Neurology & neurodegeneration PKPDTMDD

Crenezumab PK and amyloid-beta binding

Reference paper ↗

A TMDD PK/PD model coupling intravenous crenezumab disposition to free and antibody-bound amyloid-beta 1-40 and 1-42 turnover.

Therapeutic
Crenezumab, MABT5102A, RG7412
Modality
Monoclonal antibody
Target
Amyloid beta / APP, beta-amyloid, Abeta(1-40), Abeta(1-42)
Disease
Alzheimer disease
Model type
PKPD, TMDD

Complete model workspace

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Parameters
20
States
9
Equations
9
Derived outputs
33

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style 15 mg/kg every 4 weeks IV

How does crenezumab dose change free and bound amyloid-beta 1-40 and 1-42 over time? Explore this intervention regimen through Crenezumab concentration, Free amyloid-beta 1-40, Free amyloid-beta 1-42, Crenezumab–amyloid-beta 1-40 complex, Crenezumab–amyloid-beta 1-42 complex.

Starting result

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Starting configuration

Time: 0–168 day; step 1

InputDefaultAvailable range
Elimination clearance0.159 L/day0.0795–0.2385 L/day
Internalization clearance1.01 L/day0.505–1.515 L/day
Central distribution volume2.89 L1.445–4.335 L
Aβ40 dissociation constant12 nM6–18 nM
Aβ42 dissociation constant9.37 nM4.685–14.06 nM

Expected readouts

Crenezumab concentration · Free amyloid beta 1 40 · Free amyloid beta 1 42 · Crenezumab amyloid beta 1 40 complex · Crenezumab amyloid beta 1 42 complex

Adjustable model parameters

This public explorer exposes 5 curated parameters. Sign in to edit all 20 declared model parameters.

More key parameters (1)

How the model represents the biology

A TMDD PK/PD model coupling intravenous crenezumab disposition to free and antibody-bound amyloid-beta 1-40 and 1-42 turnover.

How does intravenous crenezumab disposition couple to separate amyloid-beta 40 and 42 target-turnover modules?Intravenous crenezumab enters a central amount and exchanges with a peripheral amount. Separate amyloid-beta 40 and amyloid-beta 42 sources replenish total target pools. Central drug and each total target are allocated into algebraic drug–target complexes, which undergo target-mediated removal alongside linear drug clearance and target turnover.BIOLOGY OVERVIEWHow does intravenous crenezumab disposition couple to separate amyloid-beta 40 and42 target-turnover modules?IV crenezumabInput to central amountSystemic crenezumabCentral ↔ peripheraldispositionAβ productionSeparate 40 and 42 sourcesTotal Aβ40Target turnover poolTotal Aβ42Target turnover poolCrenezumab–AβcomplexesParallel algebraic QSS bindingSystem removalDrug CL, target turnover,internalizationPRIMARY READOUTSCentral crenezumabCentral crenezumabFree and total Aβ40Free and total Aβ40Free and total Aβ42Free and total Aβ42Drug–Aβ complexesDrug–Aβ complexes

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

Model scope: All public regimens are intravenous, so the model's structural subcutaneous depot and absorption pathway are inactive and omitted from this overview. Brain or CSF compartments, plaque dynamics, cognition, disease progression, and explicit kinetic binding states are not represented; binding is algebraic QSS.

Modeled relationships (10)
  • IV crenezumab → Systemic crenezumab: IV input (flow)
  • Systemic crenezumab → System removal: linear drug CL (loss)
  • Aβ production → Total Aβ40: Aβ40 synthesis (production)
  • Aβ production → Total Aβ42: Aβ42 synthesis (production)
  • Systemic crenezumab → Crenezumab–Aβ complexes: QSS drug allocation (modulation)
  • Total Aβ40 → Crenezumab–Aβ complexes: Aβ40 QSS allocation (modulation)
  • Total Aβ42 → Crenezumab–Aβ complexes: Aβ42 QSS allocation (modulation)
  • Total Aβ40 → System removal: target turnover (loss)
  • Total Aβ42 → System removal: target turnover (loss)
  • Crenezumab–Aβ complexes → System removal: complex internalization (loss)

Modeled relationships: IV crenezumab to Systemic crenezumab: IV input (flow); Systemic crenezumab to System removal: linear drug CL (loss); Aβ production to Total Aβ40: Aβ40 synthesis (production); Aβ production to Total Aβ42: Aβ42 synthesis (production); Systemic crenezumab to Crenezumab–Aβ complexes: QSS drug allocation (modulation); Total Aβ40 to Crenezumab–Aβ complexes: Aβ40 QSS allocation (modulation); Total Aβ42 to Crenezumab–Aβ complexes: Aβ42 QSS allocation (modulation); Total Aβ40 to System removal: target turnover (loss); Total Aβ42 to System removal: target turnover (loss); Crenezumab–Aβ complexes to System removal: complex internalization (loss).

Primary readouts: Central crenezumab; Free and total Aβ40; Free and total Aβ42; Drug–Aβ complexes.

Found a scientific issue? Email helpdesk@unibiointelligence.com with model ID yoshida_2020_crenezumab_abeta_tmdd_pkpd.

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

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