PMID- 9433396 OWN - NLM STAT- MEDLINE DCOM- 19980206 LR - 20061115 IS - 0009-9236 (Print) IS - 0009-9236 (Linking) VI - 62 IP - 6 DP - 1997 Dec TI - Efficacy, pharmacodynamics, and pharmacokinetics of CGP 51901, an anti-immunoglobulin E chimeric monoclonal antibody, in patients with seasonal allergic rhinitis. PG - 675-90 AB - The efficacy, pharmacodynamics, and pharmacokinetics of CGP 51901, a recombinant monoclonal mouse-human chimeric anti-human immunoglobulin E (IgE) antibody were evaluated for 153 patients with seasonal allergic rhinitis treated with placebo or with 15, 30, or 60 mg CGP 51901 in six biweekly doses. Seasonal allergic rhinitis was chosen to validate the concept of anti-IgE therapy because the causal and temporal relation between allergen confrontation and IgE-mediated evocation of symptoms is firmly established. A sustained 85% or greater reduction of serum free IgE levels was shown to be effective in improving clinical symptoms. The concentration of CGP 51901 needed to maintain 85% or greater reduction of IgE was estimated to be about 5000 ng/ml. Baseline IgE levels and body weights of the patients greatly influenced the pharmacokinetic and pharmacodynamic profiles of CGP 51901. A population model was developed and refined to take into account patient baseline IgE level and body weight. The model was able to help predict multiple-dose pharmacokinetic and pharmacodynamic profiles on the basis of single-dose pharmacokinetic and pharmacodynamic measurements in the therapeutically effective dose range. FAU - Racine-Poon, A AU - Racine-Poon A AD - Novartis Pharma, Basel, Switzerland. FAU - Botta, L AU - Botta L FAU - Chang, T W AU - Chang TW FAU - Davis, F M AU - Davis FM FAU - Gygax, D AU - Gygax D FAU - Liou, R S AU - Liou RS FAU - Rohane, P AU - Rohane P FAU - Staehelin, T AU - Staehelin T FAU - van Steijn, A M AU - van Steijn AM FAU - Frank, W AU - Frank W LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - Clin Pharmacol Ther JT - Clinical pharmacology and therapeutics JID - 0372741 RN - 0 (Antibodies, Monoclonal) RN - 0 (CGP 51901) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adult MH - Antibodies, Monoclonal/*pharmacokinetics/*therapeutic use MH - Female MH - Humans MH - Immunoglobulin E/blood/*immunology MH - Male MH - Middle Aged MH - Models, Biological MH - Rhinitis, Allergic, Seasonal/blood/*metabolism/*therapy EDAT- 1998/01/20 00:00 MHDA- 1998/01/20 00:01 CRDT- 1998/01/20 00:00 PHST- 1998/01/20 00:00 [pubmed] PHST- 1998/01/20 00:01 [medline] PHST- 1998/01/20 00:00 [entrez] AID - S0009-9236(97)90087-4 [pii] AID - 10.1016/S0009-9236(97)90087-4 [doi] PST - ppublish SO - Clin Pharmacol Ther. 1997 Dec;62(6):675-90. doi: 10.1016/S0009-9236(97)90087-4.