Towards a platform quantitative systems pharmacology (QSP) model for preclinical to clinical translation of antibody-drug conjugates (ADCs)

Abstract

Background

ADCs form a therapeutic class that has demonstrated immense potential for transformative clinical responses in several types of cancers. Due to their complexity, however, predicting clinical properties remains a challenge. The mAb, linker, and payload all need to be optimized for a particular tumor target, indication, and patient population.. More importantly, traditional approaches can be misleading when considered in isolation, and several notable clinical ADC failures have been reported in recent years.

A mechanistic model of ADC-induced thrombocytopenia for predicting therapeutic index

Abstract

Background

  • Off-target hematotoxicity has been reported in the clinic for many antibody-drug conjugates (ADCs); toxicity can limit the maximum tolerated dose in the clinic.
  • A mechanistic model of hematopoiesis was developed to describe thrombocytopenia post Trastuzumab-emtansine (T-DM1) administration, but could be generalized to other hematopoietic diseases and other therapeutics.
  • Combining efficacy (see our other poster) and toxicity models allows us to explore common therapeut

Towards a platform quantitative systems pharmacology (QSP) model for preclinical to clinical translation of antibody drug conjugates (ADCs)

Published in Journal of Pharmacokinetics and Pharmacodynamics

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