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Atezolizumab PK: standard and loading schedules

Compare serum atezolizumab exposure across the released dosing schedules, with fixed patient covariates and time-varying clearance.

A comparison of pharmacometric software programs for atezolizumab population pharmacokinetic simulation ↗

European Journal of Clinical Pharmacology

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MODEL IN MOTION 18 sec

How do the fixed standard and loading schedules differ during extended dosing?

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Standard 1200 mg every 3 weeks

Fixed atezolizumab latent-PK context with explicit central mg input and source-unit observation grid.

0–147 day

Standard 1200 mg every 3 weeks

Fixed atezolizumab latent-PK context with explicit central mg input and source-unit observation grid.

Readouts

Concentration · ug/mL
Concentration over the selected simulation window.
Exposure (AUC) · ug*day/mL
Exposure (AUC) over the selected simulation window.
Eliminated · mg
Eliminated over the selected simulation window.
Mass accounted · mg
Mass accounted over the selected simulation window.
Clearance time · L/day
Clearance time over the selected simulation window.

Study purpose

  • How do the model's key biological readouts change under standard 1200 q3w?

Assumptions

  • Interpret patterns within this model and starting configuration; do not treat them as clinical predictions or treatment recommendations.

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Simulation time
day
day
147 → 168

Time between reported samples.

day
0.5 → 1

2 changes · Variation 1

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Biology

Fixed-covariate two-compartment atezolizumab PK with changing clearance, explicit IV inputs, concentration exposure and integrated drug accounting.

Fixed-covariate two-compartment atezolizumab PK with changing clearance, explicit IV inputs, concentration exposure and integrated drug accounting.

Model details

29 parameters · 5 states · 5 equations · 39 derived outputs

Classification & API access
Therapeutic
Atezolizumab
Modality
Monoclonal antibody
Target
PD-L1 / CD274
Disease / scope
Oncology dosing-regimen simulation
ParameterDefaultUnitDescription
Serum albuminalbumin_g_l40g/LBaseline serum albumin used to scale clearance and central distribution volume.
ATAG status indicatoratag_flag0—Binary source covariate. The supplied metadata does not define ATAG; confirm its meaning before changing this value.
Baseline tumor sizebaseline_tumor_size_mm63mmBaseline tumor size used in the clearance covariate relationship.
Body weightbody_weight_kg77kgBody weight used for body-size scaling in the model.
Eta clearanceeta_cl0—Fixed log-scale individual coordinate; supplied single-coordinate sensitivity is +0.263. No random draw occurs.
Eta Imaxeta_imax0—Fixed log-scale individual coordinate; supplied single-coordinate sensitivity is +0.897. No random draw occurs.
Eta central distribution volumeeta_vc0—Fixed log-scale individual coordinate; supplied single-coordinate sensitivity is +0.172. No random draw occurs.
Eta peripheral distribution volumeeta_vp0—Fixed log-scale individual coordinate; supplied single-coordinate sensitivity is +0.352. No random draw occurs.
Female sex indicatorfemale_flag0—Binary sex covariate used to scale central and peripheral distribution volumes.
Reference serum albuminreference_albumin_g_l40g/LReference albumin used to normalize the albumin covariate.
Reference tumor sizereference_tumor_size_mm63mmReference tumor size used to normalize the clearance covariate.
Reference weightreference_weight_kg77kgReference weight coefficient used by the released system of model equations.
Additive observation standard deviationresidual_add_sd_ug_ml18.1µg/mLAdditive observation-error standard deviation retained from the source diagnostic. No observation noise is sampled.
Proportional observation standard deviationresidual_prop_sd0.034—Proportional observation-error standard deviation retained from the source diagnostic. No observation noise is sampled.
Albumin exponent on clearancetheta_alb_cl-0.901—Exponent applied to normalized serum albumin in the baseline clearance equation.
Albumin exponent on central volumetheta_alb_vc-0.345—Exponent applied to normalized serum albumin in the central distribution volume equation.
ATAG multiplier on clearancetheta_atag_cl1.158—Clearance multiplier raised to the binary ATAG indicator. Its clinical definition is not supplied in the released metadata.
Tumor-size exponent on clearancetheta_bts_cl0.116—Exponent applied to normalized baseline tumor size in the baseline clearance equation.
Body-weight exponent on clearancetheta_bw_cl0.668—Exponent applied to normalized body weight in the baseline clearance equation.
Body-weight exponent on central volumetheta_bw_vc0.533—Exponent applied to normalized body weight in the central distribution volume equation.
Typical clearancetheta_cl_l_day0.23L/dayTypical clearance governing removal of modeled material from the relevant compartment.
Clearance time-course shapetheta_gamma2.67—Hill exponent controlling how the time-dependent change in clearance approaches its limit.
Maximum log change in clearancetheta_imax-0.193—Limiting log change in clearance over time: clearance equals baseline clearance multiplied by exp(individual Imax × time fraction). This is a PK parameter.
Typical intercompartmental clearancetheta_q_l_day0.603L/dayTypical intercompartmental clearance governing exchange between model compartments.
Female sex multiplier on central volumetheta_sex_vc0.896—Central volume multiplier applied when the female sex indicator is one.
Female sex multiplier on peripheral volumetheta_sex_vp0.707—Peripheral volume multiplier applied when the female sex indicator is one.
Typical time to half-maximal changetheta_t50_day62.8dayTypical time to half-maximal change coefficient used by the released system of model equations.
Typical central distribution volumetheta_vc_l3.25LTypical central distribution volume used to convert modeled amount to concentration in the relevant compartment.
Typical peripheral distribution volumetheta_vp_l2.88LTypical peripheral distribution volume used to convert modeled amount to concentration in the relevant compartment.

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