Target-mediated drug disposition
Nonlinear clearance for a drug may be due to these two mechanisms:
Receptor-mediated endocytosis which removes drug-receptor complex
Drug binds soluble targets to comprise a complex which is degraded via macrophage engulfment
These may be accurately described by the target-mediated drug disposition (TMDD) model. The default values in the simulator describe Ascrinvacumab PK in cynomolgus monkeys.
Source of data: Luu et al. (2012) J Pharmacol Exp Ther. 341(3):702-8.
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