Application of PBPK Modeling to Predict Monoclonal Antibody Disposition after Intravenous and Subcutaneous Administration in Rats and Humans

Authors: Zhou H, Bolger MB, Lukacova V
Conference: AAPS
Keywords: intravenous, mABs, monoclonal antibodies (mAbs), PBPK, subcutaneous
Software: GastroPlus®
Division: PBPK

Abstract

Purpose: Therapeutic monoclonal antibodies (mAbs) represent a growing segment of the development pipeline in the pharmaceutical industry. Physiologically based pharmacokinetic (PBPK) modeling has been extensively applied in small molecule drug development and has a great potential of helping in the development of mAbs and functional derivatives. In this study,a comprehensive PBPK model form Abs was developed to simulate plasma as well as individual tissue concentrations after intravenous (IV) or subcutaneous (SC) administration in preclinical animals and humans.

Methods: The whole-body PBPK model previously developed in GastroPlus™ (Simulations Plus, Inc.) was expanded to include mechanisms related to the absorption and disposition of mAbs. Each organ in the PBPK model is divided into three major compartments representing the vascular, endosomal, and interstitial spaces, as shown in Figure 1.

The following mechanisms are included in the PBPK model:

  • Transport of mAb into the tissue interstitial space via convective flow through the paracellular pores in the vascular endothelium
  • Uptake of mAb from the vascular and interstitial spaces into the endosomal space via fluid-phase endocytosis
  • pH-dependent binding of mAb to FcRn in the endosomal space
  • FcRn binding competition between therapeutic mAb and endogenous IgG
  • Recycling of mAb to the vascular and interstitial spaces
  • Endosomal degradation of the unbound mAb
  • Return of mAb from the tissue to the bloodstream through convective transport with lymph flow
  • Specific mAb binding to antigen (TMDD)

After SC injection, the mAb was initially distributed in the interstitial space of the local subcutaneous tissue. The local tissue was also divided into three compartments as shown in Figure 1. The same endosomal nonspecific clearance processes were applied to both the systemic clearance and local first-pass clearance after SC administration. Convective transport through the lymphatic endothelium and fluid-phase endocytosis are the main mechanisms of absorption into the systemic circulation following SC administration of mAb. The vascular (σv ) and lymph (σL ) reflection coefficients, and the fraction of mAb recycled (FR) were obtained from literature (Garg & Balthasar, J Pharmacokinet Pharmacodyn, 34 (2007), 687-709). Other model parameters (pH-dependent mAb-FcRn binding constants, mAb degradation in endosomal space, endosomal uptake, and recycle rates) were fitted using datasets from studies of 14 different antibodies and the reported synthesis rate of endogenous IgG (Junghans, Blood, 90 (1997), 3815- 3818; Cure & Cremer, J Immunol, 102 (1969), 1345-1353) for different species. The fitted mAb-FcRn binding constants were within the range of reported in vitro values (Datta-Mannan et al., J Biol Chem, 282 (2007), 1709-1717; Andersen et al., J Biol Chem, 285 (2010) 4826-4836).

American Association of Pharmaceutical Scientists (AAPS), October 25-29, 2015, Orlando, FL

By Haiying Zhou, Michael B. Bolger, Viera Lukacova