Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/18/2025

Pharmacokinetic Considerations for Bispecific Antibodies

Target-Mediated Drug Disposition

  • High concentrations of soluble target can significantly affect drug clearance through target-mediated drug disposition, and mechanistic PK models incorporating TMDD are necessary when doses are low, according to the European Medicines Agency 1, 2
  • For antibodies binding to soluble antigens, target-mediated drug disposition can dramatically alter PK profiles, as stated by the National Institute of Health 1
  • The American Society for Clinical Pharmacology and Therapeutics recommends using PK data to develop mechanistic models incorporating TMDD for accurate dose prediction 1, 2