Optimizing the Dosing Regimen of Cetuximab and Ramucirumab Using the Model‐Informed Drug Development Paradigm

Author:

Ni Lan1,Khan Azhar Zaman1,Long Amanda2,Gao Ling2,Toms Nikki1,Gonzalez‐Gugel Elena1,Holsmer‐Brand Susan1,Lin Yong1,Abada Paolo1,Dickin Sandra1,O'Dea Declan1,Wei Ran1,Jen Min‐Hua1ORCID,Aggarwal Himani3

Affiliation:

1. Eli Lilly and Company Indianapolis Indiana USA

2. Taiho Oncology Inc. Princeton New Jersey USA

3. Merck & Co., Inc. Kenilworth New Jersey USA

Abstract

Model‐informed drug development (MIDD) is a process that integrates drug exposure‐based, biological, and statistical models to enhance the benefit–risk balance in drug development. The US Food and Drug Administration (FDA) MIDD Paired Meeting Pilot Program provides a platform to apply MIDD approaches to drug development and to seek regulatory feedback in a collaborative and streamlined process prior to submission for approval. Eli Lilly and Company (Lilly) participated in the Pilot Program to seek agency alignment to enhance the initial approved dosing regimens of cetuximab (Erbitux; Eli Lilly and Company, Indianapolis, IN) and ramucirumab (Cyramza; Eli Lilly and Company) without conducting additional clinical trials. Here, we describe the overall MIDD strategy at Lilly, the process with the FDA, and the impact of implementing the approach.

Publisher

Wiley

Subject

Pharmacology (medical),Pharmacology

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