Pharmacokinetic/pharmacodynamic modeling of pegfilgrastim in healthy subjects.

Abstract:

:This analysis was conducted to characterize the pharmacokinetics and pharmacodynamics of pegfilgrastim and to develop a pharmacokinetic-pharmacodynamic model to describe the granulopoietic effects of pegfilgrastim and the homeostatic regulation of pegfilgrastim clearance in healthy subjects. Pegfilgrastim serum concentration data and differential white cell counts were obtained from an open-label, single-dose, dose escalation study. Healthy subjects (8 subjects/dose group) received a single subcutaneous dose of 30, 60, 100, or 300 microg/kg pegfilgrastim. Pegfilgrastim exhibited nonlinear pharmacokinetics; clearance decreased with increasing dose. A dose-dependent increase in absolute neutrophil count with an increase in the percentage of band cells was observed. A pharmacokinetic-pharmacodynamic model was developed that adequately described the nonlinear pharmacokinetics of pegfilgrastim, feedback regulation of pegfilgrastim clearance by neutrophils, and the differential effects of pegfilgrastim on neutrophil populations in blood.

journal_name

J Clin Pharmacol

authors

Roskos LK,Lum P,Lockbaum P,Schwab G,Yang BB

doi

10.1177/0091270006288731

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

747-57

issue

7

eissn

0091-2700

issn

1552-4604

pii

46/7/747

journal_volume

46

pub_type

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