Modeling and Simulation Identifies Endocytosis Uptake Rate and Fraction Unbound as Important Predictors of

Felix Stader1, Abdallah Derbalah1, Adriana Zyla1

  • 1Certara UK Ltd., Level 2 Acero, 1 Concourse Way, Sheffield, UK.

Insights

A new whole-body physiologically based pharmacokinetic (PBPK) model accurately predicts therapeutic oligonucleotide (TO) concentrations. This model aids in understanding the pharmacokinetics of antisense oligonucleotides (ASOs) and small interfering RNAs (siRNAs) for improved drug development.

Area of Science:

  • Pharmacology
  • Biotechnology
  • Computational Biology

Background:

  • Therapeutic oligonucleotides (TOs), including antisense oligonucleotides (ASOs) and small interfering RNAs (siRNAs), are promising for targeting intracellular molecules.
  • Key cellular processes like uptake, endosomal escape, and target binding for TOs remain poorly understood due to limited experimental data.
  • Accurate pharmacokinetic characterization is crucial for the safe and effective development of TO-based therapies.

Purpose of the Study:

  • To develop and validate a whole-body physiologically based pharmacokinetic (PBPK) model for therapeutic oligonucleotides (TOs).
  • To assess the predictive performance of the PBPK model against clinical data for various ASOs and siRNAs.
  • To identify critical parameters influencing TO pharmacokinetics through sensitivity analysis.

Main Methods:

  • Development of a whole-body PBPK model specifically designed for therapeutic oligonucleotides.
  • Validation of the model using clinical concentration-time data from three ASOs and five siRNAs.
  • Conducting sensitivity analyses to determine the impact of various parameters on pharmacokinetic outcomes.

Main Results:

  • The PBPK model demonstrated accurate predictions for concentration-time profiles of all tested TOs, with pharmacokinetic parameters predicted within twofold of observed values.
  • Sensitivity analysis indicated that endocytosis uptake rate and fraction unbound in plasma significantly affect Cmax, Tmax, and AUC for subcutaneously administered ASOs.
  • Redistribution rate and nuclease clearance showed minimal impact on the pharmacokinetic parameters evaluated.

Conclusions:

  • The developed PBPK model provides a robust framework for understanding and predicting TO pharmacokinetics.
  • The model can guide the development of essential in vitro assays to determine key pharmacokinetic parameters.
  • PBPK modeling, when parameterized with in vitro data, holds potential for predicting TO pharmacokinetics in special populations, ensuring therapeutic safety and efficacy.

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