Pharmacokinetics and Pharmacodynamics of Bimagrumab (BYM338).


Journal

Clinical pharmacokinetics
ISSN: 1179-1926
Titre abrégé: Clin Pharmacokinet
Pays: Switzerland
ID NLM: 7606849

Informations de publication

Date de publication:
01 2023
Historique:
accepted: 01 11 2022
pubmed: 18 12 2022
medline: 8 2 2023
entrez: 17 12 2022
Statut: ppublish

Résumé

Bimagrumab is a human monoclonal antibody binding to the activin type II receptor with therapeutic potential in conditions of muscle wasting and obesity. This phase I study evaluated the pharmacokinetics (PK), pharmacodynamics (PD), and safety of various dose regimens of bimagrumab and routes of administration in healthy older adults. This was a randomized, double-blind, placebo-controlled, parallel-arm, multiple-dose study in older adult men and women (aged ≥ 70 years, body mass index [BMI] 18-34 kg/m Eighty-four of 91 (92.3%) randomized participants (mean age 74.5 years; BMI 28.0 kg/m Dose levels of bimagrumab administered weekly subcutaneously resulted in PK profiles and PD effects comparable with monthly intravenous dosing, which supports the feasibility of the subcutaneous route of administration for bimagrumab for future clinical development.

Sections du résumé

BACKGROUND
Bimagrumab is a human monoclonal antibody binding to the activin type II receptor with therapeutic potential in conditions of muscle wasting and obesity. This phase I study evaluated the pharmacokinetics (PK), pharmacodynamics (PD), and safety of various dose regimens of bimagrumab and routes of administration in healthy older adults.
METHODS
This was a randomized, double-blind, placebo-controlled, parallel-arm, multiple-dose study in older adult men and women (aged ≥ 70 years, body mass index [BMI] 18-34 kg/m
RESULTS
Eighty-four of 91 (92.3%) randomized participants (mean age 74.5 years; BMI 28.0 kg/m
CONCLUSIONS
Dose levels of bimagrumab administered weekly subcutaneously resulted in PK profiles and PD effects comparable with monthly intravenous dosing, which supports the feasibility of the subcutaneous route of administration for bimagrumab for future clinical development.

Identifiants

pubmed: 36527600
doi: 10.1007/s40262-022-01189-0
pii: 10.1007/s40262-022-01189-0
doi:

Substances chimiques

bimagrumab N15SW1DIV8
Antibodies, Monoclonal, Humanized 0
Antibodies, Monoclonal 0

Types de publication

Randomized Controlled Trial Clinical Trial, Phase I Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

141-155

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.

Références

Lee SJ, Reed LA, Davies MV, Girgenrath S, Goad ME, Tomkinson KN, et al. Regulation of muscle growth by multiple ligands signaling through activin type II receptors. Proc Natl Acad Sci USA. 2005;102(50):18117–22.
doi: 10.1073/pnas.0505996102
Trendelenburg AU, Meyer A, Rohner D, Boyle J, Hatakeyama S, Glass DJ. Myostatin reduces Akt/TORC1/p70S6K signaling, inhibiting myoblast differentiation and myotube size. Am J Physiol Cell Physiol. 2009;296(6):C1258–70.
doi: 10.1152/ajpcell.00105.2009
Lach-Trifilieff E, Minetti GC, Sheppard K, Ibebunjo C, Feige JN, Hartmann S, et al. An antibody blocking activin type II receptors induces strong skeletal muscle hypertrophy and protects from atrophy. Mol Cell Biol. 2014;34(4):606–18.
doi: 10.1128/MCB.01307-13
Morvan F, Rondeau JM, Zou C, Minetti G, Scheufler C, Scharenberg M, et al. Blockade of activin type II receptors with a dual anti-ActRIIA/IIB antibody is critical to promote maximal skeletal muscle hypertrophy. Proc Natl Acad Sci USA. 2017;114(47):12448–53.
doi: 10.1073/pnas.1707925114
Rooks D, Praestgaard J, Hariry S, Laurent D, Petricoul O, Perry RG, et al. Treatment of sarcopenia with bimagrumab: results from a phase II, randomized, controlled, proof-of-concept study. J Am Geriatr Soc. 2017;65(9):1988–95.
doi: 10.1111/jgs.14927
Rooks D, Swan T, Goswami B, Filosa LA, Bunte O, Panchaud N, et al. Bimagrumab vs optimized standard of care for treatment of sarcopenia in community-dwelling older adults: a randomized clinical trial. JAMA Netw Open. 2020;3(10): e2020836.
doi: 10.1001/jamanetworkopen.2020.20836
Polkey MI, Praestgaard J, Berwick A, Franssen FME, Singh D, Steiner MC, et al. Activin type II receptor blockade for treatment of muscle depletion in chronic obstructive pulmonary disease. A randomized trial. Am J Respir Crit Care Med. 2019;199(3):313–20.
doi: 10.1164/rccm.201802-0286OC
Amato AA, Sivakumar K, Goyal N, David WS, Salajegheh M, Praestgaard J, et al. Treatment of sporadic inclusion body myositis with bimagrumab. Neurology. 2014;83(24):2239–46.
doi: 10.1212/WNL.0000000000001070
Hanna MG, Badrising UA, Benveniste O, Lloyd TE, Needham M, Chinoy H, et al. Safety and efficacy of intravenous bimagrumab in inclusion body myositis (RESILIENT): a randomised, double-blind, placebo-controlled phase 2b trial. Lancet Neurol. 2019;18(9):834–44.
doi: 10.1016/S1474-4422(19)30200-5
Garito T, Roubenoff R, Hompesch M, Morrow L, Gomez K, Rooks D, et al. Bimagrumab improves body composition and insulin sensitivity in insulin-resistant individuals. Diabetes Obes Metab. 2018;20(1):94–102.
doi: 10.1111/dom.13042
Heymsfield SB, Coleman LA, Miller R, Rooks DS, Laurent D, Petricoul O, et al. Effect of bimagrumab vs placebo on body fat mass among adults with type 2 diabetes and obesity: a phase 2 randomized clinical trial. JAMA Netw Open. 2021;4(1): e2033457.
doi: 10.1001/jamanetworkopen.2020.33457
Garito T, Zakaria M, Papanicolaou DA, Li Y, Pinot P, Petricoul O, et al. Effects of bimagrumab, an activin receptor type II inhibitor, on pituitary neurohormonal axes. Clin Endocrinol (Oxf). 2018;88(6):908–19.
doi: 10.1111/cen.13601
Rooks D, Petricoul O, Praestgaard J, Bartlett M, Laurent D, Roubenoff R. Safety and pharmacokinetics of bimagrumab in healthy older and obese adults with body composition changes in the older cohort. J Cachexia Sarcopenia Muscle. 2020;11(6):1525–34.
doi: 10.1002/jcsm.12639
Rooks DS, Laurent D, Praestgaard J, Rasmussen S, Bartlett M, Tanko LB. Effect of bimagrumab on thigh muscle volume and composition in men with casting-induced atrophy. J Cachexia Sarcopenia Muscle. 2017;8(5):727–34.
doi: 10.1002/jcsm.12205
Ellis J, Marks DJB, Srinivasan N, Barrett C, Hopkins TG, Richards A, et al. Depletion of LAG-3(+) T cells translated to pharmacology and improvement in psoriasis disease activity: a phase I randomized study of mAb GSK2831781. Clin Pharmacol Ther. 2021;109(5):1293–303.
doi: 10.1002/cpt.2091
Gabrielsson J, Weiner D. Non-compartmental analysis. Methods Mol Biol. 2012;929:377–89.
doi: 10.1007/978-1-62703-050-2_16
Gabrielsson J, Weiner D. Pharmacokinetics and pharmacodynamic data analysis: concepts and applications. Stockholm: Apotekarsocieteten; 2006.
Dubois A, Gsteiger S, Balser S, Pigeolet E, Steimer JL, Pillai G, et al. Pharmacokinetic similarity of biologics: analysis using nonlinear mixed-effects modeling. Clin Pharmacol Ther. 2012;91(2):234–42.
doi: 10.1038/clpt.2011.216
Mager DE, Jusko WJ. General pharmacokinetic model for drugs exhibiting target-mediated drug disposition. J Pharmacokinet Pharmacodyn. 2001;28(6):507–32.
doi: 10.1023/A:1014414520282
Wang W, Wang EQ, Balthasar JP. Monoclonal antibody pharmacokinetics and pharmacodynamics. Clin Pharmacol Ther. 2008;84(5):548–58.
doi: 10.1038/clpt.2008.170
Dubois A, Gsteiger S, Pigeolet E, Mentre F. Bioequivalence tests based on individual estimates using non-compartmental or model-based analyses: evaluation of estimates of sample means and type I error for different designs. Pharm Res. 2010;27(1):92–104.
doi: 10.1007/s11095-009-9980-5
Albanese CV, Diessel E, Genant HK. Clinical applications of body composition measurements using DXA. J Clin Densitom. 2003;6(2):75–85.
doi: 10.1385/JCD:6:2:75
Gibiansky L, Gibiansky E, Kakkar T, Ma P. Approximations of the target-mediated drug disposition model and identifiability of model parameters. J Pharmacokinet Pharmacodyn. 2008;35(5):573–91.
doi: 10.1007/s10928-008-9102-8

Auteurs

Olivier Petricoul (O)

Translational Medicine, Novartis Institutes for BioMedical Research, WSJ-386/10/48.50, 4002, Basel, Switzerland. olivier.petricoul@novartis.com.

Arman Nazarian (A)

Translational Medicine, Novartis Institutes for BioMedical Research, WSJ-386/10/48.50, 4002, Basel, Switzerland.

Uwe Schuehly (U)

Novartis Pharma AG, Basel, Switzerland.

Ursula Schramm (U)

Translational Medicine, Novartis Institutes for BioMedical Research, WSJ-386/10/48.50, 4002, Basel, Switzerland.

Olivier J David (OJ)

Novartis Pharma AG, Basel, Switzerland.

Didier Laurent (D)

Translational Medicine, Novartis Institutes for BioMedical Research, WSJ-386/10/48.50, 4002, Basel, Switzerland.

Jens Praestgaard (J)

Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA.

Ronenn Roubenoff (R)

Translational Medicine, Novartis Institutes for BioMedical Research, WSJ-386/10/48.50, 4002, Basel, Switzerland.

Dimitris A Papanicolaou (DA)

Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA.

Daniel Rooks (D)

Translational Medicine, Novartis Institutes for BioMedical Research, Cambridge, MA, USA.

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Classifications MeSH