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Updated: Jun 19, 2026

Realistic Membrane Modeling Using Complex Lipid Mixtures in Simulation Studies
Published on: September 1, 2023
Physiologically-based PK/PD modelling of therapeutic macromolecules
Peter Thygesen1, Panos Macheras, Achiel Van Peer
1Exploratory ADME, Novo Nordisk A/S, Måløv, Denmark. ptt@novonordisk.com
Physiologically-based pharmacokinetic (PBPK) modeling is feasible for therapeutic proteins, offering in silico predictions for drug development. This approach aids in understanding complex drug disposition, including target-mediated distribution and lymphatic transport.
Area of Science:
- Pharmacology
- Biotechnology
- Computational Biology
Background:
- Therapeutic proteins present unique challenges in pharmacokinetic (PK) and pharmacodynamic (PD) studies due to their size and properties.
- Physiologically-based pharmacokinetic (PBPK) modeling is a valuable tool for in silico prediction of drug properties.
Purpose of the Study:
- To discuss the feasibility and desirability of applying PBPK modeling to macromolecules, specifically therapeutic proteins.
- To explore advanced PBPK modeling strategies for complex drug disposition.
Main Methods:
- Review of classical PBPK modeling using cyclosporine A as a case study, incorporating membrane transport and protein binding.
- Discussion of complex PBPK modeling approaches for macromolecules, including permeability-limited and target-mediated distribution.
Main Results:
- General agreement that PBPK modeling is both feasible and desirable for therapeutic proteins.
- Consideration of the lymphatic system's role in extravascular administration and target-mediated drug disposition (TMDD) as key modeling features.
Conclusions:
- PBPK modeling is a viable and beneficial approach for predicting the behavior of therapeutic proteins.
- Mechanistic PK/PD models are crucial for incorporating adverse events and toxicity into drug development assessments.
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