Pharmacokinetics, Pharmacodynamics, and Safety of Intravenous Efgartigimod and Subcutaneous Efgartigimod PH20 in Healthy Chinese Participants.


Journal

Drugs in R&D
ISSN: 1179-6901
Titre abrégé: Drugs R D
Pays: New Zealand
ID NLM: 100883647

Informations de publication

Date de publication:
05 Oct 2024
Historique:
accepted: 01 09 2024
medline: 6 10 2024
pubmed: 6 10 2024
entrez: 5 10 2024
Statut: aheadofprint

Résumé

Efgartigimod, a human immunoglobulin G (IgG)1-derived Fc fragment targeting the neonatal Fc receptor, has been developed into intravenous (IV) and subcutaneous (SC) formulations for treating generalized myasthenia gravis (gMG) and other autoimmune diseases. Data in the Chinese population were not available to date, and while both formulations have been approved in the USA, the EU, Japan and China for the treatment of gMG. We present the pharmacokinetic, pharmacodynamic, and safety of IV and SC PH20 efgartigimod in healthy Chinese participants. In two independent, double-blinded, placebo-controlled, phase I studies of the IV and SC formulations of efgartigimod, healthy Chinese adults were randomized 3:1 to receive active treatment or matching placebo once every 7 days for four doses. Primary endpoints were pharmacokinetic parameters. After the fourth IV infusion, a mean maximum observed concentration (C The efgartigimod IV and SC pharmacokinetic, pharmacodynamic, and safety profiles in Chinese participants were similar to the known profiles in non-Chinese participants. Both formulations effectively reduced total IgG levels by a similar percentage. CTR20211952 and CTR20211805.

Sections du résumé

BACKGROUND BACKGROUND
Efgartigimod, a human immunoglobulin G (IgG)1-derived Fc fragment targeting the neonatal Fc receptor, has been developed into intravenous (IV) and subcutaneous (SC) formulations for treating generalized myasthenia gravis (gMG) and other autoimmune diseases. Data in the Chinese population were not available to date, and while both formulations have been approved in the USA, the EU, Japan and China for the treatment of gMG.
OBJECTIVE OBJECTIVE
We present the pharmacokinetic, pharmacodynamic, and safety of IV and SC PH20 efgartigimod in healthy Chinese participants.
METHODS METHODS
In two independent, double-blinded, placebo-controlled, phase I studies of the IV and SC formulations of efgartigimod, healthy Chinese adults were randomized 3:1 to receive active treatment or matching placebo once every 7 days for four doses. Primary endpoints were pharmacokinetic parameters.
RESULTS RESULTS
After the fourth IV infusion, a mean maximum observed concentration (C
CONCLUSIONS CONCLUSIONS
The efgartigimod IV and SC pharmacokinetic, pharmacodynamic, and safety profiles in Chinese participants were similar to the known profiles in non-Chinese participants. Both formulations effectively reduced total IgG levels by a similar percentage.
CLINICAL TRIAL REGISTRATION BACKGROUND
CTR20211952 and CTR20211805.

Identifiants

pubmed: 39368043
doi: 10.1007/s40268-024-00490-6
pii: 10.1007/s40268-024-00490-6
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s).

Références

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Auteurs

Shan Jing (S)

Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

Yu Zhang (Y)

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Yang Lin (Y)

Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

Xiaowen Gu (X)

Zai Lab (Shanghai) Co., Ltd, Shanghai, China.

Jing Liu (J)

Zai Lab (Shanghai) Co., Ltd, Shanghai, China.

Antonio Guglietta (A)

argenx, Ghent, Belgium.

Jan Noukens (J)

Curare Consulting B.V., Liempde, the Netherlands.

Tonke Van Bragt (T)

Curare Consulting B.V., Liempde, the Netherlands.

Lina Wang (L)

Zai Lab (Shanghai) Co., Ltd, Shanghai, China.

Jiajia Chen (J)

Zai Lab (Shanghai) Co., Ltd, Shanghai, China.

Harald Reinhart (H)

Zai Lab (US) LLC, Cambridge, MA, USA.

Xia Pu (X)

Zai Lab (US) LLC, Cambridge, MA, USA. xia.pu@zailaboratory.com.

Classifications MeSH