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Pharmacology, Pharmacokinetics and Pharmacodynamics of Eculizumab, and Possibilities for an Individualized Approach to Eculizumab

Eculizumab is the first drug approved for the treatment of complement-mediated diseases, and current dosage schedules result in large interindividual drug concentrations. This review provides insight into the pharmacokinetic and pharmacodynamic properties of eculizumab, both for reported on-label (p...

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Detalles Bibliográficos
Autores principales: Wijnsma, Kioa Lente, ter Heine, Rob, Moes, Dirk Jan A. R., Langemeijer, Saskia, Schols, Saskia E. M., Volokhina, Elena. B., van den Heuvel, Lambertus P., Wetzels, Jack F. M., van de Kar, Nicole C. A. J., Brüggemann, Roger J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6584251/
https://www.ncbi.nlm.nih.gov/pubmed/30758736
http://dx.doi.org/10.1007/s40262-019-00742-8
Descripción
Sumario:Eculizumab is the first drug approved for the treatment of complement-mediated diseases, and current dosage schedules result in large interindividual drug concentrations. This review provides insight into the pharmacokinetic and pharmacodynamic properties of eculizumab, both for reported on-label (paroxysmal nocturnal hemoglobinuria, atypical hemolytic uremic syndrome, generalized myasthenia gravis) and off-label (hematopoietic stem cell transplantation-associated thrombotic microangiopathy) indications. Furthermore, we discuss the potential of therapeutic drug monitoring to individualize treatment and reduce costs.