Physician Awareness of Immune Responses to Polyethylene Glycol-Drug Conjugates

Clin Transl Sci. 2018 Mar;11(2):162-165. doi: 10.1111/cts.12537. Epub 2018 Jan 31.

Abstract

Antibodies against polyethylene glycol (PEG) can critically jeopardize the efficacy and safety of PEGylated therapeutics. For some PEG-drugs, a sizeable fraction of patients develop anti-PEG antibodies (APA), leading to reduced efficacy and potential adverse events. We surveyed physicians from several specialties to assess their awareness of APA. Overall, 83% of the physicians surveyed indicated that they have recently prescribed PEGylated drugs. Although 91% of respondents were aware of antidrug antibodies in general, only 22% were aware of APA responses. Further, there was limited awareness (35%) of PEG's inclusion in prescribed PEGylated therapeutics. These findings bring to light a need for improved awareness of APA, potentially via targeted education of physicians who prescribe specific PEGylated therapeutics that could induce or are otherwise affected by APA. Finally, it will be critical to quantitate the extent of knowledge transfer from the research community to clinicians, especially on topics of patient safety.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Antibodies / immunology
  • Clinical Competence / statistics & numerical data*
  • Drug Compounding / methods
  • Drug-Related Side Effects and Adverse Reactions / etiology
  • Drug-Related Side Effects and Adverse Reactions / immunology*
  • Humans
  • Nanoconjugates / adverse effects
  • Nanoconjugates / chemistry
  • Physicians / statistics & numerical data*
  • Polyethylene Glycols / adverse effects*
  • Polyethylene Glycols / chemistry
  • Prescription Drugs / adverse effects*
  • Prescription Drugs / chemistry
  • Surveys and Questionnaires / statistics & numerical data

Substances

  • Antibodies
  • Nanoconjugates
  • Prescription Drugs
  • Polyethylene Glycols