Using Real-World Data to Guide Ustekinumab Dosing Strategies for Psoriasis: A Prospective Pharmacokinetic-Pharmacodynamic Study.


Journal

Clinical and translational science
ISSN: 1752-8062
Titre abrégé: Clin Transl Sci
Pays: United States
ID NLM: 101474067

Informations de publication

Date de publication:
03 2020
Historique:
received: 13 09 2019
accepted: 14 10 2019
pubmed: 30 1 2020
medline: 16 6 2021
entrez: 30 1 2020
Statut: ppublish

Résumé

Variation in response to biologic therapy for inflammatory diseases, such as psoriasis, is partly driven by variation in drug exposure. Real-world psoriasis data were used to develop a pharmacokinetic/pharmacodynamic (PK/PD) model for the first-line therapeutic antibody ustekinumab. The impact of differing dosing strategies on response was explored. Data were collected from a UK prospective multicenter observational cohort (491 patients on ustekinumab monotherapy, drug levels, and anti-drug antibody measurements on 797 serum samples, 1,590 measurements of Psoriasis Area Severity Index (PASI)). Ustekinumab PKs were described with a linear one-compartment model. A maximum effect (E

Identifiants

pubmed: 31995663
doi: 10.1111/cts.12725
pmc: PMC7070790
doi:

Substances chimiques

Dermatologic Agents 0
Ustekinumab FU77B4U5Z0

Types de publication

Journal Article Multicenter Study Observational Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

400-409

Subventions

Organisme : Medical Research Council
ID : MR/S003126/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_PC_14119
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_PC_15059
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/T02383X/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/M008665/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/R001839/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/L011808/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/N005872/1
Pays : United Kingdom

Investigateurs

Marilyn Benham (M)
Ian Evans (I)
Sagair Hussain (S)
Brian Kirby (B)
Linda Lawson (L)
Kayleigh Mason (K)
Kathleen McElhone (K)
Anthony Ormerod (A)
Caroline Owen (C)
Michael R Barnes (MR)
Paola Di Meglio (P)
Richard Emsley (R)
Andrea Evans (A)
Katherine Payne (K)

Informations de copyright

© 2019 The Authors. Clinical and Translational Science published by Wiley Periodicals, Inc. on behalf of the American Society for Clinical Pharmacology and Therapeutics.

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Auteurs

Shan Pan (S)

St. John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, UK.

Teresa Tsakok (T)

St. John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
St. John's Institute of Dermatology, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.

Nick Dand (N)

Department of Medical & Molecular Genetics, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.

Dagan O Lonsdale (DO)

Institute of Infection and Immunity, St. George's, University of London, London, UK.

Floris C Loeff (FC)

Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Amsterdam, The Netherlands.

Karien Bloem (K)

Biologics Lab, Sanquin Diagnostic Services, Amsterdam, The Netherlands.

Annick de Vries (A)

Biologics Lab, Sanquin Diagnostic Services, Amsterdam, The Netherlands.

David Baudry (D)

St. John's Institute of Dermatology, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.

Michael Duckworth (M)

St. John's Institute of Dermatology, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.

Satveer Mahil (S)

St. John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
St. John's Institute of Dermatology, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.

Angela Pushpa-Rajah (A)

St. John's Institute of Dermatology, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.

Alice Russell (A)

St. John's Institute of Dermatology, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.

Ali Alsharqi (A)

Dermatology Department, Royal Liverpool and Broadgreen University Hospital Trust, Liverpool, UK.

Gabrielle Becher (G)

West Glasgow Ambulatory Care Hospital, Glasgow, UK.

Ruth Murphy (R)

Department of Dermatology, Queens Medical Centre, Nottingham University Teaching Hospitals, Nottingham, UK.

Shyamal Wahie (S)

Dermatology Department, University Hospital of North Durham, Durham, UK.

Andrew Wright (A)

Centre for Skin Sciences, University of Bradford, Bradford, UK.

Christopher E M Griffiths (CEM)

Dermatology Centre, Salford Royal National Health Service Foundation Trust, Manchester, UK.
The University of Manchester, Manchester Academic Health Science Centre, National Institute for Health Research Manchester Biomedical Research Centre, Manchester, UK.

Nick J Reynolds (NJ)

Dermatological Sciences, Institute of Cellular Medicine, Medical School, Newcastle University, Newcastle upon Tyne, UK.
Department of Dermatology, Royal Victoria Infirmary, Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.

Jonathan Barker (J)

St. John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
St. John's Institute of Dermatology, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.

Richard B Warren (RB)

Dermatology Centre, Salford Royal National Health Service Foundation Trust, Manchester, UK.

A David Burden (A)

Institute of Infection, Immunity and Inflammation, University of Glasgow, Glasgow, UK.

Theo Rispens (T)

Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Amsterdam, The Netherlands.

Joseph F Standing (JF)

Infection, Immunity, Inflammation Section, UCL Great Ormond Street Institute of Child Health, London, UK.

Catherine H Smith (CH)

St. John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
St. John's Institute of Dermatology, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.

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Classifications MeSH