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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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MODEL IN MOTION 18 sec

How do fractionated inotuzumab doses accumulate across cycles?

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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.

0–1,848 h

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.

Readouts

Central concentration · ng/mL
Serum model readout:1000 times central mg divided by apparent central L.
Exposure (AUC) · ng*h/mL
Nonfeedback integral of central serum concentration; physical hour-based AUC persists under alternative display clocks.
Clearance total · L/h
Fixed-context model quantity in the stated physical unit.
Accounted inotuzumab · mg
Current central and peripheral amounts plus integrated cumulative elimination.

Study purpose

  • How do the model's key biological readouts change under all reference fractionated regimen?

Assumptions

  • Fixed adult covariate and specified log-deviation contexts only; no patient estimation or population sampling.
  • Disease and assay stratum were associated in the underlying adult analysis.
  • The peripheral state is an apparent distribution amount, not a separately measured serum specimen.
  • One-hour infusion duration is a specified approximation. Baseline covariates and log deviations remain fixed throughout each history.
  • The absolute treatment clock never resets at later infusions. An infusion beginning at the observation endpoint delivers no amount before that endpoint.
  • Cumulative eliminated amount integrates instantaneous total clearance times central concentration; exposure and accounting do not feed back.
  • The clearance-arm decay half-time is not a terminal drug half-life.
  • No explicit CD22 binding, tumor response, payload kinetics, clinical dose advice, original patient fit or population predictive check is represented.

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Simulation time
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h
1848 → 168

Time between reported samples.

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24 → 1

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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.

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
ParameterDefaultUnitDescription
ALL disease assay stratumALL_indicator1—Fixed binary stratum: 1 = ALL, 0 = NHL.
Baseline body surface areaBBSA_m21.84meter²Fixed baseline BSA in square metres.
Baseline peripheral blood blastsBLSTPB_pct5.25percentFixed positive percentage or−99 for missing baseline information; missing values have a neutral covariate factor. Zero preprocessing is unspecified.
Baseline linear clearanceCL1_base_L_h0.113L/hFinal reference coefficient before BSA, disease, rituximab and fixed log-deviation multipliers.
Baseline time-varying clearanceCL2_base_L_h0.369L/hFinal reference coefficient before BSA and fixed log-deviation multipliers.
Intercompartmental clearanceQ_L_h0.0405L/hBidirectional exchange clearance between the two apparent pools.
Baseline central distribution volumeV1_base_L6.7LFinal reference apparent central volume before linear BSA and fixed log-deviation effects.
Peripheral distribution volumeV2_L5.1LFixed apparent peripheral distribution volume.
Fixed log deviation of linear clearanceeta_cl10—Specified deterministic log deviation; zero gives the population typical coefficient. No random draw is performed.
Fixed log deviation of initial declining clearanceeta_cl20—Specified deterministic log deviation; zero gives the population typical coefficient. No random draw is performed.
Fixed log deviation of clearance decay coefficienteta_kdes0—Specified deterministic log deviation; zero gives the population typical coefficient. No random draw is performed.
Fixed log deviation of central volumeeta_v10—Specified deterministic log deviation; zero gives the population typical coefficient. No random draw is performed.
Reference clearance decay coefficientkdes_base_1_h0.03371/hReference exponential clearance-decay coefficient before fixed stratum, blast and log-deviation effects.
Absence of rituximabno_rituximab_indicator1—Fixed binary context: 1 = without rituximab, 0 = with rituximab.
Reference bsareference_BBSA_m21.84meter²BSA normalization and linear centering value.
Reference blast percentagereference_BLSTPB_pct5.25percentPositive 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_BBSA1.54—Power exponent of BSA divided by reference BSA.
Bsa exponent on declining clearancetheta_CL2_BBSA1.64—Power exponent of BSA divided by reference BSA.
Centered bsa slope on central volumetheta_V1_BBSA0.7741/(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_CL10.155—Fractional fixed increase when rituximab is absent.

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