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中枢神经系统药物受体占有率研究的PET扫描时间模拟:简单固定时间设计与分散时间点设计效果相当。

Simulation of PET scan timings for receptor occupancy studies of CNS drugs: a simple fixed-time design performed as well as scattered time point designs.

作者信息

Lee Jongtae, Jeon Sangil, Hong Taegon, Han Seunghoon, Yim Dong-Seok

机构信息

Department of Clinical Pharmacology and Therapeutics, Seoul St. Mary's Hospital, Pharmacometrics Institute for Practical Education and Training (PIPET), College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Korea.

Clinical Trial Center, International St. Mary's Hospital, Catholic Kwandong University, Incheon, Korea.

出版信息

Eur J Clin Pharmacol. 2015 Nov;71(11):1333-9. doi: 10.1007/s00228-015-1933-9. Epub 2015 Sep 9.

Abstract

PURPOSE

This study aimed to determine the effect of PET scan timings on the reliability of occupancy parameter estimates and to identify the scan timing design that gives the most reliable occupancy parameter estimates.

METHODS

We compared the performance of designs with various sets of sampling time points using the stochastic simulation and estimation method in Perl-speaks-NONMEM. Biases, relative standard errors, relative estimation errors, and root mean square errors were used to compare the performance of designs.

RESULTS

Unlike the results of a previous report, we found that rather complicated designs where each subject or group of subjects are allocated to different scan timings were not superior to the simple, conventional fixed-time designs regardless of whether effect compartment or receptor binding models were used.

CONCLUSIONS

We conclude that the conventional fixed-time designs that have been used so far may give robust PD parameter estimates for occupancy data obtained from human PET studies of CNS drugs.

摘要

目的

本研究旨在确定PET扫描时间对占有率参数估计可靠性的影响,并确定能给出最可靠占有率参数估计的扫描时间设计。

方法

我们使用Perl-speaks-NONMEM中的随机模拟和估计方法,比较了具有不同采样时间点集的设计的性能。偏差、相对标准误差、相对估计误差和均方根误差用于比较设计的性能。

结果

与之前一份报告的结果不同,我们发现,无论使用效应室模型还是受体结合模型,将每个受试者或受试者组分配到不同扫描时间的相当复杂的设计并不优于简单的传统固定时间设计。

结论

我们得出结论,迄今为止使用的传统固定时间设计可能会为从人类中枢神经系统药物PET研究获得的占有率数据给出可靠的药代动力学参数估计。

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