HematologyCardiovascular & coagulation PKPD

Idarucizumab reversal of dabigatran in sheep

Reference paper ↗

A PK/PD model coupling dabigatran central, peripheral, and effect-site disposition to idarucizumab-associated reversal of the anticoagulation response in sheep.

Therapeutic
Dabigatran challenge and idarucizumab reversal, Idarucizumab
Modality
Antibody fragment
Target
Thrombin, Dabigatran
Disease
Preclinical reversal of dabigatran anticoagulation
Model type
PKPD

Complete model workspace

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Parameters
14
States
6
Equations
6
Derived outputs
8

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4 mg/kg dabigatran sheep PK-PD

How do dabigatran effect-site kinetics and idarucizumab administration determine reversal timing? Explore this intervention regimen through Dabigatran effect-site concentration, Idarucizumab reversal effect, Central dabigatran amount, Circuit dabigatran amount, Cumulative dabigatran exposure.

Starting result

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Starting configuration

Time: 0–1,440 minute; step 5

InputDefaultAvailable range
Standardized systemic clearance0.0453 L/min0.02265–0.06795 L/min
Standardized central distribution volume2.94 L1.47–4.41 L
Standardized intercompartmental clearance0.268 L/min0.134–0.402 L/min
Effect-compartment half-life1.04 min0.52–1.56 min
Idarucizumab binding rate0.0218 1/min0.0109–0.0327 1/min

Expected readouts

Effect-site concentration (mg/L) · Idarucizumab reversal effect (dimensionless) · Central-compartment drug amount (mg) · Circuit dabigatran amount (mg) · Exposure (AUC) (mg*min/L)

Adjustable model parameters

This public explorer exposes 5 curated parameters. Sign in to edit all 14 declared model parameters.

More key parameters (1)

How the model represents the biology

A PK/PD model coupling dabigatran central, peripheral, and effect-site disposition to idarucizumab-associated reversal of the anticoagulation response in sheep.

How do dabigatran PK and an independent idarucizumab-effect signal evolve?Dabigatran input enters a central pool, exchanges with a peripheral pool, undergoes clearance, and equilibrates with an effect-site concentration. A separately initialized idarucizumab-effect signal decays independently and is not coupled to dabigatran PK or the effect site.BIOLOGY OVERVIEWHow do dabigatran PK and an independent idarucizumab-effect signal evolve?Dabigatran inputBolus or infusion to centraldrugCentral dabigatranSystemic drug amountPeripheral dabigatranReversible distributionDabigatran clearanceAllometrically scaled lossEffect-siteconcentrationCentral-to-effectequilibrationIdarucizumab signalScenario-initialized effectunitSignal decayIndependent first-order lossPRIMARY READOUTSDabigatran effect-site concentrationDabigatran effect-site con…Idarucizumab-effect signalIdarucizumab-effect signalCentral dabigatranCentral dabigatranCumulative exposureCumulative exposure

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

Model scope: An idarucizumab dose or concentration, dabigatran binding or neutralization, and a coupled reversal response are not represented; the idarucizumab state is an independent initialized signal.

Modeled relationships (5)
  • Dabigatran input → Central dabigatran: drug input (flow)
  • Central dabigatran ↔ Peripheral dabigatran: distribution (reversible exchange)
  • Central dabigatran → Dabigatran clearance: systemic CL (loss)
  • Central dabigatran → Effect-site concentration: equilibration (modulation)
  • Idarucizumab signal → Signal decay: first-order (loss)

Modeled relationships: Dabigatran input to Central dabigatran: drug input (flow); Central dabigatran reversibly exchanges with Peripheral dabigatran: distribution (reversible exchange); Central dabigatran to Dabigatran clearance: systemic CL (loss); Central dabigatran to Effect-site concentration: equilibration (modulation); Idarucizumab signal to Signal decay: first-order (loss).

Primary readouts: Dabigatran effect-site concentration; Idarucizumab-effect signal; Central dabigatran; Cumulative exposure.

Found a scientific issue? Email helpdesk@unibiointelligence.com with model ID eaton_2025_idarucizumab_dabigatran_sheep_pkpd.

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

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