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使用曲线下面积(AUC)在完整和不完整数据设计中建立生物等效性。

Establishing bioequivalence in complete and incomplete data designs using AUCs.

作者信息

Jaki Thomas, Wolfsegger Martin J, Lawo John-Philip

机构信息

Department of Mathematics and Statistics, Lancaster University, Lancaster, United Kingdom.

出版信息

J Biopharm Stat. 2010 Jul;20(4):803-20. doi: 10.1080/10543401003618835.

Abstract

Nonclinical in vivo animal studies have to be completed before starting clinical studies of the pharmacokinetic behavior of a drug in humans. The drug exposure in animal studies is often measured by the area under the concentration versus time curve (AUC). The classical complete data design where each animal is sampled for analysis at every time point is applicable for large animals only. In the case of small animals, where blood sampling is restricted, the batch design or the serial sampling design need to be considered. In batch designs, samples are taken more than once from each animal, but not at all time points. In serial sampling designs, only one sample is taken from each animal. In this article we derive the asymptotic distribution for the ratio of two AUCs and construct different confidence intervals, which are frequently used to assess bioequivalence. The performance of these intervals is then evaluated between the different designs in a simulation study. Additionally, the sample sizes required for the different designs are compared.

摘要

在开始药物在人体中的药代动力学行为的临床研究之前,必须完成非临床体内动物研究。动物研究中的药物暴露通常通过浓度-时间曲线下面积(AUC)来测量。经典的完整数据设计,即每个动物在每个时间点都进行采样分析,仅适用于大型动物。对于小型动物,由于血液采样受限,需要考虑批次设计或连续采样设计。在批次设计中,从每个动物采集不止一次样本,但并非在所有时间点。在连续采样设计中,每个动物仅采集一个样本。在本文中,我们推导了两个AUC比值的渐近分布,并构建了不同的置信区间,这些置信区间常用于评估生物等效性。然后在模拟研究中评估不同设计之间这些区间的性能。此外,还比较了不同设计所需的样本量。

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