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抗菌药物药代动力学/药效学评价中的动物模型

Animal models in the pharmacokinetic/pharmacodynamic evaluation of antimicrobial agents.

作者信息

Zhao Miao, Lepak Alexander J, Andes David R

机构信息

Institute of Antibiotics Hua-shan Hospital, Fudan University & Key Laboratory of Clinical Pharmacology of Antibiotics, Ministry of Health, China; Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

出版信息

Bioorg Med Chem. 2016 Dec 15;24(24):6390-6400. doi: 10.1016/j.bmc.2016.11.008. Epub 2016 Nov 9.

Abstract

Animal infection models in the pharmacokinetic/pharmacodynamic (PK/PD) evaluation of antimicrobial therapy serve an important role in preclinical assessments of new antibiotics, dosing optimization for those that are clinically approved, and setting or confirming susceptibility breakpoints. The goal of animal model studies is to mimic the infectious diseases seen in humans to allow for robust PK/PD studies to find the optimal drug exposures that lead to therapeutic success. The PK/PD index and target drug exposures obtained in validated animal infection models are critical components in optimizing dosing regimen design in order to maximize efficacy while minimize the cost and duration of clinical trials. This review outlines the key components in animal infection models which have been used extensively in antibiotic discovery and development including PK/PD analyses.

摘要

在抗菌治疗的药代动力学/药效学(PK/PD)评估中,动物感染模型在新抗生素的临床前评估、临床批准药物的给药优化以及设定或确认药敏断点方面发挥着重要作用。动物模型研究的目标是模拟人类的传染病,以便进行有力的PK/PD研究,找到导致治疗成功的最佳药物暴露量。在经过验证的动物感染模型中获得的PK/PD指数和目标药物暴露量是优化给药方案设计的关键组成部分,以便在最大限度提高疗效的同时,将临床试验的成本和持续时间降至最低。本综述概述了在抗生素发现和开发中广泛使用的动物感染模型的关键组成部分,包括PK/PD分析。

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