Veligrotug

Mechanism of action

Veligrotug's mechanism of action in patients with thyroid eye disease has not been fully characterized. Veligrotug is a humanized IgG1 monoclonal antibody that binds to IGF-1R and inhibits IGF-1R signaling by blocking ligand-induced receptor autophosphorylation.

Pharmacodynamic properties

No formal pharmacodynamic studies have been conducted with veligrotug.

Pharmacokinetic properties

The pharmacokinetics (PK) of veligrotug were described by a two-compartment population PK model based on data from 298 patients with thyroid eye disease receiving 10 mg/kg veligrotug every 3 weeks in 4 clinical trials. Following this dose regimen, the geometric mean estimates for steady-state area under the concentration curve (AUC), peak (Cmax), and trough (Ctrough) concentrations of veligrotug were 3450 mcg∙day/mL, 363 mcg/mL, and 97.8 mcg/mL, respectively.

Distribution

The population PK estimated mean central and peripheral volume of distribution of veligrotug were 2.80 L and 2.50 L, respectively.

Elimination

The population PK estimated mean (% relative standard error) linear clearance of veligrotug was 0.216 (2.7) L/day with a corresponding half-life of approximately 18 days.

Metabolism

Metabolism of veligrotug has not been fully characterized. However, veligrotug is expected to undergo metabolism via proteolysis.

Specific Populations

No clinically meaningful differences in the pharmacokinetics of veligrotug were observed following administration of veligrotug based on patient's age (20-79 years), sex (216 female and 82 male), race/ethnicity (224 White, 22 Black, and 13 Asian), or weight (41-161 kg). Neither renal nor hepatic impairment is expected to influence the pharmacokinetics of veligrotug.

Drug Interaction Studies

No studies evaluating the drug interaction potential of veligrotug have been conducted.

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