PMID- 28411279 OWN - NLM STAT- MEDLINE DCOM- 20180320 LR - 20230120 IS - 1521-009X (Electronic) IS - 0090-9556 (Print) IS - 0090-9556 (Linking) VI - 45 IP - 7 DP - 2017 Jul TI - Characterization and Interspecies Scaling of rhTNF-alpha Pharmacokinetics with Minimal Physiologically Based Pharmacokinetic Models. PG - 798-806 LID - 10.1124/dmd.116.074799 [doi] AB - Tumor necrosis factor-alpha (TNF-alpha) is a soluble cytokine and target of specific monoclonal antibodies (mAbs) and other biologic agents used in the treatment of inflammatory diseases. These biologics exert their pharmacological effects through binding and neutralizing TNF-alpha, and thus they prevent TNF-alpha from interacting with its cell surface receptors. The magnitude of the pharmacological effects is governed not only by the pharmacokinetics (PK) of mAbs, but also by the kinetic fate of TNF-alpha We have examined the pharmacokinetics of recombinant human TNF-alpha (rhTNF-alpha) in rats at low doses and quantitatively characterized its pharmacokinetic features with a minimal physiologically based pharmacokinetic model. Our experimental and literature-digitalized PK data of rhTNF-alpha in rats across a wide range of doses were applied to global model fitting. rhTNF-alpha exhibits permeability rate-limited tissue distribution and its elimination is comprised of a saturable clearance pathway mediated by tumor necrosis factor receptor binding and disposition and renal filtration. The resulting model integrated with classic allometry was further used for interspecies PK scaling and resulted in model predictions that agreed well with experimental measurements in monkeys. In addition, a semimechanistic model was proposed and applied to explore the absorption kinetics of rhTNF-alpha following s.c. and other routes of administration. The model suggests substantial presystemic degradation of rhTNF-alpha for s.c. and i.m. routes and considerable lymph uptake contributing to the overall systemic absorption through the stomach wall and gastrointestinal wall routes of dosing. This report provides comprehensive modeling and key insights into the complexities of absorption and disposition of a major cytokine. CI - Copyright (c) 2017 by The American Society for Pharmacology and Experimental Therapeutics. FAU - Chen, Xi AU - Chen X AD - Department of Pharmaceutical Sciences, School of Pharmacy and Pharmaceutical Sciences (X.C., D.C.D, R.R.A, W.J.J.), and Department of Biological Sciences (D.C.D, R.R.A), State University of New York at Buffalo, Buffalo, New York. FAU - DuBois, Debra C AU - DuBois DC AD - Department of Pharmaceutical Sciences, School of Pharmacy and Pharmaceutical Sciences (X.C., D.C.D, R.R.A, W.J.J.), and Department of Biological Sciences (D.C.D, R.R.A), State University of New York at Buffalo, Buffalo, New York. FAU - Almon, Richard R AU - Almon RR AD - Department of Pharmaceutical Sciences, School of Pharmacy and Pharmaceutical Sciences (X.C., D.C.D, R.R.A, W.J.J.), and Department of Biological Sciences (D.C.D, R.R.A), State University of New York at Buffalo, Buffalo, New York. FAU - Jusko, William J AU - Jusko WJ AD - Department of Pharmaceutical Sciences, School of Pharmacy and Pharmaceutical Sciences (X.C., D.C.D, R.R.A, W.J.J.), and Department of Biological Sciences (D.C.D, R.R.A), State University of New York at Buffalo, Buffalo, New York wjjusko@buffalo.edu. LA - eng GR - R01 GM024211/GM/NIGMS NIH HHS/United States GR - R37 GM024211/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20170414 PL - United States TA - Drug Metab Dispos JT - Drug metabolism and disposition: the biological fate of chemicals JID - 9421550 RN - 0 (Recombinant Proteins) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Absorption, Physiological MH - Animals MH - Dose-Response Relationship, Drug MH - Haplorhini MH - Infusions, Subcutaneous MH - Injections, Intravenous MH - Injections, Subcutaneous MH - Male MH - *Models, Biological MH - Organ Specificity MH - Rats, Inbred Lew MH - Recombinant Proteins/*administration & dosage/blood/*pharmacokinetics MH - Species Specificity MH - Tissue Distribution MH - Tumor Necrosis Factor-alpha/*administration & dosage/blood/*pharmacokinetics PMC - PMC5469399 EDAT- 2017/04/16 06:00 MHDA- 2018/03/21 06:00 PMCR- 2018/07/01 CRDT- 2017/04/16 06:00 PHST- 2016/12/23 00:00 [received] PHST- 2017/04/12 00:00 [accepted] PHST- 2017/04/16 06:00 [pubmed] PHST- 2018/03/21 06:00 [medline] PHST- 2017/04/16 06:00 [entrez] PHST- 2018/07/01 00:00 [pmc-release] AID - dmd.116.074799 [pii] AID - DMD_074799 [pii] AID - 10.1124/dmd.116.074799 [doi] PST - ppublish SO - Drug Metab Dispos. 2017 Jul;45(7):798-806. doi: 10.1124/dmd.116.074799. Epub 2017 Apr 14.