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The quest for balance between capturing data and model complexity: A quantitative clinical pharmacology approach applied to monoclonal antibodies

CPT Pharmacometrics & Systems Pharmacology, vol. 12, pp. 639–655

Abstract

The main objective of this tutorial is to provide the readers with a roadmap of how to establish increasingly complex target-mediated drug disposition (TMDD) models for monoclonal antibodies. To this end, we built mathematical models, each with a detailed visualization, starting from the basic TMDD model by Mager and Jusko to the well-established, physiologically based model by Li et al. in a step-wise fashion to highlight the relative importance of key physiological processes that impact mAb kinetics and system dynamics. As the models become more complex, the question of structural and parameter identifiability arises. To address this question, we work through a trastuzumab case example to guide the modeler's choice for model and parameter optimization in light of the context of use. We leave the readers of this tutorial with a brief summary of the advantages and limitations of each model expansion, as well as the model source codes for further self-guided exploration and hands-on analysis.

Authors 8

  1. University of Florida

    Affiliation as printed

    Department of Pharmaceutics, College of Pharmacy, Center for Pharmacometrics and System Pharmacology at Lake Nona (Orlando) University of Florida Gainesville Florida USA

    Department of Pharmaceutics, College of Pharmacy, Center for Pharmacometrics and System Pharmacology at Lake Nona (Orlando), University of Florida, Gainesville, Florida, USA

  2. Leiden University

    Affiliation as printed

    Mathematical Institute Leiden University Leiden The Netherlands

    Mathematical Institute, Leiden University, Leiden, The Netherlands

  3. Janssen Research & Development (United States)

    Affiliation as printed

    Adagene, Inc. San Diego California USA

    Biologics Clinical Pharmacology Janssen R&D Spring House Pennsylvania USA

    Adagene, Inc., San Diego, California, USA

    Biologics Clinical Pharmacology, Janssen R&D, Spring House, Pennsylvania, USA

  4. University of Florida

    Affiliation as printed

    Department of Pharmaceutics, College of Pharmacy, Center for Pharmacometrics and System Pharmacology at Lake Nona (Orlando) University of Florida Gainesville Florida USA

    Department of Pharmaceutics, College of Pharmacy, Center for Pharmacometrics and System Pharmacology at Lake Nona (Orlando), University of Florida, Gainesville, Florida, USA

  5. Genentech · University of Florida

    Affiliation as printed

    Clinical Pharmacology Genentech Research and Early Development South San Francisco California USA

    Department of Pharmaceutics, College of Pharmacy, Center for Pharmacometrics and System Pharmacology at Lake Nona (Orlando) University of Florida Gainesville Florida USA

    Clinical Pharmacology, Genentech Research and Early Development, South San Francisco, California, USA

    Department of Pharmaceutics, College of Pharmacy, Center for Pharmacometrics and System Pharmacology at Lake Nona (Orlando), University of Florida, Gainesville, Florida, USA

  6. Janssen Research & Development (United States)

    Affiliation as printed

    Biologics Clinical Pharmacology Janssen R&D Spring House Pennsylvania USA

    Biologics Clinical Pharmacology, Janssen R&D, Spring House, Pennsylvania, USA

  7. Janssen Research & Development (United States)

    Affiliation as printed

    Biologics Clinical Pharmacology Janssen R&D Spring House Pennsylvania USA

    Kira Pharmaceuticals Cambridge Maryland USA

    Biologics Clinical Pharmacology, Janssen R&D, Spring House, Pennsylvania, USA

    Kira Pharmaceuticals, Cambridge, Maryland, USA

  8. Stephan Schmidt corresponding

    University of Florida

    Affiliation as printed

    Department of Pharmaceutics, College of Pharmacy, Center for Pharmacometrics and System Pharmacology at Lake Nona (Orlando) University of Florida Gainesville Florida USA

    Department of Pharmaceutics, College of Pharmacy, Center for Pharmacometrics and System Pharmacology at Lake Nona (Orlando), University of Florida, Gainesville, Florida, USA

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References 29