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Target‐Mediated Drug Disposition Revisited: Michaelis–Menten Approximations for Bivalent Drug Molecules

Year: 2025
Type: article
Abstract: The Michaelis-Menten (MM) approximation of the target-mediated drug disposition (TMDD) model is often used to describe nonlinear pharmacokinetics of monoclonal antibodies, which are, however, bivalent molecules. We analyze a TMDD model for bivalent drugs by means of quasi-steady state approximations, which yield MM approximations in the limit of weak avidity (soluble targets) and strong avidity (cell surface targets), thereby providing a justification for the use of MM approximations for bivalent drugs with slow systemic clearance.
Language: English
Field: Medicine
Open Access status: gold
Estimated APC paid: $4,140
OpenAlex ID: W4413054975
FWCI: 1.071
Cites: 6
Cited by: 2
Related to: 10