Evidence map›Paper›PMID 33073529›Full record

ArticleClinical and translational science2021

Mechanistic Modeling of Intra-Tumor Spatial Distribution of Antibody-Drug Conjugates: Insights into Dosing Strategies in Oncology.

Jared Weddell, Manoj S Chiney, Sumit Bhatnagar, John P Gibbs, Mohamad Shebley

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Antibody-drug conjugate engineering: from design to efficacy and safety.Signal transduction and targeted therapy · 2026
    Review
  3. Review
  4. Review
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  6. Review
  7. Review
  8. Article
  9. Review
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  11. Review
  12. Moving the needle for oncology dose optimization: A call for action.CPT: pharmacometrics & systems pharmacology · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Clinical Pharmacology of Antibody-Drug Conjugates.Antibodies (Basel, Switzerland) · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Jared WeddellClinical Pharmacology and Pharmacometrics, AbbVie Inc., North Chicago, Illinois, USA.
Manoj S ChineyClinical Pharmacology and Pharmacometrics, AbbVie Inc., North Chicago, Illinois, USA.
Sumit BhatnagarClinical Pharmacology and Pharmacometrics, AbbVie Inc., North Chicago, Illinois, USA.
John P GibbsClinical Pharmacology and Pharmacometrics, AbbVie Inc., North Chicago, Illinois, USA.
Mohamad ShebleyClinical Pharmacology and Pharmacometrics, AbbVie Inc., North Chicago, Illinois, USA.
AbbVie (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antibody drug conjugates (ADCs) provide targeted delivery of cytotoxic agents directly inside tumor cells. However, many ADCs targeting solid tumors have exhibited limited clinical efficacy, in part, due to insufficient penetration within tumors. To better understand the relationship between ADC tumor penetration and efficacy, previously applied Krogh cylinder models that explore tumor growth dynamics following ADC administration in preclinical species were expanded to a clinical framework by integrating clinical pharmacokinetics, tumor penetration, and tumor growth inhibition. The objective of this framework is to link ADC tumor penetration and distribution to clinical efficacy. The model was validated by comparing virtual patient population simulations to observed overall response rates from trastuzumab-DM1 treated patients with metastatic breast cancer. To capture clinical outcomes, we expanded upon previous Krogh cylinder models to include the additional mechanism of heterogeneous tumor growth inhibition spatially across the tumor. This expansion mechanistically captures clinical response rates by describing heterogeneous ADC binding and tumor cell killing; high binding and tumor cell death close to capillaries vs. low binding, and high tumor cell proliferation far from capillaries. Sensitivity analyses suggest that clinical efficacy could be optimized through dose fractionation, and that clinical efficacy is primarily dependent on the ADC-target affinity, payload potency, and tumor growth rate. This work offers a mechanistic basis to predict and optimize ADC clinical efficacy for solid tumors, allowing dosing strategy optimization to improve patient outcomes.

Indexed as

Models, BiologicalAdo-Trastuzumab EmtansineAntineoplastic AgentsArea Under CurveBreastBreast NeoplasmsFemaleHumansImmunoconjugatesTissue DistributionTumor BurdenAdo-Trastuzumab EmtansineAntineoplastic AgentsImmunoconjugates

Identifiers

PMID33073529
PMCPMC7877868
OpenAlexW3092707251

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.