PMID- 26648084 OWN - NLM STAT- MEDLINE DCOM- 20170117 LR - 20210109 IS - 1365-2125 (Electronic) IS - 0306-5251 (Print) IS - 0306-5251 (Linking) VI - 81 IP - 5 DP - 2016 May TI - Pharmacokinetics and safety of single doses of tabalumab in subjects with rheumatoid arthritis or systemic lupus erythematosus. PG - 908-17 LID - 10.1111/bcp.12860 [doi] AB - AIMS: Two phase 1 studies evaluated the pharmacokinetics (PK), safety and biological activity of tabalumab, a human monoclonal antibody against B-cell activating factor (BAFF), administered intravenously (i.v.) or subcutaneously (s.c.) in subjects with rheumatoid arthritis (RA) or systemic lupus erythematosus (SLE). METHODS: In study A, subjects with RA (n = 23) or SLE (n = 6) received a single i.v. dose of tabalumab (RA 0.01, 0.04, 0.125, 0.5, 2.0, and 8.0 mg kg(-1) and SLE 0.125 or 2.0 mg kg(-1) ) or placebo. In study B, subjects with RA received a single tabalumab dose i.v. (10 mg) (n = 12) or s.c. (20 mg) (n = 12). Serum tabalumab and CD20+ B cells were evaluated and safety was assessed throughout both studies. RESULTS: Tabalumab PK were non-linear across the 0.01 to 8.0 mg kg(-1) dose range. Clearance (CL) decreased from 2.9 to 0.1 l day(-1) and terminal half-life (t1/2 ) increased from about 1.6 to 25 days. Subjects with RA or SLE had similar PK. After s.c. dosing, tabalumab time to maximal concentration (tmax ) was 5.5 days. Absolute bioavailability (F) was approximately 62%. Following tabalumab dosing, CD20+ B cells transiently increased from baseline followed by a progressive decrease below baseline. CONCLUSION: A single tabalumab dose administered i.v. or s.c. was well tolerated and had non-linear CL over the dose range investigated in subjects with RA and SLE. The non-linearity likely reflects target-mediated CL due to binding to BAFF. Tabalumab showed biological activity based on changes in peripheral CD20+ lymphocyte numbers in both subjects with RA and SLE. CI - (c) 2015 The British Pharmacological Society. FAU - Witcher, Jennifer AU - Witcher J AD - Eli Lilly and Company, Indianapolis, Indiana. FAU - Fleischmann, Roy AU - Fleischmann R AD - Metroplex Clinical Research Center, Dallas, Texas. FAU - Chindalore, Vishala L AU - Chindalore VL AD - Pinnacle Research Group, Anniston, Alabama, USA. FAU - Hansen, Ryan J AU - Hansen RJ AD - Eli Lilly and Company, Indianapolis, Indiana. FAU - Hu, Leijun AU - Hu L AD - Eli Lilly and Company, Indianapolis, Indiana. FAU - Radtke, David AU - Radtke D AD - Eli Lilly and Company, Indianapolis, Indiana. FAU - Voelker, James AU - Voelker J AD - Eli Lilly and Company, Indianapolis, Indiana. FAU - Gomez, Elisa AU - Gomez E AD - Eli Lilly and Company, Indianapolis, Indiana. FAU - McColm, Juliet AU - McColm J AD - Eli Lilly and Company, Windlesham, UK. LA - eng PT - Clinical Trial, Phase I PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20160225 PL - England TA - Br J Clin Pharmacol JT - British journal of clinical pharmacology JID - 7503323 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antigens, CD20) RN - 0 (B-Cell Activating Factor) RN - 0 (TNFSF13B protein, human) RN - PQP8VH3MJW (tabalumab) SB - IM MH - Adult MH - Aged MH - Antibodies, Monoclonal/administration & dosage/adverse effects/*pharmacokinetics MH - Antibodies, Monoclonal, Humanized MH - Antigens, CD20/immunology MH - Arthritis, Rheumatoid/*drug therapy MH - B-Cell Activating Factor/*antagonists & inhibitors MH - B-Lymphocyte Subsets/drug effects/immunology MH - Female MH - Humans MH - Injections, Intravenous MH - Injections, Subcutaneous MH - Lupus Erythematosus, Systemic/*drug therapy MH - Male MH - Middle Aged PMC - PMC4834597 OTO - NOTNLM OT - B-cell activating factor OT - pharmacokinetics OT - rheumatoid arthritis OT - systemic lupus erythematosus OT - tabalumab EDAT- 2015/12/10 06:00 MHDA- 2017/01/18 06:00 PMCR- 2017/05/01 CRDT- 2015/12/10 06:00 PHST- 2015/04/30 00:00 [received] PHST- 2015/11/24 00:00 [revised] PHST- 2015/12/06 00:00 [accepted] PHST- 2015/12/10 06:00 [entrez] PHST- 2015/12/10 06:00 [pubmed] PHST- 2017/01/18 06:00 [medline] PHST- 2017/05/01 00:00 [pmc-release] AID - BCP12860 [pii] AID - 10.1111/bcp.12860 [doi] PST - ppublish SO - Br J Clin Pharmacol. 2016 May;81(5):908-17. doi: 10.1111/bcp.12860. Epub 2016 Feb 25.