Table 2.
Summary of clearance of non-ICI mAbs.
| Drug name | IgG Type | (L/day) | covariates | Time-varying CL | -outcome relationship | -outcome relationship | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WT | ALB | TS | Male | eGFR CrCL | Liver function | PS ≥1 | ADA | Other | ||||||
| Bevacizumab (41,44,167,168) | IgG1 aVGEF | 0.207 | ↑↑ | ↓↓ | / | + | / | ALP(↑) | + | / | combined(−) VGEF (↑) CEA (↑) Total protein (↓) SUVmax change (↑) Extra-hepatic metastases (+) Advanced gastric cancer (+) No prior gastrectomy (+) | No | Trend of lower 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 (35–39) | IgG1 Chimeric aEGFR | 0.418–0.570 | / | ↓ | / | / | / | / | / | / | BSA (↑) Chemotherapy(−) | Yes (Emax 23.1%; 143.5 days) | CL (global) -OS/PFS (HNSCC and CRC) | -BOR (CRC) |
| Rituximab (46,47,49,170–178) | IgG1 Chimeric aCD20 | 0.14–0.54 | ↑↑ | / | ↑ | + | / | / | / | / | BSA (↑↑) WBC(↑) CD20/CD19 count(↑) Endogenous IgG(↑) Disease type Combined regimens FCGR3A polymorphism | Yes (decrease ~88%; ~ 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%; 9–19 days) | (Cmean correlated with BOR and PFS) | / |
| Ocrelizumab (180) | IgG1 Glycoengineered aCD20 | 0.189–0.218 | ↑↑ | / | / | / | / | / | / | / | / | Yes (decrease ~20%; ~32 weeks) | / | / |
| Infliximab (57–60,181–184) | IgG1 Chimeric | 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 (129,185–189) | IgG1 | 0.24–0.59 | ↑↑ | ↓↓ | / | + | / | / | / | + | Time-varying CRP(↑) Concomitant methotrexate Baseline rheumatoid factor | Yes (Driven by time-varying covariates) | / | / |
| Daratumumab [67–70] | 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.