Inotuzumab ozogamicin conditional pharmacokinetics
Two apparent drug-amount compartments with linear and exponentially declining clearance, fixed adult ALL or NHL covariates and explicit exposure and drug accounting.
Population pharmacokinetics of inotuzumab ozogamicin in relapsed/refractory acute lymphoblastic leukemia and non-Hodgkin lymphoma ↗Journal of Pharmacokinetics and Pharmacodynamics
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How do fractionated inotuzumab doses accumulate across cycles?
ALL reference fractionated regimen
Fixed inotuzumab ozogamicin amount model with a specified one-hour infusion history. Zero log deviations give typical coefficients, not a simulated population median.
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Biology
Two apparent drug-amount compartments with linear and exponentially declining clearance, fixed adult ALL or NHL covariates and explicit exposure and drug accounting.
Model details
23 parameters · 5 states · 5 equations · 25 derived outputs
Classification & API access
- Therapeutic
- Inotuzumab ozogamicin
- Modality
- Antibody–drug conjugate (ADC)
- Target
- SIGLEC2, CD22, B-cell receptor CD22
- Disease / scope
- B-cell acute lymphoblastic leukemia and B-cell lymphoma
| Parameter | Default | Unit | Description |
|---|---|---|---|
ALL disease assay stratumALL_indicator | 1 | — | Fixed binary stratum: 1 = ALL, 0 = NHL. |
Baseline body surface areaBBSA_m2 | 1.84 | meter² | Fixed baseline BSA in square metres. |
Baseline peripheral blood blastsBLSTPB_pct | 5.25 | percent | Fixed positive percentage or−99 for missing baseline information; missing values have a neutral covariate factor. Zero preprocessing is unspecified. |
Baseline linear clearanceCL1_base_L_h | 0.113 | L/h | Final reference coefficient before BSA, disease, rituximab and fixed log-deviation multipliers. |
Baseline time-varying clearanceCL2_base_L_h | 0.369 | L/h | Final reference coefficient before BSA and fixed log-deviation multipliers. |
Intercompartmental clearanceQ_L_h | 0.0405 | L/h | Bidirectional exchange clearance between the two apparent pools. |
Baseline central distribution volumeV1_base_L | 6.7 | L | Final reference apparent central volume before linear BSA and fixed log-deviation effects. |
Peripheral distribution volumeV2_L | 5.1 | L | Fixed apparent peripheral distribution volume. |
Fixed log deviation of linear clearanceeta_cl1 | 0 | — | Specified deterministic log deviation; zero gives the population typical coefficient. No random draw is performed. |
Fixed log deviation of initial declining clearanceeta_cl2 | 0 | — | Specified deterministic log deviation; zero gives the population typical coefficient. No random draw is performed. |
Fixed log deviation of clearance decay coefficienteta_kdes | 0 | — | Specified deterministic log deviation; zero gives the population typical coefficient. No random draw is performed. |
Fixed log deviation of central volumeeta_v1 | 0 | — | Specified deterministic log deviation; zero gives the population typical coefficient. No random draw is performed. |
Reference clearance decay coefficientkdes_base_1_h | 0.0337 | 1/h | Reference exponential clearance-decay coefficient before fixed stratum, blast and log-deviation effects. |
Absence of rituximabno_rituximab_indicator | 1 | — | Fixed binary context: 1 = without rituximab, 0 = with rituximab. |
Reference bsareference_BBSA_m2 | 1.84 | meter² | BSA normalization and linear centering value. |
Reference blast percentagereference_BLSTPB_pct | 5.25 | percent | Positive normalization percentage; also gives the neutral effect when baseline blasts are missing. |
Blast exponent on clearance decaytheta_BLSTPB_on_kdes | -0.0401 | — | Power exponent for positive baseline peripheral-blood blast percentage. |
Bsa exponent on linear clearancetheta_CL1_BBSA | 1.54 | — | Power exponent of BSA divided by reference BSA. |
Bsa exponent on declining clearancetheta_CL2_BBSA | 1.64 | — | Power exponent of BSA divided by reference BSA. |
Centered bsa slope on central volumetheta_V1_BBSA | 0.774 | 1/(meter²) | Linear coefficient multiplying baseline BSA minus reference BSA; the resulting volume factor must remain positive. |
ALL fraction on linear clearancetheta_all_on_CL1 | -0.745 | — | Fractional fixed effect in 1 + coefficient × ALL indicator. |
ALL fraction on clearance decaytheta_all_on_kdes | -0.86 | — | Fractional fixed effect in 1 + coefficient × ALL indicator. |
No rituximab fraction on linear clearancetheta_no_rituximab_on_CL1 | 0.155 | — | Fractional fixed increase when rituximab is absent. |
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