TY - JOUR
T1 - Pharmacology, Pharmacokinetics and Pharmacodynamics of Eculizumab, and Possibilities for an Individualized Approach to Eculizumab
AU - Wijnsma, Kioa Lente
AU - ter Heine, Rob
AU - Moes, Dirk Jan A.R.
AU - Langemeijer, Saskia
AU - Schols, Saskia E.M.
AU - Volokhina, Elena B.
AU - van den Heuvel, Lambertus P.
AU - Wetzels, Jack F.M.
AU - van de Kar, Nicole C.A.J.
AU - Brüggemann, Roger J.
N1 - Publisher Copyright:
© 2019, The Author(s).
PY - 2019/7/1
Y1 - 2019/7/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85061756384&partnerID=8YFLogxK
U2 - 10.1007/s40262-019-00742-8
DO - 10.1007/s40262-019-00742-8
M3 - Review article
C2 - 30758736
AN - SCOPUS:85061756384
SN - 0312-5963
VL - 58
SP - 859
EP - 874
JO - Clinical Pharmacokinetics
JF - Clinical Pharmacokinetics
IS - 7
ER -