Respiratory diseaseInfectious disease PopPK

Tixagevimab–cilgavimab intramuscular PK

Reference paper ↗

A two-compartment population PK model with intramuscular absorption for the long-acting antibody combination tixagevimab–cilgavimab and covariate-dependent bioavailability and disposition.

Therapeutic
Tixagevimab and cilgavimab, AZD7442, tixagevimab, cilgavimab, Evusheld, tixagevimab/cilgavimab
Modality
Monoclonal antibody
Target
SARS-CoV-2 Spike RBD
Disease
SARS-CoV-2 pre-exposure prophylaxis
Model type
PopPK

Complete model workspace

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Parameters
23
States
5
Equations
5
Derived outputs
8

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AZD7442 600 mg IM typical gluteal

How do dose, injection site, and patient covariates change tixagevimab–cilgavimab exposure? Explore this intervention regimen through Central antibody concentration, Peripheral antibody concentration, Cumulative antibody exposure, Effective absorption rate.

Starting result

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Starting configuration

Time: 0–1,000 day; step 1

InputDefaultAvailable range
Systemic clearance0.0504 L/day0.0252–0.0756 L/day
Central distribution volume3.36 L1.68–5.04 L
Intercompartmental clearance0.395 L/day0.1975–0.5925 L/day
Peripheral distribution volume1.83 L0.915–2.745 L
Intramuscular bioavailability fraction0.671 dimensionless0.3355–1.007 dimensionless

Expected readouts

Central antibody concentration · Peripheral antibody concentration · Exposure (AUC) (ug*day/mL) · Effective absorption rate

Adjustable model parameters

This public explorer exposes 5 curated parameters. Sign in to edit all 23 declared model parameters.

More key parameters (1)

How the model represents the biology

A two-compartment population PK model with intramuscular absorption for the long-acting antibody combination tixagevimab–cilgavimab and covariate-dependent bioavailability and disposition.

How does an intramuscular long-acting antibody dose reach and distribute systemically?An intramuscular tixagevimab-cilgavimab dose enters a depot, is absorbed into central antibody exposure, exchanges with a peripheral pool, and undergoes systemic clearance. Injection-site and patient covariates modulate absorption, bioavailability, volumes, and clearance.BIOLOGY OVERVIEWHow does an intramuscular long-acting antibody dose reach and distributesystemically?Intramuscular doseTixagevimab–cilgavimabIM depotAbsorbed antibody fractionCentral exposureOne combined antibody PKsystemPeripheral poolReversible tissue distributionSystemic clearanceCentral concentration lossLong-duration exposureCumulative central AUCPatient + sitecovariatesAlter absorption anddispositionPRIMARY READOUTSCentral antibody concentrationCentral antibody concentra…Peripheral concentrationPeripheral concentrationCumulative exposureCumulative exposureEffective absorption rateEffective absorption rate

Solid arrows show modeled movement or change; two-headed arrows show reversible exchange; dashed arrows show modulation without material transfer.

Model scope: Viral binding, neutralization, infection protection, and distinct simultaneous tixagevimab and cilgavimab species are not represented.

Modeled relationships (7)
  • Intramuscular dose → IM depot: IM input (flow)
  • IM depot → Central exposure: absorption (flow)
  • Central exposure ↔ Peripheral pool: distribution (reversible exchange)
  • Central exposure → Systemic clearance: systemic CL (loss)
  • Central exposure → Long-duration exposure: integrates C (production)
  • Patient + site covariates → IM depot: alters ka (modulation)
  • Patient + site covariates → Systemic clearance: alters CL (modulation)

Modeled relationships: Intramuscular dose to IM depot: IM input (flow); IM depot to Central exposure: absorption (flow); Central exposure reversibly exchanges with Peripheral pool: distribution (reversible exchange); Central exposure to Systemic clearance: systemic CL (loss); Central exposure to Long-duration exposure: integrates C (production); Patient + site covariates to IM depot: alters ka (modulation); Patient + site covariates to Systemic clearance: alters CL (modulation).

Primary readouts: Central antibody concentration; Peripheral concentration; Cumulative exposure; Effective absorption rate.

Found a scientific issue? Email helpdesk@unibiointelligence.com with model ID clegg_2024_azd7442_tixagevimab_cilgavimab_poppk.

Research use only — not for patient-specific prediction or dosing advice.

Ubi Biologics