Abstract
Hematopoiesis is an intricate, well-regulated, and homeostatic multistep process that allows immature precursor cells in the bone marrow to proliferate, differentiate, mature, and become functional blood cells that transport oxygen and carbon dioxide; contribute to host immunity; and facilitate blood clotting. In the early 1900s, scientists recognized the presence of circulating factors that regulate hematopoiesis. It took approximately 50 years to develop in vitro cell culture systems in order to definitively prove that the growth and survival of early blood cells require the presence of specific circulating factors, called hematopoietic growth factors (HGF). The presence of many HGF with different targets at extremely small amounts in blood, bone marrow, and urine confounded the search for a single HGF with a specific activity. Scientific progress was slow until it became possible to purify sufficient quantities to evaluate the characteristics and biologic potential of the isolated materials. The introduction of recombinant DNA technology triggered a flurry of studies and an information explosion, which confirmed hematopoiesis is mediated by a series of HGF that acts individually and in various combinations involving complex feedback mechanisms. Today, many HGF have been isolated; some have been studied extensively, and a few have been manufactured for clinical use.
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Aapro MS, Bohlius J, Cameron DA et al (2011) 2010 update of EORTC guidelines for the use of granulocyte-colony stimulating factor to reduce the incidence of chemotherapy-induced febrile neutropenia in adult patients with lymphoproliferative disorders and solid tumours. Eur J Cancer 47:8–32
Adamson JW, Eschbach JW (1990) Treatment of the anemia of chronic renal failure with recombinant human erythropoietin. Annu Rev Med 41:349–360
Agoram B, Sutjandra L, Sullivan JT (2007) Population pharmacokinetics of darbepoetin alfa in healthy subjects. Br J Clin Pharmacol 63:41–52
Agoram B, Aoki K, Doshi S et al (2009) Investigation of the effects of altered receptor binding activity on the clearance of erythropoiesis-stimulating proteins: nonerythropoietin receptor-mediated pathways may play a major role. J Pharm Sci 98:2198–2211
Ait-Oudhia S, Vermeulen A, Krzyzanski W (2011) Non-linear mixed effect modeling of the time-variant disposition of erythropoietin in anemic cancer patients. Biopharm Drug Dispos 32:1–15
Armitage JO (1998) Emerging applications of recombinant human granulocyte colony-stimulating factor. Blood 92:4491–4508
Bennett CL, Silver SM, Djulbegovic B et al (2008) Venous thromboembolism and mortality associated with recombinant erythropoietin and darbepoetin administration for the treatment of cancer-associated anemia. JAMA 299:914–924
Bohlius J, Schmidlin K, Brillant C et al (2009) Recombinant human erythropoiesis-stimulating agents and mortality in patients with cancer: a meta-analysis of randomised trials. Lancet 373:1532–1542
Bron D, Meuleman N, Mascaux C (2001) Biological basis of anemia. Semin Oncol 28:1–6
Broudy VC, Lin NL (2004) AMG531 stimulates megakaryopoiesis in vitro by binding to Mpl. Cytokine 25:52–60
Bussel JB, Kuter DJ, George JN et al (2006) AMG 531, a thrombopoiesis-stimulating protein, for chronic ITP. N Engl J Med 355:1672–1681
Chanu P, Gieschke R, Charoin JE, Pannier A, Reigner B (2010) Population pharmacokinetic – pharmacodynamic model for a C.E.R.A. in both ESA-naive and ESA-treated chronic kidney disease patients with renal anemia. J Clin Pharmacol 50:507–520
Chapel S, Veng-Pedersen P, Hohl RJ, Schmidt RL, McGuire EM, Widness JA (2001) Changes in erythropoietin pharmacokinetics following busulfan-induced bone marrow ablation in sheep: evidence for bone marrow as a major erythropoietin elimination pathway. J Pharmacol Exp Ther 298:820–824
Cheung WK, Goon BL, Guilfoyle MC, Wacholtz MC (1998) Pharmacokinetics and pharmacodynamics of recombinant human erythropoietin after single and multiple subcutaneous doses to healthy subjects. Clin Pharmacol Ther 64:412–423
Cheung WK, Minton N, Gunawardena K (2001) Pharmacokinetics and pharmacodynamics of epoetin alfa once weekly and three times weekly. Eur J Clin Pharmacol 57:411–418
Crawford J, Armitage J, Balducci L et al (2009) Myeloid growth factors. J Natl Compr Canc Netw 7:64–83
Deicher R, Horl WH (2004) Differentiating factors between erythropoiesis-stimulating agents: a guide to selection for anemia of chronic kidney disease. Drugs 64:499–509
Doshi S, Chow A, Pérez Ruixo JJ (2010) Exposure-response modeling of darbepoetin alfa in anemic patients with chronic kidney disease not receiving dialysis. J Clin Pharmacol 50(9 Suppl):75S–90S
Egrie JC, Browne JK (2001) Development and characterization of novel erythropoiesis stimulating protein (NESP). Br J Cancer 84(Suppl 1):3–10
Egrie JC, Strickland TW, Lane J et al (1986) Characterization and biological effects of recombinant human erythropoietin. Immunobiology 72:213–224
Egrie JC, Dwyer E, Browne JK, Hitz A, Lykos MA (2003) Darbepoetin alfa has a longer circulating half-life and greater in vivo potency than recombinant human erythropoietin. Exp Hematol 31:290–299
Elliott S, Lorenzini T, Asher S et al (2003) Enhancement of therapeutic protein in vivo activities through glycoengineering. Nat Biotechnol 21:414–421
Elliott S, Heatherington AC, Foote MA (2004a) Erythropoietic factors. In: Morstyn G, Foote MA, Lieschke GJ (eds) Hematopoietic growth factors in oncology: basic science and clinical therapeutics. Humana Press Inc, Totowa, pp 97–123
Elliott S, Egrie J, Browne J et al (2004b) Control of rHuEPO biological activity: the role of carbohydrate. Exp Hematol 32:1146–1155
Fan Q, Leuther KK, Holmes CP, Fong KL, Zhang J, Velkovska S, Chen MJ, Mortensen RB, Leu K, Green JM, Schatz PJ, Woodburn KW (2006) Preclinical evaluation of Hematide, a novel erythropoiesis stimulating agent, for the treatment of anemia. Exp Hematol 34:1303–1311
Fisher JW (2003) Erythropoietin: physiology and pharmacology update. Exp Biol Med 228:1–14
Gascon P, Pirker R, Del Mastro L, Durrwell L (2010) Effects of CERA (continuous erythropoietin receptor activator) in patients with advanced non-small-cell lung cancer (NSCLC) receiving chemotherapy: results of a phase II study. Ann Oncol 21:2029–2039
Glaspy J, Henry D, Patel R et al (2005) The effects of chemotherapy on endogenous erythropoietin levels and the pharmacokinetics and erythropoietic response of darbepoetin alfa: a randomised clinical trial of synchronous versus asynchronous dosing of darbepoetin alfa. Eur J Cancer 41:1140–1149
Glaspy J, Crawford J, Vansteenkiste J et al (2010) Erythropoiesis stimulating agents in oncology: a study-level meta-analysis of survival and other safety outcomes. Br J Cancer 102:301–315
Green MD, Koelbl H, Baselga J et al (2003) A randomized double-blind multicenter phase III study of fixed-dose single-administration pegfilgrastim versus daily filgrastim in patients receiving myelosuppressive chemotherapy. Ann Oncol 14:29–35
Gross AW, Lodish HF (2006) Cellular trafficking and degradation of erythropoietin and novel erythropoiesis stimulating protein (NESP). J Biol Chem 281:2024–2032
Halstenson CE, Macres M, Katz SA et al (1991) Comparative pharmacokinetics and pharmacodynamics of epoetin alfa and epoetin beta. Clin Pharmacol Ther 50:702–712
Heatherington AC (2003) Clinical pharmacokinetic properties of rHuEPO: a review. In: Molineux G, Foote MA, Elliott S (eds) Erythropoietins and erythropoiesis: molecular, cellular, preclinical, and clinical biology. Birkhauser, Basel, pp 87–112
Jarsch M, Brandt M, Lanzendörfer M, Haselbeck A (2008) Comparative erythropoietin receptor binding kinetics of C.E.R.A. and epoetin-beta determined by surface plasmon resonance and competition binding assay. Pharmacology 81:63–69
Jelkmann W (1992) Erythropoietin: structure, control of production, and function. Physiol Rev 72:449–489
Jelkmann W (2000) Use of recombinant human erythropoietin as an antianemic and performance enhancing drug. Curr Pharm Biotechnol 1:11–31
Jensen JD, Jensen LW, Madsen JK (1994) The pharmacokinetics of recombinant human erythropoietin after subcutaneous injection at different sites. Eur J Clin Pharmacol 46:333–337
Jungers PY, Robino C, Choukroun G, Nguyen-Khoa T, Massy ZA, Jungers P (2002) Incidence of anaemia, and use of Epoetin therapy in pre-dialysis patients: a prospective study in 403 patients. Nephrol Dial Transplant 17:1621–1627
Kakkar T, Sung C, Gibiansky L et al (2011) Population PK and IgE pharmacodynamic analysis of a fully human monoclonal antibody against IL4 receptor. Pharm Res 28:2530–2542
Kantarjian H, Fenaux P, Sekeres MA et al (2010a) Safety and efficacy of romiplostim in patients with lower-risk myelodysplastic syndrome and thrombocytopenia. J Clin Oncol 28:437–444
Kantarjian HM, Giles FJ, Greenberg PL et al (2010b) Phase 2 study of romiplostim in patients with low- or intermediate-risk myelodysplastic syndrome receiving azacitidine therapy. Blood 116:3163–3170
Kato A, Hishida A, Kumagai H, Furuya R, Nakajima T, Honda N (1994) Erythropoietin production in patients with chronic renal failure. Ren Fail 16:645–651
Kaufman JS, Reda DJ, Fye CL et al (1998) Subcutaneous compared with intravenous epoetin in patients receiving hemodialysis. Department of Veterans Affairs Cooperative Study Group on Erythropoietin in Hemodialysis Patients. N Engl J Med 339:578–583
Keating GM (2011) Lenograstim: a review of its use in chemotherapy-induced neutropenia, for acceleration of neutrophil recovery following haematopoietic stem cell transplantation and in peripheral blood stem cell mobilization. Drugs 71:679–707
Keating GM (2012) Romiplostim. Drugs 72:415–435
Krzyzanski W, Jusko WJ, Wacholtz MC, Minton N, Cheung WK (2005) Pharmacokinetic and pharmacodynamic modeling of recombinant human erythropoietin after multiple subcutaneous doses in healthy subjects. Eur J Pharm Sci 26:295–306
Kuter DJ, Hunt P, Sheridan W, Zucker-Franklin D (eds) (1997) Thrombopoiesis and thrombopoeitin. Humana Press Inc, Totowa, p 412
Langley KE (2004) Stem cell factor and its receptor, c-Kit. In: Morstyn G, Foote MA, Lieschke GJ (eds) Hematopoietic growth factors in oncology. Humana Press Inc, Totowa, pp 153–184
Li J, Yang C, Xia Y et al (2001) Thrombocytopenia caused by the development of antibodies to thrombopoietin. Blood 98:3241–3248
Locatelli F, Del Vecchio L (2009) Hematide™ for the treatment of chronic kidney disease-related anemia. Expert Rev Hematol 2:377–383
Ludwig H, Crawford J, Osterborg A et al (2009) Pooled analysis of individual patient-level data from all randomized, double-blind, placebo controlled trials of darbepoetin alfa in the treatment of patients with chemotherapy-induced anemia. J Clin Oncol 27:2838–2847
Macdougall IC (2005) CERA (Continuous Erythropoietin Receptor Activator): a new erythropoiesis-stimulating agent for the treatment of anemia. Curr Hematol Rep 4:436–440
Macdougall IC, Gray SJ, Elston O et al (1999) Pharmacokinetics of novel erythropoiesis stimulating protein compared with epoetin alfa in dialysis patients. J Am Soc Nephrol 10:2392–2395
McLennan DN, Porter CJ, Edwards GA, Heatherington AC, Martin SW, Charman SA (2006) The absorption of darbepoetin alfa occurs predominantly via the lymphatics following subcutaneous administration to sheep. Pharm Res 23:2060–2066
McMahon FG, Vargas R, Ryan M et al (1990) Pharmacokinetics and effects of recombinant human erythropoietin after intravenous and subcutaneous injections in healthy volunteers. Blood 76:1718–1722
Miller CB, Jones RJ, Piantadosi S, Abeloff MD, Spivak JL (1990) Decreased erythropoietin response in patients with the anemia of cancer. N Engl J Med 322:1689–1692
Nissenson AR, Swan SK, Lindberg JS et al (2002) Randomized, controlled trial of darbepoetin alfa for the treatment of anemia in hemodialysis patients. Am J Kidney Dis 40:110–118
Olsson-Gisleskog P, Jacqmin P, Perez-Ruixo JJ (2007) Population pharmacokinetics meta-analysis of recombinant human erythropoietin in healthy subjects. Clin Pharmacokinet 46:159–173
Perez-Ruixo JJ, Krzyzanski W, Bouman-Thio E et al (2009) Pharmacokinetics and pharmacodynamics of the erythropoietin mimetibody construct CNTO 528 in healthy subjects. Clin Pharmacokinet 48:601–613
Perez-Ruixo JJ, Green B, Doshi S, Wang YM, Mould DR (2012) Romiplostim dose-response in patients with immune thrombocytopenia. J Clin Pharmacol 52:1540–1551
Petrelli F, Borgonovo K, Cabiddu M, Lonati V, Barni S (2012) Addition of iron to erythropoiesis-stimulating agents in cancer patients: a meta-analysis of randomized trials. J Cancer Res Clin Oncol 138:179–187
Piron M, Loo M, Gothot A, Tassin F, Fillet G, Beguin Y (2001) Cessation of intensive treatment with recombinant human erythropoietin is followed by secondary anemia. Blood 97:442–448
Porter CJ, Charman SA (2000) Lymphatic transport of proteins after subcutaneous administration. J Pharm Sci 89:297–310
Ramakrishnan R, Cheung WK, Wacholtz MC, Minton N, Jusko WJ (2004) Pharmacokinetic and pharmacodynamic modeling of recombinant human erythropoietin after single and multiple doses in healthy volunteers. J Clin Pharmacol 44:991–1002
Rizzo JD, Somerfield MR, Hagerty KL et al (2008) Use of epoetin and darbepoetin in patients with cancer: 2007 American Society of Clinical Oncology/American Society of Hematology clinical practice guideline update. J Clin Oncol 26:132–149
Schellekens H, Moors E (2010) Clinical comparability and European biosimilar regulations. Nat Biotechnol 28:28–31
Sinclair AM, Elliott S (2005) Glycoengineering: the effect of glycosylation on the properties of therapeutic proteins. J Pharm Sci 94:1626–1635
Spivak JL (1998) The biology and clinical applications of recombinant erythropoietin. Semin Oncol 25(3 suppl 7):7–11
Supersaxo A, Hein WR, Steffen H (1990) Effect of molecular weight on the lymphatic absorption of water-soluble compounds following subcutaneous administration. Pharm Res 7:167–169
Sutjandra L, Rodriguez RD, Doshi S et al (2011) Population pharmacokinetic meta-analysis of denosumab in healthy subjects and postmenopausal women with osteopenia or osteoporosis. Clin Pharmacokinet 50:793–807
Tonelli M, Hemmelgarn B, Reiman T et al (2009) Benefits and harms of erythropoiesis-stimulating agents for anemia related to cancer: a meta-analysis. CMAJ 180:E62–E71
Uehlinger DE, Goth FA, Sheiner LB (1992) A pharmacodynamic model of erythropoietin therapy for uremic anemia. Clin Pharmacol Ther 51:76–89
Vansteenkiste J, Pirker R, Massuti B et al (2002) Double-blind, placebo-controlled, randomized phase III trial of darbepoetin alfa in lung cancer patients receiving chemotherapy. J Natl Cancer Inst 94:1211–1220
Walrafen P, Verdier F, Kadri Z, Chrétien S, Lacombe C, Mayeux P (2005) Both proteasomes and lysosomes degrade the activated erythropoietin receptor. Blood 105:600–608
Wang YM, Krzyzanski W, Doshi S, Xiao JJ, Pérez-Ruixo JJ, Chow AT (2010) Pharmacodynamics-mediated drug disposition (PDMDD) and precursor pool lifespan model for single dose of romiplostim in healthy subjects. AAPS J 12:729–740
Wang YM, Sloey B, Wong T, Khandelwal P, Melara R, Sun YN (2011) Investigation of the pharmacokinetics of romiplostim in rodents with a focus on the clearance mechanism. Pharm Res 28:1931–1938
Wide L, Bengtsson C, Birgegard G (1989) Circadian rhythm of erythropoietin in human serum. Br J Haematol 72:85–90
Yan X, Lowe PJ, Fink M, Berghout A, Balser S, Krzyzanski W (2012) Population pharmacokinetic and pharmacodynamic model-based comparability assessment of a recombinant human epoetin alfa and the biosimilar HX575. J Clin Pharmacol 52:1624–1644
Yan X, Krzyzanski W (2013) Quantitative assessment of minimal effective concentration of erythropoiesis-stimulating agents. CPT Pharmacometrics Syst Pharmacol. Aug 7;2:e62. doi:10.1038/psp.2013.39.
Yang BB, Kido A (2011) Pharmacokinetics and pharmacodynamics of pegfilgrastim. Clin Pharmacokinet 50:295–306
Acknowledgements
Parts of this chapter are updated versions of previously published portions of several other chapters that include:
1. Heatherington AC (2003) Clinical pharmacokinetic properties of rHuEPO: a review. In: Molineux G, Foote MA, Elliott S (eds) Erythropoietins and erythropoiesis: molecular, cellular, preclinical, and clinical biology. Birkhauser, Basel, pp 87–112
2. Elliot S, Heatherington AC, Foote MA (2004) Erythropoietic factors: clinical pharmacology and pharmacokinetics. In: Morstyn G, Foote MA, and Lieschke GJ (eds) Hematopoietic growths factors in oncology. Humana Press, Totowa, pp 97–123
3. Foote AN (2008) Hematopoietic growth factors. In: Crommelin DJA, Sindelar RD, Meibohm B (eds) Pharmaceutical biotechnology. Fundamentals and applications, 3rd edn. Informa Healthcare USA, New York, pp 225–242
4. Doshi S, Perez-Ruixo JJ, Jang GR, Chow A, Elliot S (2008) Pharmacocinétique de les agents stimulant l’érythropoïèse. In: Rossert J, Casadevall N, Gisselbrecht C (eds) Les agents stimulant l’érythropoïèse. Paris, France
5. Doshi S, Perez-Ruixo JJ, Jang GR, Chow AT (2009) Pharmacokinetics of erythropoiesis-stimulating agents. In: Molineux G, Foote MA, Elliott S (eds) Erythropoietins and erythropoiesis: molecular, cellular, preclinical, and clinical biology. 2nd edn. Birkhäuser Verlag AG, Basel, pp 195–224
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Pérez-Ruixo, J.J., Chow, A.T. (2013). Hematopoietic Growth Factors: Focus on Erythropoiesis-Stimulating Agents. In: Crommelin, D., Sindelar, R., Meibohm, B. (eds) Pharmaceutical Biotechnology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6486-0_18
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