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Brescia V, Lovero R, Fontana A, Di Serio F, Colella M, Carbone V, Giliberti M, Perrone MG, Scilimati A, Palmirotta R. Analytical interference of Burosumab therapy on intact fibroblast growth factor 23 (iFGF23) measurements using an immunoassay: preliminary evaluation. J Immunoassay Immunochem 2025; 46:89-105. [PMID: 39494895 DOI: 10.1080/15321819.2024.2422098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2024]
Abstract
Our study evaluated the possible interference of Burosumab (human recombinant monoclonal antibody directed against N-terminal domain of FGF23) on the immunoassay of intact FGF23 (iFGF23) with the Liaison XL. The analytical method uses three different antibodies, one of which directed against the N-terminal portion of FGF23. The evaluation of the method accuracy involved the fully automated execution of a dilution test on EDTA plasma from 5 subjects who had not received any monoclonal antibody (mAb), 20 EDTA plasma from patients treated with Burosumab, and 2 EDTA plasma from subjects who had not received any mAb in witch an adequate volume of Burosumab had been added in vitro. One sample with specific diluent (LIAISON® FGF 23) with an adequate volume of Burosumab had been added in vitro. The dilution assay provided highly inaccurate iFGF23 results in samples with therapeutic concentrations of Burosumab and in samples with concentrations below the LoQ (6.5 pg/mL). The addition of Burosumab to the diluent did not produce any analytical interference. Dissociation of iFGF23 from the mAb-target complex in diluted sample could explain the loss of accuracy in the iFGF23 immunoassay using the Liaison XL analyzer. Burosumab could be an interferent in immunoassay procedures of iFGF23.
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Affiliation(s)
- Vincenzo Brescia
- Unità Operativa di Patologia Clinica, AOU Policlinico Consorziale di Bari-Ospedale Giovanni XXIII, Bari, Italia
| | - Roberto Lovero
- Unità Operativa di Patologia Clinica, AOU Policlinico Consorziale di Bari-Ospedale Giovanni XXIII, Bari, Italia
| | - Antonietta Fontana
- Unità Operativa di Patologia Clinica, AOU Policlinico Consorziale di Bari-Ospedale Giovanni XXIII, Bari, Italia
| | - Francesca Di Serio
- Unità Operativa di Patologia Clinica, AOU Policlinico Consorziale di Bari-Ospedale Giovanni XXIII, Bari, Italia
| | - Marica Colella
- Interdisciplinary Department of Medicine, Aldo Moro University, Bari, Italy
- Department of Theoretical and Applied Sciences (DiSTA), eCampus University, Novedrate (CO), Italy
| | - Vincenza Carbone
- Unit of Pediatric Nephrology, University Hospital PoliclinicoConsorziale - Giovanni XXIII, Bari, Italy
| | - Marika Giliberti
- Nephrology, Dialysis and Transplantation Unit, University Hospital PoliclinicoConsorziale - Giovanni XXIII, Bari, Italy
| | - Maria Grazia Perrone
- Research Laboratory for Woman and Child Health, Department of Pharmacy-Pharmaceutical Sciences, University of Bari Aldo Moro, Bari, Italy
| | - Antonio Scilimati
- Research Laboratory for Woman and Child Health, Department of Pharmacy-Pharmaceutical Sciences, University of Bari Aldo Moro, Bari, Italy
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Ball K, Bruin G, Escandón E, Funk C, Pereira JNS, Yang TY, Yu H. Characterizing the Pharmacokinetics and Biodistribution of Therapeutic Proteins: An Industry White Paper. Drug Metab Dispos 2022; 50:858-866. [PMID: 35149542 DOI: 10.1124/dmd.121.000463] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Accepted: 01/06/2022] [Indexed: 11/22/2022] Open
Abstract
Characterization of the pharmacokinetics and biodistribution of therapeutic proteins (TPs) is a hot topic within the pharmaceutical industry, particularly with an ever-increasing catalog of novel modality TPs. Here, we review the current practices, and provide a summary of extensive cross-company discussions as well as a survey completed by International Consortium for Innovation and Quality members on this theme. A wide variety of in vitro, in vivo and in silico techniques are currently used to assess pharmacokinetics and biodistribution of TPs, and we discuss the relevance of these from an industry perspective, focusing on pharmacokinetic/pharmacodynamic understanding at the preclinical stage of development, and translation to human. We consider that the 'traditional in vivo biodistribution study' is becoming insufficient as a standalone tool, and thorough characterization of the interaction of the TP with its target(s), target biology, and off-target interactions at a microscopic scale are key to understand the overall biodistribution on a full-body scale. Our summary of the current challenges and our recommendations to address these issues could provide insight into the implementation of best practices in this area of drug development, and continued cross-company collaboration will be of tremendous value. SIGNIFICANCE STATEMENT: The Innovation and Quality Consortium Translational and ADME Sciences Leadership Group working group for the absorption, distribution, metabolism, and excretion of therapeutic proteins evaluates the current practices and challenges in characterizing the pharmacokinetics and biodistribution of therapeutic proteins during drug development, and proposes recommendations to address these issues. Incorporating the in vitro, in vivo and in silico approaches discussed herein may provide a pragmatic framework to increase early understanding of pharmacokinetic/pharmacodynamic relationships, and aid translational modeling for first-in-human dose predictions.
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Affiliation(s)
- Kathryn Ball
- Clinical Pharmacology & Quantitative Pharmacology, CPSS, R&D, AstraZeneca, Cambridge, United Kingdom (K.B.); Pharmacokinetic Sciences, Novartis Institutes for Biomedical Research, Basel, Switzerland (G.B.); PPDM ADME Biologics, Merck & Co., Inc., South San Francisco, California (E.E.); Roche Pharma Research and Early Development, Pharmaceutical Sciences, Roche Innovation Center Basel, F. Hoffmann-La Roche, Basel, Switzerland (C.F.); Discovery & Development Technologies, Drug Disposition & Design, Merck Healthcare KGaA, Darmstadt, Germany (J.N.S.P.); Janssen BioTherapeutics, Janssen R&D, LLC, Spring House, Pennsylvania (T.-Y.Y.); and Drug Metabolism and Pharmacokinetics, Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, Connecticut (H.Y.)
| | - Gerard Bruin
- Clinical Pharmacology & Quantitative Pharmacology, CPSS, R&D, AstraZeneca, Cambridge, United Kingdom (K.B.); Pharmacokinetic Sciences, Novartis Institutes for Biomedical Research, Basel, Switzerland (G.B.); PPDM ADME Biologics, Merck & Co., Inc., South San Francisco, California (E.E.); Roche Pharma Research and Early Development, Pharmaceutical Sciences, Roche Innovation Center Basel, F. Hoffmann-La Roche, Basel, Switzerland (C.F.); Discovery & Development Technologies, Drug Disposition & Design, Merck Healthcare KGaA, Darmstadt, Germany (J.N.S.P.); Janssen BioTherapeutics, Janssen R&D, LLC, Spring House, Pennsylvania (T.-Y.Y.); and Drug Metabolism and Pharmacokinetics, Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, Connecticut (H.Y.)
| | - Enrique Escandón
- Clinical Pharmacology & Quantitative Pharmacology, CPSS, R&D, AstraZeneca, Cambridge, United Kingdom (K.B.); Pharmacokinetic Sciences, Novartis Institutes for Biomedical Research, Basel, Switzerland (G.B.); PPDM ADME Biologics, Merck & Co., Inc., South San Francisco, California (E.E.); Roche Pharma Research and Early Development, Pharmaceutical Sciences, Roche Innovation Center Basel, F. Hoffmann-La Roche, Basel, Switzerland (C.F.); Discovery & Development Technologies, Drug Disposition & Design, Merck Healthcare KGaA, Darmstadt, Germany (J.N.S.P.); Janssen BioTherapeutics, Janssen R&D, LLC, Spring House, Pennsylvania (T.-Y.Y.); and Drug Metabolism and Pharmacokinetics, Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, Connecticut (H.Y.)
| | - Christoph Funk
- Clinical Pharmacology & Quantitative Pharmacology, CPSS, R&D, AstraZeneca, Cambridge, United Kingdom (K.B.); Pharmacokinetic Sciences, Novartis Institutes for Biomedical Research, Basel, Switzerland (G.B.); PPDM ADME Biologics, Merck & Co., Inc., South San Francisco, California (E.E.); Roche Pharma Research and Early Development, Pharmaceutical Sciences, Roche Innovation Center Basel, F. Hoffmann-La Roche, Basel, Switzerland (C.F.); Discovery & Development Technologies, Drug Disposition & Design, Merck Healthcare KGaA, Darmstadt, Germany (J.N.S.P.); Janssen BioTherapeutics, Janssen R&D, LLC, Spring House, Pennsylvania (T.-Y.Y.); and Drug Metabolism and Pharmacokinetics, Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, Connecticut (H.Y.)
| | - Joao N S Pereira
- Clinical Pharmacology & Quantitative Pharmacology, CPSS, R&D, AstraZeneca, Cambridge, United Kingdom (K.B.); Pharmacokinetic Sciences, Novartis Institutes for Biomedical Research, Basel, Switzerland (G.B.); PPDM ADME Biologics, Merck & Co., Inc., South San Francisco, California (E.E.); Roche Pharma Research and Early Development, Pharmaceutical Sciences, Roche Innovation Center Basel, F. Hoffmann-La Roche, Basel, Switzerland (C.F.); Discovery & Development Technologies, Drug Disposition & Design, Merck Healthcare KGaA, Darmstadt, Germany (J.N.S.P.); Janssen BioTherapeutics, Janssen R&D, LLC, Spring House, Pennsylvania (T.-Y.Y.); and Drug Metabolism and Pharmacokinetics, Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, Connecticut (H.Y.)
| | - Tong-Yuan Yang
- Clinical Pharmacology & Quantitative Pharmacology, CPSS, R&D, AstraZeneca, Cambridge, United Kingdom (K.B.); Pharmacokinetic Sciences, Novartis Institutes for Biomedical Research, Basel, Switzerland (G.B.); PPDM ADME Biologics, Merck & Co., Inc., South San Francisco, California (E.E.); Roche Pharma Research and Early Development, Pharmaceutical Sciences, Roche Innovation Center Basel, F. Hoffmann-La Roche, Basel, Switzerland (C.F.); Discovery & Development Technologies, Drug Disposition & Design, Merck Healthcare KGaA, Darmstadt, Germany (J.N.S.P.); Janssen BioTherapeutics, Janssen R&D, LLC, Spring House, Pennsylvania (T.-Y.Y.); and Drug Metabolism and Pharmacokinetics, Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, Connecticut (H.Y.)
| | - Hongbin Yu
- Clinical Pharmacology & Quantitative Pharmacology, CPSS, R&D, AstraZeneca, Cambridge, United Kingdom (K.B.); Pharmacokinetic Sciences, Novartis Institutes for Biomedical Research, Basel, Switzerland (G.B.); PPDM ADME Biologics, Merck & Co., Inc., South San Francisco, California (E.E.); Roche Pharma Research and Early Development, Pharmaceutical Sciences, Roche Innovation Center Basel, F. Hoffmann-La Roche, Basel, Switzerland (C.F.); Discovery & Development Technologies, Drug Disposition & Design, Merck Healthcare KGaA, Darmstadt, Germany (J.N.S.P.); Janssen BioTherapeutics, Janssen R&D, LLC, Spring House, Pennsylvania (T.-Y.Y.); and Drug Metabolism and Pharmacokinetics, Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, Connecticut (H.Y.)
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