TY - JOUR A1 - Fronton, Ludivine A1 - Pilari, Sabine A1 - Huisinga, Wilhelm T1 - Monoclonal antibody disposition: a simplified PBPK model and its implications for the derivation and interpretation of classical compartment models JF - Journal of pharmacokinetics and pharmacodynamics N2 - The structure, interpretation and parameterization of classical compartment models as well as physiologically-based pharmacokinetic (PBPK) models for monoclonal antibody (mAb) disposition are very diverse, with no apparent consensus. In addition, there is a remarkable discrepancy between the simplicity of experimental plasma and tissue profiles and the complexity of published PBPK models. We present a simplified PBPK model based on an extravasation rate-limited tissue model with elimination potentially occurring from various tissues and plasma. Based on model reduction (lumping), we derive several classical compartment model structures that are consistent with the simplified PBPK model and experimental data. We show that a common interpretation of classical two-compartment models for mAb disposition-identifying the central compartment with the total plasma volume and the peripheral compartment with the interstitial space (or part of it)-is not consistent with current knowledge. Results are illustrated for the monoclonal antibodies 7E3 and T84.66 in mice. KW - mAb disposition KW - PBPK KW - Extravasation rate-limited tissue model KW - Classical compartment model Y1 - 2014 U6 - https://doi.org/10.1007/s10928-014-9349-1 SN - 1567-567X SN - 1573-8744 VL - 41 IS - 2 SP - 87 EP - 107 PB - Springer CY - New York ER - TY - JOUR A1 - Pilari, Sabine A1 - Preusse, Cornelia A1 - Huisinga, Wilhelm T1 - Gestational influences on the pharmacokinetics of gestagenic drugs a combined in silico, in vitro and in vivo analysis JF - European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences, EUFEPS N2 - During preclinical development of a gestagenic drug, a significant increase of the total plasma concentration was observed after multiple dosing in pregnant rabbits, but not in (non-pregnant) rats or monkeys. We used a PBPK modeling approach in combination with in vitro and in vivo data to address the question to what extent the pharmacologically active free drug concentration is affected by pregnancy induced processes. In human, a significant increase in sex hormone binding globulin (SHBG), and an induction of hepatic CYP3A4 as well as plasma esterases is observed during pregnancy. We find that the observed increase in total plasma trough levels in rabbits can be explained as a combined result of (i) drug accumulation due to multiple dosing, (ii) increase of the binding protein SHBG, and (iii) clearance induction. For human, we predict that free drug concentrations in plasma would not increase during pregnancy above the steady state trough level for non-pregnant women. KW - PBPK KW - Pregnancy KW - Gestagenic drug KW - Protein binding KW - SHBG KW - Clearance induction Y1 - 2011 U6 - https://doi.org/10.1016/j.ejps.2010.12.003 SN - 0928-0987 VL - 42 IS - 4 SP - 318 EP - 331 PB - Elsevier CY - Amsterdam ER -