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Bevacizumab and VEGF165 conditional QSS binding

Specified QSS binding, free-drug distribution and VEGF turnover with separate drug and target accounting.

A pharmacokinetic binding model for bevacizumab and VEGF165 in colorectal cancer patients ↗

Cancer Chemotherapy and Pharmacology

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MODEL IN MOTION 18 sec

How do two regimens change antibody amount and VEGF turnover?

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5 mg/kg every 2 weeks, 70 kg,85-minute fixed infusions

Specified deterministic infusion and fixed-covariate history.

0–126 day

5 mg/kg every 2 weeks, 70 kg,85-minute fixed infusions

Specified deterministic infusion and fixed-covariate history.

Readouts

Total bevacizumab · Unit unavailable
Specified fixed-context quantity, unit coordinate or accounting readout.
Free VEGF165 · ng/L
Free serum VEGF165 model readout.
Accounted bevacizumab · mg
Specified fixed-context quantity, unit coordinate or accounting readout.
Accounted target · nmol
Specified fixed-context quantity, unit coordinate or accounting readout.

Study purpose

  • How do the model's key biological readouts change under 5 mg/kg every 2 weeks, 70 kg,85-minute fixed infusions?

Assumptions

  • Deterministic fixed histories only; no original individual fitting, sampled populations or clinical dose selection.
  • Body weight and allometric coefficients stay fixed. Clearances scale with weight exponent0.75 and volumes with exponent1 relative to70kg.
  • Infusion durations are explicit chosen histories, not recovered individual infusion records.
  • All accounting and elapsed-time states are nonfeedback observers. AUC keeps physical mg*day/L under alternate hour display.
  • No claim of published figure-panel, population, residual-error or genotype-effect reconstruction.
  • Free central drug, free target and effective1:1complex are algebraic QSS quantities, not kon/koff kinetic states.
  • The apparent peripheral pool carries free drug and is not a separately sampled serum compartment.
  • CLRC=CL is fixed. Drug mass usesmg and target accounting usesnmol; they must not be added together.
  • Antibody149kDareferenceisassumed; target40000ng/LpernM follows reported dual-unit baseline.
  • Target-turnover half-time is not drug terminal half-life.

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Simulation time
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day
126 → 168

Time between reported samples.

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Biology

Specified QSS binding, free-drug distribution and VEGF turnover with separate drug and target accounting.

Specified QSS binding, free-drug distribution and VEGF turnover with separate drug and target accounting.

Model details

14 parameters · 8 states · 8 equations · 52 derived outputs

Classification & API access
Therapeutic
Bevacizumab
Modality
Monoclonal antibody
Target
VEGFA, VEGF165, vascular endothelial growth factor A
Disease / scope
Metastatic colorectal cancer
ParameterDefaultUnitDescription
Specified baseline VEGF165BM0_nM0.0053nMPositive baseline target concentration; target production is baseline times kout.
Complex clearance equalityCLRC_equals_CL_flag1—Fixed at1: complex clearance equals free-drug clearance.
Systemic clearanceCL_L_day0.18L/daySpecified reference clearance before fixed allometric scaling.
Quasi-steady-state binding constantKss_nM267nMEffective QSS constant for the declared1:1species convention.
Intercompartmental clearanceQ_L_day1.38L/daySpecified bidirectional distribution clearance before allometric scaling.
Central distribution volumeV1_L3.23LSpecified apparent central volume before allometric scaling.
Peripheral distribution volumeV2_L3.1LSpecified apparent peripheral volume before allometric scaling.
Bevacizumab concentration conversion factorbevacizumab_mg_L_to_nM6.711409396nM/(mg/L)Rounded reference conversion corresponding to an assumed149kDamolecular mass.
Body weightbody_weight_kg70kgFixed throughout the selected infusion history.
Turnover loss ratekout_1_day0.4011/dayFirst-order elimination coefficient of free VEGF165.
Allometric reference weightreference_weight_kg70kg70kg normalization value.
Fixed clearance exponenttheta_cl_weight0.75—Allometric exponent on both CL and Q.
Fixed volume exponenttheta_v_weight1—Allometric exponent on both V1 and V2.
Vegf mass conversionvegf_nM_to_ng_L40000(ng/L)/nMEffective target factor derived from0.0053nM=212ng/L.

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