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Enfortumab vedotin exposure and weight-band dosing

Three-compartment intact-ADC PK with source AUC windows and paired fixed-input administration comparisons.

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MODEL IN MOTION 18 sec

How do the fixed enfortumab schedules change exposure at 70 kg?

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40 kg — approved, 1.25 mg/kg tier

Fixed-input intact-ADC trajectory under the declared monotherapy schedule.

0–6,720 h

40 kg — approved, 1.25 mg/kg tier

Fixed-input intact-ADC trajectory under the declared monotherapy schedule.

Readouts

Central concentration · mg/L
Central concentration over the selected simulation window.
AUC first · mg*h/L
AUC first over the selected simulation window.
AUC late · mg*h/L
AUC late over the selected simulation window.
Accounted amount · mg
Accounted amount over the selected simulation window.

Study purpose

  • How do the model's key biological readouts change under 40 kg — approved, 1.25 mg/kg tier?

Assumptions

  • Conditional fixed-input intact-ADC exposure, with individual deviations fixed to zero in the supplied contexts.
  • The 500-person source demographic sample and original random draws are unavailable; reference trajectories are not population geometric means, CVs or equivalence results.
  • All administrations use the monotherapy schedule: days 1, 8 and 15 of each 28-day cycle, represented at hours 0, 168 and 336 within each cycle; 30-minute infusions.
  • The first-cycle observer stops at 672 h; the late observer starts at 6048 h and is read at the fixed 6720 h endpoint. It does not stop automatically if the horizon is extended.
  • The late window corresponds to days 252–280; it is not initialized at an exact periodic steady state.
  • Weight-band probes use interior weights because the publication does not determine every shared boundary inclusion.
  • The 110 kg probes use the explicitly reported initial 1.25 mg/kg cap of 125 mg; no reduced-tier high-weight cap is inferred.
  • Dose amounts and body weight are frozen together; changing weight requires rebuilding both PK inputs and the corresponding administration amounts.
  • No unconjugated payload, antitumor response, toxicity or clinical dosing recommendation is calculated.

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Simulation time
h
h
6720 → 168

Time between reported samples.

h
24 → 1

2 changes · Variation 1

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Biology

Compare intact-ADC exposure across fixed body weights and published administration strategies.

Compare intact-ADC exposure across fixed body weights and published administration strategies.

Model details

12 parameters · 7 states · 7 equations · 20 derived outputs

Classification & API access
Therapeutic
Enfortumab vedotin
Modality
Antibody–drug conjugate (ADC)
Target
Nectin-4
Disease / scope
Locally advanced or metastatic urothelial cancer
ParameterDefaultUnitDescription
Clearance referencecl_reference_l_h0.0992L/hSupplement S1 simulation input; frozen within each comparison context.
Clearance weight powerclearance_weight_power0.761—Supplement S1 simulation input; frozen within each comparison context.
Eta clearanceeta_cl0—Supplement S1 simulation input; frozen within each comparison context.
Eta distribution volume 1eta_v10—Supplement S1 simulation input; frozen within each comparison context.
Eta distribution volume 3eta_v30—Supplement S1 simulation input; frozen within each comparison context.
Q2 referenceq2_reference_l_h0.0022L/hSupplement S1 simulation input; frozen within each comparison context.
Q3 referenceq3_reference_l_h0.0378L/hSupplement S1 simulation input; frozen within each comparison context.
Distribution volume 1 referencev1_reference_l3.52LSupplement S1 simulation input; frozen within each comparison context.
Distribution volume 2 referencev2_reference_l2.49LSupplement S1 simulation input; frozen within each comparison context.
Distribution volume 3 referencev3_reference_l2.68LSupplement S1 simulation input; frozen within each comparison context.
Volume weight powervolume_weight_power0.71—Supplement S1 simulation input; frozen within each comparison context.
Weightweight_kg70kgSupplement S1 simulation input; frozen within each comparison context.

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