Table 2.
Summary of C trough and AUC data from pharmacokinetic analyses in the SparkThera (follicular lymphoma), SABRINA (non-Hodgkin lymphoma), and SAWYER (chronic lymphocytic leukemia) studies [44, 45, 47, 48]
| C trough data | |||
|---|---|---|---|
| Study (rituximab dose) [dosing frequency/sampling time] |
Rituximab C
trough (μg/ml) Geometric mean [95% CI] |
Geometric mean ratio C trough(SC)/C trough(IV) [90% CI] |
|
| SC | IV | ||
|
SparkThera (all SC doses; 375 mg/m2 IV) [q2 m/maintenance cycle 2] |
32.2a [28.0–37.1] |
25.9a [21.5–31.3] |
1.24 [1.02–1.51] |
|
SparkThera (all SC doses; 375 mg/m2 IV) [q3 m/maintenance cycle 2] |
12.1a [10.1– 14.6] |
10.9a [8.4– 14.1] |
1.12 [0.86–1.45] |
|
SABRINA (1400 mg SC; 375 mg/m2 IV) [q3w/induction cycle 7] |
|||
| Stage 1 |
134.6 [43.2%b] |
83.1 [36.7%b] |
1.62c [1.36–1.94] |
| Stage 2 | − | − | 1.5 [1.3–1.7] |
| Pooled | 121 | 78 | 1.5 [1.4–1.7] |
|
SAWYER (1600 mg SC; 500 mg/m2 IV) [q4w/induction cycle 5] |
97.5 | 61.5 |
1.53 [1.27–1.85] |
| AUC data | |||
|---|---|---|---|
| Study (rituximab dose) [dosing frequency/sampling time] |
Rituximab AUC, μg·day/ml Geometric mean [95% CI] |
Geometric mean ratio AUC(SC)/AUC(IV) [90% CI] |
|
| SC | IV | ||
|
SparkThera (all SC doses; 375 mg/m2 IV) [q2 m/maintenance cycle 2] |
5430a [4980–5921] |
4012a [3721–4326] |
1.35d [1.23–1.49] |
|
SparkThera (all SC doses; 375 mg/m2 IV) [q3 m/maintenance cycle 2] |
5320a [4880–5799] |
3947a [3662–4255] |
1.35d [1.23–1.48] |
|
SABRINA (1400 mg SC; 375 mg/m2 IV) [q3w/induction cycle 7] |
3779 | 2734 |
1.38c [1.24–1.53] |
|
SAWYER (1600 mg SC; 500 mg/m2 IV) [q4w/induction cycle 6] |
4089 | 3630 |
1.10 [0.98–1.24] |
AUC area under the concentration-time curve, CI confidence intervals, C trough trough serum concentration, IV intravenous, q2 m every 2 months, q3 m every 3 months, q3w every 3 weeks, q4w every 4 weeks, SC subcutaneous
aPredicted
bCoefficient of variation
cGeometric mean ratio adjusted for tumor load at baseline
dAUC over the dosing interval tau