Tixagevimab component serum exposure
Explore conditional IM absorption and IV two-compartment antibody disposition with fixed baseline covariates. Component assignment follows the supplement caption provisionally; population behavior, combined-fit equivalence and clinical protection are unqualified.
Accelerating therapeutics development during a pandemic: population pharmacokinetics of the long-acting antibody combination AZD7442 (tixagevimab/cilgavimab) in the prophylaxis and treatment of COVID-19 ↗Exploration notes · What are you exploring?
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Reference gluteal IM, 300 mg
How does 300 mg IM administration produce exposure under the reference covariates? Deterministic conditional exploration.
Biology
Explore conditional IM absorption and IV two-compartment antibody disposition with fixed baseline covariates. Component assignment follows the supplement caption provisionally; population behavior, combined-fit equivalence and clinical protection are unqualified.
States & equation dependencies
Assumptions & evidence
Assumptions & limitations
- The total AZD7442 fit is independent of the two component fits; do not add component trajectories or synthesize an unreported cross-analyte population covariance.
- Component parameter identities provisionally follow the supplemental captions. Twenty-six coefficient rows conflict with article Table 1; the opposite component column matches 23 exactly, with three remaining differences. Author adjudication is absent.
- IM dose enters a first-order depot; the fitted IM scaling multiplier can exceed one in the total thigh configuration (approximately 1.017). It is empirical and must not be interpreted as a conserved physical fraction.
- IV scenarios assume one-hour administration. Original infusion duration and component timing are unavailable; no original peak or sequential-infusion claim is made.
- Categorical covariates and route fractions are fixed setup/context, not continuous axes. Body weight changes disposition under the fixed mg schedule.
- The diagnostic disposition half-time uses the slow two-compartment eigenvalue and omits a possible absorption-controlled terminal phase; it is not a population median.
- Original individual data, censored likelihood, fitted effects, bootstrap, VPC, adolescent cohort and clinical protection are not reconstructed.
- Supplementary-file reuse permission remains unresolved separately from the article license. Source documents and artwork are not distributed; this executable implementation and its figures are independently authored.
- The component identity provisionally follows Supplement Table S4; article Table 1 assigns the component coefficients differently. No author adjudication is available.
- Weight bounds span the 55.6 and 122 kg Figure 4 anchors as an exploratory interval, not a validated joint patient range. The other control bounds are authored 0.5–1.5× default ranges, not confidence intervals.
- The higher-weight context changes weight alone; it does not reproduce every factor of the Figure 4 low-exposure population scenario.
- Changing the start time resets supplied initial states at that start; earlier bolus history is not reconstructed. An overlapping IV infusion contributes only the remaining segment.
- The IV context does not depend on IM absorption or empirical IM scaling. Use an IM context to explore these controls.
Parameter origins
- Clegg 2024 Supplement Table S4
- Figure 4 typical comparator
- Released executable model definition; exact publication locator not reported
- Runtime route switch
- Final covariate model
- SI Tables S3-S5 covariate comments
Validation & references
One or more implementation checks are available; this is not a claim of full model reproduction.
Accelerating therapeutics development during a pandemic: population pharmacokinetics of the long-acting antibody combination AZD7442 (tixagevimab/cilgavimab) in the prophylaxis and treatment of COVID-19 ↗Available reference curves can be added to the plot when their scenario, readout, time and units match.
Model details
28 parameters · 5 states · 5 equations · 12 derived outputs
Classification & API access
- Therapeutic
- tixagevimab
- Modality
- Monoclonal antibody
- Target
- SARS-CoV-2 Spike RBD
- Disease / scope
- COVID-19 exposure study
| Parameter | Default | Unit | Description |
|---|---|---|---|
Diabetes effect on clearancebeta_cl_diabetes | 0.149 | 1 | Final tixagevimab estimate; distinct from interim Table S7 |
Thigh injection effect on fimbeta_fim_thigh | 0.414 | 1 | Final tixagevimab estimate; distinct from interim Table S7 |
Age 65 effect on absorption ratebeta_ka_age_over65 | -0.392 | 1 | Final tixagevimab estimate; distinct from interim Table S7 |
Bmi 30 effect on absorption ratebeta_ka_bmi_ge30 | -0.188 | 1 | Final tixagevimab estimate; distinct from interim Table S7 |
Diabetes effect on absorption ratebeta_ka_diabetes | -0.27 | 1 | Final tixagevimab estimate; distinct from interim Table S7 |
Male effect on absorption ratebeta_ka_male | 0.57 | 1 | Final tixagevimab estimate; distinct from interim Table S7 |
Black race effect on central distribution volumebeta_vc_black | -0.26 | 1 | Final tixagevimab estimate; distinct from interim Table S7 |
Body weightbody_weight_kg | 80.6 | kg | Figure 4 typical comparator |
Systemic clearancecl_l_day | 0.0515 | L/day | Final tixagevimab estimate; distinct from interim Table S7 |
Discriminant floor DAY2discriminant_floor_day2 | 1e-18 | 1/day**2 | Fixed unit-bearing name for the existing numerical floor; not a source coefficient or independently variable analysis control. |
Dose fraction to central compartmentdose_to_central_fraction | 0 | 1 | Runtime route switch |
Dose fraction to im depotdose_to_depot_fraction | 1 | 1 | Runtime route switch |
Intramuscular bioavailability fractionfim_fraction | 0.657 | 1 | Empirical gluteal FIM; multiplicative thigh effect can exceed one. Not a mechanistic mass fraction. |
Diabetes flaghas_diabetes | 0 | 1 | Final covariate model |
Age 65 flagis_age_over65 | 0 | 1 | Final covariate model |
Black race flagis_black_race | 0 | 1 | Final covariate model |
Bmi 30 flagis_bmi_ge30 | 0 | 1 | Final covariate model |
Male sex flagis_male | 1 | 1 | Figure 4 typical comparator |
Activ 2 thigh im flagis_thigh_injection | 0 | 1 | Final covariate model |
Absorption rate constantka_1_day | 0.119 | 1/day | Final tixagevimab estimate; distinct from interim Table S7 |
Intercompartmental clearanceq_l_day | 0.485 | L/day | Final tixagevimab estimate; distinct from interim Table S7 |
Rate floorrate_floor_per_day | 1e-12 | 1/day | Fixed unit-bearing name for the existing numerical floor; not a source coefficient or independently variable analysis control. |
Allometric reference body weightreference_weight_kg | 70 | kg | SI Tables S3-S5 covariate comments |
Time floortime_floor_day | 1e-12 | day | Fixed unit-bearing name for the existing numerical floor; not a source coefficient or independently variable analysis control. |
Central distribution volumevc_l | 3.52 | L | Final tixagevimab estimate; distinct from interim Table S7 |
Volume floorvolume_floor_L | 1e-12 | L | Fixed unit-bearing name for the existing numerical floor; not a source coefficient or independently variable analysis control. |
Peripheral distribution volumevp_l | 1.82 | L | Final tixagevimab estimate; distinct from interim Table S7 |
Weight floorweight_floor_kg | 1 | kg | Fixed unit-bearing name for the existing numerical floor; not a source coefficient or independently variable analysis control. |
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