Modeling pharmacokinetics/pharmacodynamics of abatacept and disease progression in collagen-induced arthritic rats: a population approach

J Pharmacokinet Pharmacodyn. 2013 Dec;40(6):701-12. doi: 10.1007/s10928-013-9341-1.

Abstract

The PK/PD of abatacept, a selective T cell co-stimulation modulator, was examined in rats with collagen-induced arthritis (CIA) using a nonlinear mixed effect modeling approach. Male Lewis rats underwent collagen induction to produce rheumatoid arthritis. Two single-dose groups received either 10 mg/kg intravenous (IV) or 20 mg/kg subcutaneous (SC) abatacept, and one multiple-dose group received one 20 mg/kg SC abatacept dose and four additional 10 mg/kg SC doses. Effects on disease progression (DIS) were measured by paw swelling. Plasma concentrations of abatacept were assayed by enzyme-linked immunosorbent assay. The PK/PD data were sequentially fitted using NONMEM VI. Goodness-of-fit was assessed by objective functions and visual inspection of diagnostic plots. The PK of abatacept followed a two-compartment model with linear elimination. For SC doses, short-term zero-order absorption was assumed with F = 59.2 %. The disease progression component was an indirect response model with a time-dependent change in paw edema production rate constant (k in ) that was inhibited by abatacept. Variation in the PK data could be explained by inter-individual variability in clearance and central compartment volume (V 1 ), while the large variability of the PD data may be the result of paw edema production (k in 0 ) and loss rate constant (k out ). Abatacept has modest effects on paw swelling in CIA rats. The PK/PD profiles were well described by the proposed model and allowed evaluation of inter-individual variability on drug- and DIS-related parameters.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abatacept
  • Animals
  • Antirheumatic Agents / blood
  • Antirheumatic Agents / pharmacokinetics*
  • Antirheumatic Agents / pharmacology*
  • Antirheumatic Agents / therapeutic use
  • Arthritis, Experimental / chemically induced
  • Arthritis, Experimental / complications
  • Arthritis, Experimental / drug therapy*
  • Arthritis, Experimental / metabolism
  • Collagen / pharmacology
  • Disease Progression
  • Edema / drug therapy
  • Edema / etiology
  • Edema / metabolism
  • Enzyme-Linked Immunosorbent Assay
  • Immunoconjugates / blood
  • Immunoconjugates / pharmacokinetics*
  • Immunoconjugates / pharmacology*
  • Immunoconjugates / therapeutic use
  • Injections, Intravenous
  • Injections, Subcutaneous
  • Male
  • Models, Biological*
  • Nonlinear Dynamics
  • Rats
  • Rats, Inbred Lew
  • Time Factors

Substances

  • Antirheumatic Agents
  • Immunoconjugates
  • Abatacept
  • Collagen