Population pharmacokinetics and pharmacodynamics of peptidic erythropoiesis receptor agonist (ERA) in healthy volunteers

J Clin Pharmacol. 2008 Jan;48(1):43-52. doi: 10.1177/0091270007309702. Epub 2007 Nov 19.

Abstract

Peptidic erythropoiesis receptor agonist is a synthetic, PEGylated peptide that can promote red blood cell production upon binding to the erythropoietin receptor. The objective of this study was to characterize the pharmacokinetics and erythropoietic effects of peptidic erythropoiesis receptor agonist in healthy volunteers. Plasma concentrations of peptidic erythropoiesis receptor agonist and pharmacodynamic responses were obtained after single intravenous injections at doses of 0.025, 0.05, and 0.1 mg/kg. Population pharmacokinetic/pharmacodynamic modeling was performed using NONMEM. Peptidic erythropoiesis receptor agonist exhibited nonlinear pharmacokinetics described by a 1-compartment model with parallel elimination by Michaelis-Menten and linear processes. A catenary, life span-based, indirect response model reflecting bone marrow erythroid and blood cells reflected the pharmacodynamics of peptidic erythropoiesis receptor agonist. A modest tolerance and rebound phenomenon in reticulocytes was modeled with negative feedback regulation related to hemoglobin. This pharmacokinetic/pharmacodynamic model well characterized the prolonged disposition, intrinsic pharmacologic parameters, and typical hematological system properties following single doses of peptidic erythropoiesis receptor agonist in normal subjects.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Administration, Oral
  • Adult
  • Algorithms*
  • Clinical Trials, Phase I as Topic
  • Controlled Clinical Trials as Topic
  • Dose-Response Relationship, Drug
  • Enzyme-Linked Immunosorbent Assay
  • Erythrocyte Count
  • Ferrous Compounds / administration & dosage
  • Ferrous Compounds / pharmacokinetics
  • Hematinics / administration & dosage
  • Hematinics / blood
  • Hematinics / pharmacokinetics*
  • Hemoglobins / analysis
  • Humans
  • Injections, Intravenous
  • Male
  • Models, Biological*
  • Peptides / blood
  • Peptides / chemistry
  • Peptides / pharmacokinetics
  • Polyethylene Glycols / chemistry
  • Receptors, Erythropoietin / agonists*
  • Reticulocytes / chemistry
  • Reticulocytes / cytology
  • Reticulocytes / drug effects
  • Time Factors

Substances

  • Ferrous Compounds
  • Hematinics
  • Hemoglobins
  • Peptides
  • Receptors, Erythropoietin
  • Polyethylene Glycols
  • ferrous fumarate