PMID- 22918857 OWN - NLM STAT- MEDLINE DCOM- 20121113 LR - 20151119 IS - 0004-4172 (Print) IS - 0004-4172 (Linking) VI - 62 IP - 9 DP - 2012 Sep TI - Development of a subcutaneous formulation for trastuzumab - nonclinical and clinical bridging approach to the approved intravenous dosing regimen. PG - 401-9 LID - 10.1055/s-0032-1321831 [doi] AB - A subcutaneous (SC) formulation has been developed for the humanized monoclonal antibody (mAb) trastuzumab as an alternative to established intravenous (IV) infusion. The ready-to-use liquid SC formulation is injected as a fixed dose in approximately 5 min, which is expected to increase patient's convenience, reduce pharmacy preparation time, and administration costs overall.The trastuzumab dose as well as the dose of recombinant human hyaluronidase (rHuPH20), an enzyme that enables SC administration of volumes larger than 2 mL, was selected based on nonclinical xenograft, pharmacology, and pharmacokinetics mouse and minipig studies.The basic assumption for bridging from the IV to the SC regimen was that comparable trastuzumab serum trough concentrations would result in comparable efficacy. This hypothesis is confirmed by the results from the Phase 3 study in the neo-adjuvant/adjuvant setting. The safety profiles of the trastuzumab SC and IV formulations are comparable and consistent with the known safety profile of trastuzumab. CI - (c) Georg Thieme Verlag KG Stuttgart . New York. FAU - Bittner, B AU - Bittner B AD - F. Hoffmann-La Roche Ltd., Clinical Pharmacology, Basel, Switzerland. FAU - Richter, W F AU - Richter WF FAU - Hourcade-Potelleret, F AU - Hourcade-Potelleret F FAU - McIntyre, C AU - McIntyre C FAU - Herting, F AU - Herting F FAU - Zepeda, M L AU - Zepeda ML FAU - Schmidt, J AU - Schmidt J LA - eng PT - Journal Article PT - Review DEP - 20120823 PL - Germany TA - Arzneimittelforschung JT - Arzneimittel-Forschung JID - 0372660 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antineoplastic Agents) RN - P188ANX8CK (Trastuzumab) SB - IM EIN - Arzneimittelforschung. 2013 Nov;63(11):602 MH - Animals MH - Antibodies, Monoclonal, Humanized/*administration & dosage/*chemistry/pharmacokinetics MH - Antineoplastic Agents/administration & dosage/chemistry/pharmacokinetics MH - Chemistry, Pharmaceutical/*methods MH - Clinical Trials, Phase I as Topic MH - Clinical Trials, Phase III as Topic MH - Drug Evaluation, Preclinical MH - Humans MH - Hypodermoclysis MH - Injections, Subcutaneous MH - Trastuzumab EDAT- 2012/08/25 06:00 MHDA- 2012/11/14 06:00 CRDT- 2012/08/25 06:00 PHST- 2012/08/25 06:00 [entrez] PHST- 2012/08/25 06:00 [pubmed] PHST- 2012/11/14 06:00 [medline] AID - 10.1055/s-0032-1321831 [doi] PST - ppublish SO - Arzneimittelforschung. 2012 Sep;62(9):401-9. doi: 10.1055/s-0032-1321831. Epub 2012 Aug 23.