Pharmacokinetics and Drug Metabolism, Amgen, Inc., 360 Binney St., Cambridge, MA 02142, USA.
Drug Metab Dispos. 2011 Nov;39(11):2103-16. doi: 10.1124/dmd.111.040766. Epub 2011 Aug 18.
Prediction of human volume of distribution at steady state (V(ss)) before first administration of a new drug candidate to humans has become an important part of the drug development process. This study examines the assumptions behind interspecies scaling techniques used to predict human V(ss) from preclinical data, namely the equivalency of V(ss,u) and/or f(ut) across species. In addition, several interspecies scaling techniques are evaluated side by side using a set of 67 reference compounds where observed V(ss) from rats, dogs, monkeys, and humans were compiled from the literature and where plasma protein binding was determined across species using an ultracentrifugation technique. Species similarity in V(ss,u) or f(ut) does not appear to be the norm among rats, dogs, monkeys, or humans. Despite this, interspecies scaling from rats, dogs, and monkeys is useful and can provide reasonably accurate predictions of human V(ss), although some interspecies scaling approaches were better than others. For example, the performance of the common V(ss,u) or f(ut) equivalency approaches using average V(ss,u) or f(ut) across three preclinical species was superior to allometric scaling techniques. In addition, considering data from several preclinical species, using the equivalency approach, was superior to scaling from any single species. Although the mechanistic tissue composition equations available in the Simcyp population-based pharmacokinetic simulator did not necessarily provide the most accurate predictions, and the equations used likely need refinement, they still provide the best opportunity for a mechanistic understanding and prediction of human V(ss).
在向人类首次给药新候选药物之前预测人体稳态分布容积 (V(ss)) 已成为药物开发过程的重要组成部分。本研究考察了用于从临床前数据预测人体 V(ss)的种间缩放技术背后的假设,即 V(ss,u)和/或 f(ut)在各物种之间的等效性。此外,还使用一组 67 种参考化合物对几种种间缩放技术进行了并排评估,其中大鼠、狗、猴子和人类的观察到的 V(ss)是从文献中汇编的,并且使用超速离心技术在各物种中确定了血浆蛋白结合。大鼠、狗、猴子或人类之间似乎没有 V(ss,u)或 f(ut)的物种相似性。尽管如此,从大鼠、狗和猴子进行种间缩放仍然是有用的,可以对人体 V(ss)进行合理准确的预测,尽管某些种间缩放方法比其他方法更好。例如,使用三种临床前物种的平均 V(ss,u)或 f(ut)的常见 V(ss,u)或 f(ut)等效方法的性能优于体表面积缩放技术。此外,考虑到来自几种临床前物种的数据,使用等效方法优于从任何单一物种缩放。虽然 Simcyp 基于人群的药代动力学模拟中的机制组织成分方程不一定能提供最准确的预测,而且这些方程可能需要改进,但它们仍然为了解和预测人体 V(ss)提供了最好的机会。