Csajka Chantal, Drover David, Verotta Davide
Department of Biopharmaceutical Sciences, University of California, San Francisco, California 94143, USA.
Pharm Res. 2005 Aug;22(8):1227-35. doi: 10.1007/s11095-005-5266-8. Epub 2005 Aug 3.
The aim of this study was to evaluate the utility of a parametric deconvolution method using a sum of inverse Gaussian functions (IG) to characterize the absorption and concentrations vs. time profile of drugs exhibiting complex absorption.
For a linear time-invariant system the response, Y(t), following an arbitrary input function I(t), is the convolution of I(t) with the disposition function, H(t), of the system: [Formula: see text]. The method proposed uses a sum of n inverse Gaussian functions to characterize I(t). The approach was compared with a standard nonparametric method using linear splines. Data were provided from previously published studies on two drugs (hydromorphone and veralipride) showing complex absorption and analyzed with NONMEM.
A satisfactory fit for hydromorphone and veralipride data following oral administration was achieved by fitting a sum of two or three IG functions. The predictions of the input functions were very similar to those using linear splines.
The use of a sum of IG as opposed to nonparametric functions, such as splines, offers a simpler implementation, a more intuitive interpretation of the results, a built-in extrapolation, and an easier implementation in a population context. Disadvantages are an apparent greater sensitivity to initial value estimates (when used with NONMEM).
本研究的目的是评估使用逆高斯函数(IG)之和的参数去卷积方法在表征具有复杂吸收的药物的吸收及浓度-时间曲线方面的效用。
对于线性时不变系统,在任意输入函数I(t)之后的响应Y(t)是I(t)与系统处置函数H(t)的卷积:[公式:见正文]。所提出的方法使用n个逆高斯函数之和来表征I(t)。该方法与使用线性样条的标准非参数方法进行了比较。数据来自先前发表的关于两种药物(氢吗啡酮和维拉必利)的研究,这两种药物显示出复杂吸收,并使用NONMEM进行了分析。
通过拟合两个或三个IG函数之和,实现了口服给药后氢吗啡酮和维拉必利数据的满意拟合。输入函数的预测与使用线性样条的预测非常相似。
与非参数函数(如样条)相比,使用IG之和具有更简单的实现方式、对结果更直观的解释、内置的外推功能以及在群体背景下更容易的实现方式。缺点是对初始值估计明显更敏感(与NONMEM一起使用时)。