Anthim
obiltoxaximab · B. anthracis PASingle-dose clinical escalation supported by monkey AUC margin: 10 mg/kg AUC ~50,000 µg·hr/mL vs human AUC 10,000 at 114 mg
The public FDA and EMA reviews of Ebglyss don't say how the first human dose was chosen. That rationale is in the IND, which is confidential, so it is missing for most approved products.
Use pharmacology data (target binding, receptor occupancy, in vitro human cells, PK/PD modelling) to estimate the lowest dose expected to have any biological effect (MABEL) and the active dose (PAD), and, for healthy volunteers, start at an exposure below the PAD unless robustly justified.
NOAEL / key findings: NOAEL = highest dose: 22.7 mg/kg/week (6-week IV), 25 mg/kg/week (9-month IV and 13-week SC) (FDA multi-discipline review, p. 50)