B
Grade

Dinutuximab

Some PK studies in children have been published, however, no infants were included and the effect of age was not studied in most of the studies. However, the pharmacokinetic behavior of antibodies in infants is known. CL might be higher in younger patients.

Level 2

PK model including infants or PopPK model without infants

Author Method Number of Patients/Infants(<1yrs) Age(yr), Median(range) Age related findings
Marachelian (2016) Two compartment popPK model. BW included as an allometric covariate on CL and V in the model. 28 / 0 4 (2-7) Arm 1. 4 (1-9) Arm 2, mean (range) Effect of age not studied.

Level 3

Non-compartmental PK study or PK model without infants

Author Method Number of Patients/Infants(<1yrs) Age(yr), Median(range) Age related findings
Uttenreuther-Fischer (1995) Two compartment PK model 10 / 0 6.4 (2.1-11.4) Effect of age was not studied. t1/2 values lower than those reported in adults
Ladenstein (2013) Non-compartmental pharmacokinetics 16 / 0 7.6 (3.8-17.3) Effect of age was not studied.
Desai (2014) Non-compartmental pharmacokinetics and Two compartment PK model 14 / 0 4.3 (1.2-7.3) CL normalized to BW shows a negative correlation with age. Younger children exhibit higher CL values.