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异速生长原理在人用和兽用药物开发中药代动力学预测方面的应用。

Application of allometric principles for the prediction of pharmacokinetics in human and veterinary drug development.

作者信息

Mahmood Iftekhar

机构信息

Office of Blood Review & Research, Center for Biologic Evaluation and Research, Food & Drug Administration, 1451 Rockville Pike, MD, USA.

出版信息

Adv Drug Deliv Rev. 2007 Sep 30;59(11):1177-92. doi: 10.1016/j.addr.2007.05.015. Epub 2007 Aug 16.

Abstract

The concept of correlating pharmacokinetic parameters with body weight (termed as pharmacokinetic interspecies scaling) from different animal species has become a useful tool in drug development. Interspecies scaling is based on the power function, where the body weight of the species is plotted against the pharmacokinetic parameter of interest. Clearance, volume of distribution, and elimination half-life are the three most frequently extrapolated pharmacokinetic parameters. The predicted pharmacokinetic parameter clearance can be used for estimating a first-in-human dose. Over the years, many approaches have been suggested to improve the prediction of aforementioned pharmacokinetic parameters in humans from animal data. A literature review indicates that there are different degrees of success with different methods for different drugs. Interspecies scaling is also a very useful tool in veterinary medicine. The knowledge of pharmacokinetics in veterinary medicine is important for dosage selection, particularly in the treatment of large animals such as horses, camels, elephants, or other large zoo animals. Despite the potential for extrapolation error, the reality is that interspecies scaling is needed across many veterinary practice situations, and therefore will be used. For this reason, it is important to consider mechanisms for reducing the risk of extrapolation errors that can seriously affect animal safety and therapeutic response. Overall, although interspecies scaling requires continuous refinement and better understanding, the rationale approach of interspecies scaling has a lot of potential during the drug development process.

摘要

将不同动物物种的药代动力学参数与体重相关联(称为药代动力学种间缩放)的概念已成为药物开发中的一种有用工具。种间缩放基于幂函数,其中将物种的体重与感兴趣的药代动力学参数进行绘制。清除率、分布容积和消除半衰期是三个最常外推的药代动力学参数。预测的药代动力学参数清除率可用于估计首次人体剂量。多年来,已经提出了许多方法来改进从动物数据预测人类上述药代动力学参数的能力。文献综述表明,不同的药物采用不同的方法取得了不同程度的成功。种间缩放在兽医学中也是一种非常有用的工具。兽医药代动力学知识对于剂量选择很重要,特别是在治疗大型动物如马、骆驼、大象或其他大型动物园动物时。尽管存在外推误差的可能性,但现实情况是,在许多兽医实践情况下都需要种间缩放,因此将会被使用。出于这个原因,考虑降低可能严重影响动物安全和治疗反应的外推误差风险的机制很重要。总体而言,尽管种间缩放需要不断完善和更好的理解,但种间缩放的合理方法在药物开发过程中具有很大的潜力。

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