title: Immunoassays in monitoring biotechnological drugs.
abstract: For the evaluation and interpretation of pharmacokinetic data reliable quantitative determinations are a requirement that can only be met by well-characterized and fully validated analytical methods. To cope with these requirements a method is being established that is based on an integrated and automated fiber-optic biospecific interaction analysis system (FOBIA) for immunoassays. Performance characteristics of this system used in monitoring of recombinant hirudin (CGP 39 393) are presented. Recombinant hirudin is a highly potent and selective inhibitor of human thrombin. Owing to its size and charge, recombinant hirudin is mainly eliminated by glomerular filtration. But only a fraction of the hirudin dose seems to be reabsorbed at the proximal tubule by luminal endocytosis and hydrolyzed by lysosomal enzymes, leaving approximately 50% of the dose to be extracted in the urine. Thus, renal clearance of recombinant hirudin in the absence of renal insufficiency appears to depend primarily on the glomerular filtration rate. During a 3-month i.v. tolerability study in dogs, some of the dogs developed antibodies against recombinant hirudin. The hirudin-antibody complex accumulated in plasma and apparent hirudin plasma concentrations were therefore much higher than expected from single-dose kinetics. Hirudin captured by antibodies showed an extended half-life and the hirudin-antibody complex is still pharmacologically active, as demonstrated by the observed increase in thrombin time. In conclusion, only appropriate analytical methods allow adequate monitoring and pharmacokinetic characterization of biotechnology drugs in biological materials.
authors.affiliation: Department of Bioanalytics and Pharmacokinetics, Ciba-Geigy Ltd., Basel, Switzerland.
authors.forename: D
authors.initials: D
authors.lastname: Gygax
authors.forename: L
authors.initials: L
authors.lastname: Botta
authors.forename: M
authors.initials: M
authors.lastname: Ehrat
authors.forename: P
authors.initials: P
authors.lastname: Graf
authors.forename: G
authors.initials: G
authors.lastname: Lefèvre
authors.forename: P
authors.initials: P
authors.lastname: Oroszlan
authors.forename: C
authors.initials: C
authors.lastname: Pfister
mesh_terms: D000818:Animals; D000925:Anticoagulants / Q000097:blood / Q000276:immunology / Q000493:pharmacokinetics*; D001709:Biotechnology; D004285:Dogs; D016903:Drug Monitoring; D006629:Hirudins / Q000031:analogs & derivatives* / Q000097:blood / Q000276:immunology / Q000493:pharmacokinetics; D006801:Humans; D007118:Immunoassay / Q000379:methods*; D011994:Recombinant Proteins / Q000097:blood / Q000276:immunology / Q000493:pharmacokinetics
chemical_list: D000925:Anticoagulants; D006629:Hirudins; D011994:Recombinant Proteins; C060225:desirudin