Department of Electrical Engineering (ESAT), STADIUS Center for Dynamical Systems, Signal Processing and Data Analytics, KU Leuven, Kasteelpark Arenberg 10, 3001, Leuven, Belgium.
School of Chemical Engineering, National Technical University of Athens, 9 Heroon Polytechneiou Street, Zografou Campus, 15780, Athens, Greece.
J Pharmacokinet Pharmacodyn. 2018 Feb;45(1):107-125. doi: 10.1007/s10928-017-9547-8. Epub 2017 Oct 3.
We are witnessing the birth of a new variety of pharmacokinetics where non-integer-order differential equations are employed to study the time course of drugs in the body: this is dubbed "fractional pharmacokinetics". The presence of fractional kinetics has important clinical implications such as the lack of a half-life, observed, for example with the drug amiodarone and the associated irregular accumulation patterns following constant and multiple-dose administration. Building models that accurately reflect this behaviour is essential for the design of less toxic and more effective drug administration protocols and devices. This article introduces the readers to the theory of fractional pharmacokinetics and the research challenges that arise. After a short introduction to the concepts of fractional calculus, and the main applications that have appeared in literature up to date, we address two important aspects. First, numerical methods that allow us to simulate fractional order systems accurately and second, optimal control methodologies that can be used to design dosing regimens to individuals and populations.
我们正在见证一种新的药代动力学的诞生,其中使用非整数阶微分方程来研究药物在体内的时间过程:这被称为“分数药代动力学”。分数动力学的存在具有重要的临床意义,例如半衰期缺失,例如在药物胺碘酮中观察到的半衰期缺失,以及在恒速和多次给药后观察到的不规则蓄积模式。构建能够准确反映这种行为的模型对于设计毒性更低、更有效的药物给药方案和装置至关重要。本文向读者介绍了分数药代动力学的理论和出现的研究挑战。在简要介绍分数微积分的概念和迄今为止文献中出现的主要应用之后,我们将讨论两个重要方面。首先,允许我们准确模拟分数阶系统的数值方法,其次,可用于为个体和人群设计给药方案的最优控制方法。