Immunology & inflammationRespiratory disease PKPD

Mepolizumab exposure and blood eosinophils

Reference paper ↗

A coupled subcutaneous or intravenous PK/PD model linking mepolizumab absorption and distribution to concentration-dependent suppression and turnover of circulating eosinophils.

Therapeutic
Mepolizumab, Nucala
Modality
Monoclonal antibody
Target
IL5, IL-5
Disease
Eosinophilic asthma
Model type
PKPD

Complete model workspace

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Parameters
15
States
6
Equations
6
Derived outputs
21

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12.5 mg SC every 4 weeks, three doses

How do route and dose change mepolizumab exposure and the depth and duration of eosinophil suppression? Explore this intervention regimen through Mepolizumab concentration, Blood eosinophils, Eosinophil inhibition, Cumulative exposure.

Starting result

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Starting configuration

Time: 0–140 day; step 1

InputDefaultAvailable range
Clearance intravenous0.21 L/day0.105–0.315 L/day
Central distribution volume intravenous3.6 L1.8–5.4 L
Absorption rate constant0.194 1/day0.097–0.291 1/day
Half-maximal inhibitory concentration1,261 ng/mL630.5–1,892 ng/mL
Imax fraction0.928 dimensionless0.464–1.392 dimensionless

Expected readouts

Mepolizumab concentration · Blood eosinophil concentration (Gcell/L) · Eosinophil inhibition · Exposure (AUC) (ug*day/mL)

Adjustable model parameters

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More key parameters (1)

How the model represents the biology

A coupled subcutaneous or intravenous PK/PD model linking mepolizumab absorption and distribution to concentration-dependent suppression and turnover of circulating eosinophils.

How do subcutaneous or intravenous mepolizumab exposure and an empirical inhibition term change circulating eosinophils?Subcutaneous mepolizumab passes through a depot before entering central exposure, while intravenous input enters the central compartment directly. Central and peripheral drug exchange and central drug undergoes weight-scaled clearance. Systemic concentration empirically inhibits eosinophil production, while circulating eosinophils undergo first-order turnover.BIOLOGY OVERVIEWHow do subcutaneous or intravenous mepolizumab exposure and an empiricalinhibition term change circulating eosinophils?SC or IV regimenMepolizumab administrationSubcutaneous depotBioavailable first-orderabsorptionSystemic mepolizumabCentral ↔ peripheral PKDrug clearanceWeight-scaled central lossEosinophil productionEmpirically inhibited byexposureBlood eosinophilsCirculating cell countEosinophil turnoverFirst-order cell lossPRIMARY READOUTSCentral mepolizumabCentral mepolizumabBlood eosinophilsBlood eosinophilsEosinophil inhibitionEosinophil inhibitionCumulative exposureCumulative exposure

Solid arrows show modeled movement or change; two-headed arrows show reversible exchange; dashed arrows show modulation without material transfer.

Model scope: Explicit IL-5 concentration, mepolizumab–IL-5 binding or occupancy, bone-marrow or tissue eosinophil pools, trafficking, asthma symptoms, and clinical response are not represented. IL-5 is therapeutic context only; the runtime applies empirical concentration-dependent inhibition directly to circulating-eosinophil production.

Modeled relationships (7)
  • SC or IV regimen → Subcutaneous depot: SC bolus (flow)
  • SC or IV regimen → Systemic mepolizumab: IV input (flow)
  • Subcutaneous depot → Systemic mepolizumab: Fsc · KA (flow)
  • Systemic mepolizumab → Drug clearance: weight-scaled CL (loss)
  • Systemic mepolizumab → Eosinophil production: Hill inhibition (modulation)
  • Eosinophil production → Blood eosinophils: baseline production (production)
  • Blood eosinophils → Eosinophil turnover: KOUT loss (loss)

Modeled relationships: SC or IV regimen to Subcutaneous depot: SC bolus (flow); SC or IV regimen to Systemic mepolizumab: IV input (flow); Subcutaneous depot to Systemic mepolizumab: Fsc · KA (flow); Systemic mepolizumab to Drug clearance: weight-scaled CL (loss); Systemic mepolizumab to Eosinophil production: Hill inhibition (modulation); Eosinophil production to Blood eosinophils: baseline production (production); Blood eosinophils to Eosinophil turnover: KOUT loss (loss).

Primary readouts: Central mepolizumab; Blood eosinophils; Eosinophil inhibition; Cumulative exposure.

Found a scientific issue? Email helpdesk@unibiointelligence.com with model ID pouliquen_2015_mepolizumab_eosinophil_pkpd.

Research use only — not for patient-specific prediction or dosing advice.

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