A Modular PBPK-QSP Platform in Julia for Optimizing the Therapeutic Window of Antibody-Drug Conjugates: ADC In Silico Design Engine (AIDE)
Yuezhe Li, Jimena Davis, Timothy Knab, Cole Zmurchok, and Daniel C. Kirouac
Submitted to the 2026 American Conference on Pharmacometrics (ACoP 2026), an International Conference on Pharmacometrics in the US (ICoP – US).
Antibody-drug conjugates (ADCs) are a rapidly evolving class of oncology therapeutics designed to expand the therapeutic index of potent cytotoxic payloads by leveraging the specificity of monoclonal antibodies. Despite clinical successes, many ADC candidates fail in late-stage development due to dose-limiting toxicities or insufficient efficacy. To support preclinical evaluation and de-risk ADC development, a modular, customizable PBPK-QSP platform using the open-source Julia package ModelingToolkit.jl was developed. This platform integrates a whole-body PBPK submodel to characterize ADC and payload biodistribution with a QSP submodel designed to predict both potential off-target toxicities and anti-tumor efficacy.