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. Author manuscript; available in PMC: 2024 Sep 1.
Published in final edited form as: Clin Cancer Res. 2024 Mar 1;30(5):942–958. doi: 10.1158/1078-0432.CCR-23-1683

Table 2.

Summary of clearance of non-ICI mAbs.

Drug name IgG Type CL0 (L/day) CL0 covariates Time-varying CL CL0-outcome relationship ΔCL-outcome relationship
WT ALB TS Male eGFR CrCL Liver function PS ≥1 ADA Other
Bevacizumab (41,44,167,168) IgG1 aVGEF 0.207 ↑↑ ↓↓ / + / ALP(↑) + / IFNα combined(−) VGEF (↑) CEA (↑) Total protein (↓) SUVmax change (↑) Extra-hepatic metastases (+) Advanced gastric cancer (+) No prior gastrectomy (+) No Trend of lower CL0 in CR group /
Trastuzumab (30,40,42,45,169) IgG1 aHER2 0.180–0.230 ↑↑ ↓↓ / / / ALT(↑) / / No prior gastrectomy (+) Metastases sites (↑) No (Time-dependent increase in Vc was reported in early-stage breast cancer) / /
Cetuximab (3539) IgG1 Chimeric aEGFR 0.418–0.570 / / / / / / / BSA (↑) Chemotherapy(−) Yes (Emax 23.1%; T50 143.5 days) CL (global) -OS/PFS (HNSCC and CRC) ΔCL-BOR (CRC)
Rituximab (46,47,49,170178) IgG1 Chimeric aCD20 0.14–0.54 ↑↑ / + / / / / BSA (↑↑) WBC(↑) CD20/CD19 count(↑) Endogenous IgG(↑) Disease type Combined regimens FCGR3A polymorphism Yes (decrease ~88%; T50 ~ 17 – 34 days) (Ctrough/AUC on first dose with PFS and BOR) (A faster increase of CL correlated with no progression)
Obinutuzumab (50,179) IgG1 Glycoengineered aCD20 0.238–0.314 ↑↑ ↓↓ + / / / / Age (↓) Disease type Yes (decrease ~26.4–32.5%; T50 9–19 days) (Cmean correlated with BOR and PFS) /
Ocrelizumab (180) IgG1 Glycoengineered aCD20 0.189–0.218 ↑↑ / / / / / / / / Yes (decrease ~20%; T50 ~32 weeks) / /
Infliximab (5760,181184) IgG1 Chimeric aTNFα 0.2–0.38 ↑↑ ↓↓ / + / / / + Disease type Time-varying disease activity Time-varying CRP(↑) Azathioprine cotreatment (−) Yes (linear increase: 0.0348 L/day/year in IBD) CL at de-escalation-risk of relapse in IBD /
Adalimumab (129,185189) IgG1 aTNFα 0.24–0.59 ↑↑ ↓↓ / + / / / + Time-varying CRP(↑) Concomitant methotrexate Baseline rheumatoid factor Yes (Driven by time-varying covariates) / /
Daratumumab [6770] IgG1 aCD38 0.171 ↑↑ ↓↓ / / / / / / Disease type (IgG vs. non-IgG multiple myeloma) Drug products (Phase 2 vs. Phase 3 product) Yes (decrease ~29%) (Ctrough,max correlated with ORR) /

(↑/+, positive correlation; ↓/−, negative correlation; /, not reported; WT, weight; ALB, albumin; TS, tumor size; CrCL, serum creatinine clearance; PS, performance status; ADA, anti-drug antibody; ALP, alkaline phosphatase; ALT, alanine aminotransferase; VEGF, vascular endothelial growth factor; CEA, carcinoembryonic antigen; SUV, standardized uptake value; WBC, white blood cell; HNSCC, head and neck squamous cell carcinoma; CRC, colorectal cancer; BOR, best overall response; IBD, inflammatory bowel diseases). References are cited under the drug name.