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- W2247263719 abstract "2532 Background: Pertuzumab, a humanized HER2-targeted antibody, represents the first in a new class of targeted therapeutic agents known as HER2 dimerization inhibitors (HDIs). Pertuzumab blocks ligand-associated HER2 dimerization with HER kinase family members (EGFR, HER3, HER4), thereby inhibiting intracellular signaling through MAP and PI3 kinases. Pertuzumab is currently being evaluated in phase II studies as a single-agent in ovarian, breast, prostate, and lung cancers. Interim pertuzumab PK data from the phase II studies is presented. Methods: Pertuzumab was administered once every 3 weeks (q3 week) as an IV infusion at a fixed dose of either 420 mg following an initial 840 mg loading dose (LD), or 1050 mg with no LD. PK data from four phase II studies were pooled for analysis by both descriptive and population PK (PopPK) modeling Methods: Results: PopPK modeling of the data from ovarian and breast cancer studies showed that a linear 2-compartment model best described the concentration-time profiles. For a ‘typical’ patient, pertuzumab clearance (CL), volume of distribution (Vc), and terminal half-life was 0.214 L/day, 2.74 L, and 17.2 days, respectively. Body weight (BW), serum albumin, and alkaline phosphatase were significant covariates affecting CL, with BW explaining only 8.3% of inter-patient variability for CL. Body surface area was the significant covariate affecting Vc. The q3 week 420 mg (840 mg LD) regimen attained mean serum trough concentrations of ≈50 μg/mL and steady-state concentrations were achieved by the 2nd treatment cycle in all studies. Conclusions: Pertuzumab PK supports a q3 week dosing regimen. At a fixed-dose of 420 mg (840 mg LD) steady-state was rapidly attained, and putative target trough concentrations of ≥20 μg/mL, based on in vivo xenograft tumor model data, were achieved in most patients. The PK of pertuzumab was similar to trastuzumab and bevacizumab. PopPK analysis supports the continued use of a fixed dose in women with ovarian and breast cancers. PopPK analysis for the patients in the prostate and lung cancer studies is ongoing and will be presented. Author Disclosure Employment or Leadership Consultant or Advisory Role Stock Ownership Honoraria Research Funding Expert Testimony Other Remuneration Hoffmann-La Roche Ltd., Genentech Genentech" @default.
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- W2247263719 date "2005-06-01" @default.
- W2247263719 modified "2023-09-27" @default.
- W2247263719 title "Pharmacokinetics (PK) of pertuzumab (rhuMAb 2C4) in phase II studies of ovarian, breast, prostate, and lung cancers" @default.
- W2247263719 doi "https://doi.org/10.1200/jco.2005.23.16_suppl.2532" @default.
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