Pembrolizumab population PK and exposure
A two-compartment population PK model linking pembrolizumab dosing, body-size effects on disposition, central and peripheral antibody amounts, concentration, and cumulative exposure.
Evaluation of dosing strategy for pembrolizumab for oncology indications ↗Journal for ImmunoTherapy of Cancer
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MODEL IN MOTION 18 sec
How do weight-based and fixed pembrolizumab presets build exposure?
2 mg/kg every 3 weeks, 77.2 kg
How do dose regimen and body size change pembrolizumab concentration and cumulative exposure?
Inputs changed since the displayed result. Run to update the comparison.
Biology
Repeated intravenous pembrolizumab dosing enters a central pool, exchanges with a peripheral pool, undergoes systemic clearance, and accumulates central exposure. Body weight scales clearance, intercompartmental flow, and distribution volumes.
Solid arrows show modeled movement or change; two-headed arrows show reversible exchange; dashed arrows show modulation without material transfer.
Model scope: PD-1 binding or receptor occupancy, immune response, tumor effects, and efficacy equivalence between regimens are not represented; this is two-compartment PK.
Modeled relationships (7)
- Repeated IV dosing → Central exposure: dose events (flow)
- Central exposure ↔ Peripheral pool: distribution (reversible exchange)
- Central exposure → Systemic clearance: systemic CL (loss)
- Body-weight scaling → Central exposure: scales Vc (modulation)
- Body-weight scaling → Peripheral pool: scales Q / Vp (modulation)
- Body-weight scaling → Systemic clearance: scales CL (modulation)
- Central exposure → Cumulative exposure: integrates C (production)
Modeled relationships: Repeated IV dosing to Central exposure: dose events (flow); Central exposure reversibly exchanges with Peripheral pool: distribution (reversible exchange); Central exposure to Systemic clearance: systemic CL (loss); Body-weight scaling to Central exposure: scales Vc (modulation); Body-weight scaling to Peripheral pool: scales Q / Vp (modulation); Body-weight scaling to Systemic clearance: scales CL (modulation); Central exposure to Cumulative exposure: integrates C (production).
Primary readouts: Central pembrolizumab concentration; Peripheral concentration; Cumulative exposure.
Model details
8 parameters · 4 states · 4 equations · 15 derived outputs
Classification & API access
- Therapeutic
- Pembrolizumab
- Modality
- Monoclonal antibody
- Target
- PD-1 / PDCD1
- Disease / scope
- Oncology indications treated with pembrolizumab
| Parameter | Default | Unit | Description |
|---|---|---|---|
Body weightbody_weight_kg | 77.2 | kg | Body weight used for body-size scaling in the model. |
Clearance body weight exponentclearance_body_weight_exponent | 0.578 | — | Clearance body weight exponent used for body-size scaling in the model. |
Central volumeexploratory_central_volume_L | 3.29226461 | L | Central volume used to convert modeled amount to concentration in the relevant compartment. |
Clearanceexploratory_clearance_L_day | 0.20339648 | L/day | Clearance governing removal of modeled material from the relevant compartment. |
Intercompartmental clearanceexploratory_intercompartmental_clearance_L_day | 0.4 | L/day | Intercompartmental clearance governing removal of modeled material from the relevant compartment. |
Peripheral volumeexploratory_peripheral_volume_L | 3.71908679 | L | Peripheral volume used to convert modeled amount to concentration in the relevant compartment. |
Reference body weightexploratory_reference_body_weight_kg | 77.2 | kg | Reference body weight used for body-size scaling in the model. |
Volume body weight exponentvolume_body_weight_exponent | 0.492 | — | Volume body weight exponent used for body-size scaling in the model. |
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