Therapeutic Drug Monitoring of Monoclonal Antibodies in Inflammatory and Malignant Disease: Translating TNF-α Experience to Oncology

被引:67
|
作者
Munnink, T. H. Oude [1 ]
Henstra, M. J.
Segerink, L. I. [2 ,3 ]
Movig, K. L. L. [1 ]
Brummelhuis-Visser, P.
机构
[1] Med Spectrum Twente, Dept Clin Pharm, Enschede, Netherlands
[2] Univ Twente, MESA Inst Nanotechnol, BIOS Lab Chip Grp, POB 217, ZL-7500 AE Enschede, Netherlands
[3] Univ Twente, MIRA Inst Biomed Engn & Tech Med, POB 217, NL-7500 AE Enschede, Netherlands
关键词
CHRONIC LYMPHOCYTIC-LEUKEMIA; METASTATIC BREAST-CANCER; PROGRESSION-FREE SURVIVAL; INFLIXIMAB TROUGH LEVELS; B-CELL LYMPHOMA; RHEUMATOID-ARTHRITIS; BOWEL-DISEASE; POPULATION PHARMACOKINETICS; CROHNS-DISEASE; COLORECTAL-CANCER;
D O I
10.1002/cpt.211
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Lack of response to monoclonal antibodies (mAbs) has been associated with inadequate mAb serum concentrations. Therapeutic drug monitoring (TDM) of mAbs has the potential to guide to more effective dosing in individual patients. This review discusses the mechanisms responsible for interpatient variability of mAb pharmacokinetics, summarizes exposure-response data of mAbs used in inflammatory and malignant disease, presents current evidence of mAb-TDM in inflammatory disease, and provides hurdles and required future steps for further implementing mAb-TDM.
引用
收藏
页码:419 / 431
页数:13
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