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Secukinumab fixed PK and response-coordinate reference

Three conditional SC dosing histories combine fixed supplementary marginal-mean parameters with two-compartment amounts, exposure, drug-mass accounting and an unconstrained PASI-scale response chain.

Personalized Secukinumab Treatment in Patients with Plaque Psoriasis Using Model-Informed Precision Dosing ↗

Pharmaceutics

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How do the subject presets connect repeated doses with PASI?

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Fixed marginal-mean profile 1, 300 mg, 4-week maintenance

Conditional zero-drug initialization, explicit SC calendar and fixed supplementary marginal-mean inputs. Unconstrained response coordinate, not a patient forecast or posterior simulation.

0–616 day

Fixed marginal-mean profile 1, 300 mg, 4-week maintenance

Conditional zero-drug initialization, explicit SC calendar and fixed supplementary marginal-mean inputs. Unconstrained response coordinate, not a patient forecast or posterior simulation.

Readouts

Central concentration · mg/L
Fixed conditional model quantity in declared units.
Unconstrained PASI scale response coordinate · dimensionless
Unconstrained PASI-scale model coordinate; may be negative and is not a clinical score or probability.
AUC conc · mg*day/L
Fixed conditional model quantity in declared units.
Integrated systemic linear elimination · mg
Fixed conditional model quantity in declared units.
Subcutaneous amount not reaching systemic circulation · mg
Fixed conditional model quantity in declared units.

Study purpose

  • How do the model's key biological readouts change under fixed marginal-mean profile 1, 300 mg, 4-week maintenance?

Assumptions

  • Fixed marginal-mean profiles and declared calendars, not original patient forecasts, joint posterior simulations, population estimation or clinical dose selection.
  • The unconstrained PASI-scale response coordinate may be negative. It is not a physical PASI score, a transformed latent scale or a probability.
  • SLP is fixed to zero, tolerance progression and remission rates are equal, and all three tolerance coordinates start at one; they remain one throughout these histories.
  • All inputs are fixed within each history. No body-weight, race, adherence, prior-exposure or patient-update model is inferred.
  • The source marginal means/SD and population estimates are separate read-only reference information. No independent-marginal draws are treated as a joint posterior.
  • Source time is days. AUC retains mg*day/L even if the display clock is changed.

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Simulation time
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day
616 → 168

Time between reported samples.

day
7 → 1

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Biology

Three conditional SC dosing histories combine fixed supplementary marginal-mean parameters with two-compartment amounts, exposure, drug-mass accounting and an unconstrained PASI-scale response chain.

Three conditional SC dosing histories combine fixed supplementary marginal-mean parameters with two-compartment amounts, exposure, drug-mass accounting and an unconstrained PASI-scale response chain.

Model details

14 parameters · 15 states · 15 equations · 32 derived outputs

Classification & API access
Therapeutic
Secukinumab
Modality
Monoclonal antibody
Target
IL-17A (biological context, no binding state)
Disease / scope
Moderate-to-severe plaque psoriasis
ParameterDefaultUnitDescription
Systemic clearanceCL_L_day0.15L/dayFixed source-reported marginal-mean or shared literature input in the selected profile.
F subcutaneous fractionF_sc_fraction0.729—Fixed source-reported marginal-mean or shared literature input in the selected profile.
Intercompartmental clearanceQ_L_day0.4L/dayFixed source-reported marginal-mean or shared literature input in the selected profile.
Peripheral distribution volumeV2_L3.72LFixed source-reported marginal-mean or shared literature input in the selected profile.
Second peripheral distribution volumeV3_L2.93LFixed source-reported marginal-mean or shared literature input in the selected profile.
Half-maximal inhibitory concentrationic50_mg_l9.35mg/LFixed source-reported marginal-mean or shared literature input in the selected profile.
Maximum inhibitory effectimax1.17—Fixed source-reported marginal-mean or shared literature input in the selected profile.
Absorption rate constantka_1_day0.21/dayFixed source-reported marginal-mean or shared literature input in the selected profile.
Kintolkintol_1_day0.00271/dayFixed conditional closure input.
Turnover loss ratekout_1_day0.471/dayFixed source-reported marginal-mean or shared literature input in the selected profile.
Kouttolkouttol_1_day0.00271/dayFixed source-reported marginal-mean or shared literature input in the selected profile.
PASI baselinepasi_baseline7.05—Fixed source-reported marginal-mean or shared literature input in the selected profile.
Slpslp_l_mg0L/mgFixed conditional closure input.
Tolerance enabledtolerance_enabled0—Fixed conditional closure input.

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