Receptor occupancy assessment and interpretation in terms of quantitative systems pharmacology: nivolumab case study

Receptor occupancy assays applied in clinical studies provide insights into pharmacokinetic-pharmacodynamic relationships for therapeutic antibodies. When measured by different assays, however, receptor occupancy results can be controversial, as was observed for nivolumab, a monoclonal antibody targ...

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Main Authors: Dmitry Shchelokov, Oleg Demin Jr
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:mAbs
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/19420862.2022.2156317
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author Dmitry Shchelokov
Oleg Demin Jr
author_facet Dmitry Shchelokov
Oleg Demin Jr
author_sort Dmitry Shchelokov
collection DOAJ
description Receptor occupancy assays applied in clinical studies provide insights into pharmacokinetic-pharmacodynamic relationships for therapeutic antibodies. When measured by different assays, however, receptor occupancy results can be controversial, as was observed for nivolumab, a monoclonal antibody targeting programmed cell death 1 (PD-1) receptor. We suggested an explanation of results obtained and a mechanistic approach based on specific features of the receptor occupancy assays: measurement of the free or bound receptor, normalized to the baseline or at each time point. The approach was evaluated against controversial clinical data on PD-1 receptor occupancy by nivolumab. It was shown that receptor occupancy measured by different assays might vary substantially if the internalization rate of the bound receptor is higher than the rate of degradation of the free receptor. Equations proposed in this work can be applied in quantitative systems pharmacology models to describe target receptor occupancy by different therapeutic antibodies.
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spelling doaj-art-f80140490d5f4fac96e56b16b9fca76c2025-07-23T08:11:50ZengTaylor & Francis GroupmAbs1942-08621942-08702023-12-0115110.1080/19420862.2022.2156317Receptor occupancy assessment and interpretation in terms of quantitative systems pharmacology: nivolumab case studyDmitry Shchelokov0Oleg Demin Jr1InSysBio UK Limited, Edinburgh, UKInSysBio UK Limited, Edinburgh, UKReceptor occupancy assays applied in clinical studies provide insights into pharmacokinetic-pharmacodynamic relationships for therapeutic antibodies. When measured by different assays, however, receptor occupancy results can be controversial, as was observed for nivolumab, a monoclonal antibody targeting programmed cell death 1 (PD-1) receptor. We suggested an explanation of results obtained and a mechanistic approach based on specific features of the receptor occupancy assays: measurement of the free or bound receptor, normalized to the baseline or at each time point. The approach was evaluated against controversial clinical data on PD-1 receptor occupancy by nivolumab. It was shown that receptor occupancy measured by different assays might vary substantially if the internalization rate of the bound receptor is higher than the rate of degradation of the free receptor. Equations proposed in this work can be applied in quantitative systems pharmacology models to describe target receptor occupancy by different therapeutic antibodies.https://www.tandfonline.com/doi/10.1080/19420862.2022.2156317Receptor occupancyPD-1nivolumabmodeling
spellingShingle Dmitry Shchelokov
Oleg Demin Jr
Receptor occupancy assessment and interpretation in terms of quantitative systems pharmacology: nivolumab case study
mAbs
Receptor occupancy
PD-1
nivolumab
modeling
title Receptor occupancy assessment and interpretation in terms of quantitative systems pharmacology: nivolumab case study
title_full Receptor occupancy assessment and interpretation in terms of quantitative systems pharmacology: nivolumab case study
title_fullStr Receptor occupancy assessment and interpretation in terms of quantitative systems pharmacology: nivolumab case study
title_full_unstemmed Receptor occupancy assessment and interpretation in terms of quantitative systems pharmacology: nivolumab case study
title_short Receptor occupancy assessment and interpretation in terms of quantitative systems pharmacology: nivolumab case study
title_sort receptor occupancy assessment and interpretation in terms of quantitative systems pharmacology nivolumab case study
topic Receptor occupancy
PD-1
nivolumab
modeling
url https://www.tandfonline.com/doi/10.1080/19420862.2022.2156317
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