1. A novel PEGylated interferon beta-1a for multiple sclerosis: safety, pharmacology, and biology.
- Author
-
Hu X, Miller L, Richman S, Hitchman S, Glick G, Liu S, Zhu Y, Crossman M, Nestorov I, Gronke RS, Baker DP, Rogge M, Subramanyam M, and Davar G
- Subjects
- 2',5'-Oligoadenylate Synthetase blood, 2',5'-Oligoadenylate Synthetase genetics, 2',5'-Oligoadenylate Synthetase metabolism, Adolescent, Adult, Biotransformation, Dose-Response Relationship, Drug, Double-Blind Method, Female, Gene Expression Regulation drug effects, Half-Life, Humans, Immunosuppressive Agents administration & dosage, Immunosuppressive Agents blood, Immunosuppressive Agents pharmacology, Injections, Intramuscular, Injections, Subcutaneous, Interferon-beta administration & dosage, Interferon-beta adverse effects, Interferon-beta pharmacology, Interferons administration & dosage, Interferons blood, Interferons pharmacology, Male, Middle Aged, Multiple Sclerosis, Relapsing-Remitting drug therapy, Neopterin blood, Polyethylene Glycols administration & dosage, Polyethylene Glycols pharmacology, RNA, Messenger blood, RNA, Messenger metabolism, T-Lymphocytes, Helper-Inducer drug effects, T-Lymphocytes, Helper-Inducer metabolism, Young Adult, Immunosuppressive Agents adverse effects, Interferon-beta chemistry, Interferons adverse effects, Polyethylene Glycols adverse effects
- Abstract
This study clinically evaluated a novel PEGylated form of interferon beta-1a (PEG-IFN beta-1a), a potential first-line treatment for relapsing multiple sclerosis, in healthy volunteers. Two randomized, blinded phase I studies were conducted: a single-dose study (n = 60) comparing subcutaneous or intramuscular PEG-IFN beta-1a (63, 125, or 188 µg) with intramuscular unmodified IFN beta-1a 30 µg and a multiple-dose study (n = 69) comparing subcutaneous PEG-IFN beta-1a dosed once every 2 or 4 weeks with placebo. Assessments included pharmacokinetic and pharmacodynamic (serum neopterin and 2',5'-OAS) measures, exploratory immune assessments, safety, and tolerability. A dose-proportional increase in PEG-IFN beta-1a exposure was observed, with a 4-fold greater exposure at 63 µg (6 million international units [MIU]) of PEG-IFN beta-1a than with 30 µg (6 MIU) intramuscular unmodified IFN beta-1a. Increases in neopterin and 2',5'-OAS levels and changes in T helper cell pathway gene expression and lymphocyte subsets were greater and more sustained with PEG-IFN beta-1a than with unmodified IFN beta-1a. PEG-IFN beta-1a was well tolerated, with only transient reductions in absolute neutrophils and some lymphocytes. Flu-like symptoms were a commonly reported adverse event. These data support the continued clinical development of PEG-IFN beta-1a as a potentially effective treatment for patients with relapsing multiple sclerosis.
- Published
- 2012
- Full Text
- View/download PDF