcRn-mediated recycling can be improved by engineering the Fc-FcRn binding properties, which has been shown to result in a reduced clearance and prolonged half-life in vivo. [11][12][13][14] Efficient FcRn-mediated antibody recycling relies on a delicate balance between binding at low endosomal pH and immediate release/ non-binding at serum pH. 15,16 Residual binding at serum pH may be a result of interactions between the constant or the variable antibody domains with FcRn.…”
Section: Introductionmentioning
confidence: 99%
“…In addition to the importance of charge in the development of high concentration therapeutic formulations, mAb charge may influence in vivo processes. For example, neonatal Fc receptor (FcRn)-independent clearance rates are lower for mAbs with lower pI values than those with higher pI values [16,17,18], presumably due to decreased nonspecific cell surface binding [16,17,19,20]. Furthermore, basic charge variants of mAbs display stronger binding to the FcγRIIIa receptor and increased antibody-dependent cellular cytotoxicity response compared to more acidic charge variants [21,22].…”
Section: Introductionmentioning
confidence: 99%