modelL04AC14

Diagram of L04AC14

Extends from Pharmacokinetic.Models.PK_2C.

Information

name:Sarilumab
ATC code:L04AC14
route:subcutaneous
compartments:2
dosage:200mg
volume of distribution:7.3L
clearance:0.29L/day
other parameters in model implementation

Sarilumab is a human monoclonal antibody that binds to the interleukin-6 (IL-6) receptor, inhibiting IL-6 mediated signaling. It is used primarily for the treatment of moderate to severe rheumatoid arthritis in adults who have had an inadequate response or intolerance to one or more disease-modifying antirheumatic drugs (DMARDs). Sarilumab is approved for use in several regions including the United States and Europe.

Pharmacokinetics

Pharmacokinetic parameters reported in healthy subjects and patients with rheumatoid arthritis receiving subcutaneous sarilumab 200 mg. Data chiefly derived from published phase III studies and population PK analyses.

References

  1. Xu, C, et al., & Kanamaluru, V (2019). Population Pharmacokinetics of Sarilumab in Patients with Rheumatoid Arthritis. Clinical pharmacokinetics 58(11) 1455–1467. DOI:10.1007/s40262-019-00765-1 PUBMED:https://pubmed.ncbi.nlm.nih.gov/31055792

  2. Ishii, T, et al., & Takahashi, T (2023). Pharmacokinetics, pharmacodynamics, and safety of single-dose subcutaneous sarilumab with or without methotrexate in Japanese patients with rheumatoid arthritis: Two single-dose studies. Modern rheumatology 33(2) 279–291. DOI:10.1093/mr/roac036 PUBMED:https://pubmed.ncbi.nlm.nih.gov/35445719

  3. Ma, L, et al., & Kanamaluru, V (2020). Population Pharmacokinetic-Pharmacodynamic Relationships of Sarilumab Using Disease Activity Score 28-Joint C-Reactive Protein and Absolute Neutrophil Counts in Patients with Rheumatoid Arthritis. Clinical pharmacokinetics 59(11) 1451–1466. DOI:10.1007/s40262-020-00899-7 PUBMED:https://pubmed.ncbi.nlm.nih.gov/32451909

Parameters

TypeNameDefaultDescription
Modelica.Units.SI.Massweight (from PK_1C)75patient weight (kg)
Modelica.Units.SI.SpecificVolumeVdPerKg (from PK_1C)0.9Volume of distribution (L/kg)
Modelica.Units.SI.MassFractionF (from PK_1C)0.8bioavailiability (0-1)
Pharmacolibrary.Types.ClearanceCl (from PK_1C)20clearance
Modelica.Units.SI.TimeadminTime (from PK_1C)60first administration time (s)
Modelica.Units.SI.TimeadminDuration (from PK_1C)600administration duration (s)
Modelica.Units.SI.TimeadminPeriod (from PK_1C)8*60*60period of administration (default 8 hours)(s)
Pharmacolibrary.Types.MassadminMass (from PK_1C)1000administration mass (mg)
IntegeradminCount (from PK_1C)8number of dose administered (1)
Pharmacolibrary.Types.VolumeVd (from PK_1C)VdPerKg*weightVolume of distribution (m3)
Pharmacolibrary.Types.MassConcentrationCmin (from PK_1C)0.004minimal therapeutic range
Pharmacolibrary.Types.MassConcentrationCmax (from PK_1C)0.008minimal therapeutic range
Pharmacolibrary.Types.MassConcentrationCtox_peak (from PK_1C)0.012toxicity peak level
Pharmacolibrary.Types.MassConcentrationCtox_trough (from PK_1C)0.006toxicity trough level
Pharmacolibrary.Types.VolumeVdp (from PK_2C)VdpPerKg*weightVolume of distribution (m3)
Modelica.Units.SI.SpecificVolumeVdpPerKg (from PK_2C)0.9Volume of distribution peripheral(l/kg)
Pharmacolibrary.Types.Clearancek12 (from PK_2C)1intercompartmental C-P clearance
Pharmacolibrary.Types.Clearancek21 (from PK_2C)1intercompartmental P-C clearance

Connectors

TypeNameDefaultDescription
Types.ConcentrationOutputC_central (from PK_1C)
Interfaces.ConcentrationPort_bcentralCPort (from PK_1C)
Interfaces.ConcentrationPort_bperipheralCPort (from PK_2C)
Pharmacolibrary.Types.ConcentrationOutputC_peripheral1 (from PK_2C)

Components

TypeNameDefaultDescription
Pharmacokinetic.NoPerfusedTissueCompartmentcentral (from PK_1C)
Pharmacokinetic.ClearanceDrivenEliminationelim (from PK_1C)
Sources.PeriodicDoseperiodicDose (from PK_1C)
Modelica.Units.SI.Timet1_2 (from PK_1C)elimination half-life
Pharmacolibrary.Pharmacokinetic.TransferFirstOrderNonSymtransfer (from PK_2C)
Pharmacolibrary.Pharmacokinetic.NoPerfusedTissueCompartmentperipheral (from PK_2C)

Revisions

  • 06/2025 Tomas Kulhanek, generated model from data extracted from PUBMED, DrugBank and LLM(GPT4.1)