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从临床前信息预测人体药代动力学:定量预测方法的比较准确性

Prediction of human pharmacokinetics from preclinical information: comparative accuracy of quantitative prediction approaches.

作者信息

Hosea Natilie A, Collard Wendy T, Cole Susan, Maurer Tristan S, Fang Rick X, Jones Hannah, Kakar Shefali M, Nakai Yasuhiro, Smith Bill J, Webster Rob, Beaumont Kevin

机构信息

Pfizer Inc, Department of Pharmacokinetics, Dynamics & Metabolism, San Diego, CA 92121, USA.

出版信息

J Clin Pharmacol. 2009 May;49(5):513-33. doi: 10.1177/0091270009333209. Epub 2009 Mar 19.

Abstract

Quantitative prediction of human pharmacokinetics is critical in assessing the viability of drug candidates and in determining first-in-human dosing. Numerous prediction methodologies, incorporating both in vitro and preclinical in vivo data, have been developed in recent years, each with advantages and disadvantages. However, the lack of a comprehensive data set, both preclinical and clinical, has limited efforts to evaluate the optimal strategy (or strategies) that results in quantitative predictions of human pharmacokinetics. To address this issue, the authors conducted a retrospective analysis using 50 proprietary compounds for which in vitro, preclinical pharmacokinetic data and oral single-dose human pharmacokinetic data were available. Five predictive strategies, involving either allometry or use of unbound intrinsic clearance from microsomes or hepatocytes, were then compared for their ability to predict human oral clearance, half-life through predictions of systemic clearance, volume of distribution, and bioavailability. Use of a single-species scaling approach with rat, dog, or monkey was as accurate as or more accurate than using multiple-species allometry. For those compounds cleared almost exclusively by P450-mediated pathways, scaling from human liver microsomes was as predictive as single-species scaling of clearance based on data from rat, dog, or monkey. These data suggest that use of predictive methods involving either single-species in vivo data or in vitro human liver microsomes can quantitatively predict human in vivo pharmacokinetics and suggest the possibility of streamlining the predictive methodology through use of a single species or use only of human in vitro microsomal preparations.

摘要

人体药代动力学的定量预测对于评估候选药物的可行性以及确定首次人体给药剂量至关重要。近年来,已开发出多种结合体外和临床前体内数据的预测方法,每种方法都有其优缺点。然而,缺乏全面的临床前和临床数据集限制了评估能实现人体药代动力学定量预测的最佳策略的努力。为解决这一问题,作者使用了50种专有化合物进行回顾性分析,这些化合物具备体外、临床前药代动力学数据以及口服单剂量人体药代动力学数据。然后比较了五种预测策略,这些策略要么涉及异速生长法,要么使用微粒体或肝细胞的未结合内在清除率,比较它们预测人体口服清除率、通过预测全身清除率得出的半衰期、分布容积和生物利用度的能力。使用大鼠、犬或猴的单物种缩放方法与使用多物种异速生长法一样准确或更准确。对于那些几乎完全通过P450介导途径清除的化合物,基于人肝微粒体的缩放与基于大鼠、犬或猴数据的清除率单物种缩放具有同样的预测性。这些数据表明,使用涉及单物种体内数据或体外人肝微粒体的预测方法可以定量预测人体体内药代动力学,并表明通过使用单一物种或仅使用人体体外微粒体制剂来简化预测方法的可能性。

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