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QMP substitutions compensate for decreased FcRn binding caused by L585 cleavage The three amino acid substitutions introduced in DIII of human albumin, QMP, greatly improve its pH-dependent binding to human FcRn (Fig

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The primary concern with hepatic impairment is a potential change in exposure to a drug that is extensively cleared by hepatic metabolism or biliary excretion via the liver, that could impact on the pharmacodynamic action or lead to adverse effects [19]