• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

模型引导的床边精准给药:科学挑战与机遇

Model-Informed Precision Dosing at the Bedside: Scientific Challenges and Opportunities.

机构信息

InsightRX, San Francisco, California, USA.

Department of Pharmacy & Radboud Applied Pharmacometrics Group, Radboudumc, Nijmegen, The Netherlands.

出版信息

CPT Pharmacometrics Syst Pharmacol. 2018 Dec;7(12):785-787. doi: 10.1002/psp4.12353. Epub 2018 Oct 16.

DOI:10.1002/psp4.12353
PMID:30255663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6310898/
Abstract

The development of model-informed precision dosing (MIPD) tools, especially in the form of native or web-based applications to be used at the bedside, has garnered marked attention in recent years. Their potential clinical benefit can be large, but it should be ensured that such tools make optimal use of available clinical data and have adequate predictive ability. Unique scientific challenges specific to MIPD remain, which may require adaptation of commonly used diagnostics in pharmacometrics.

摘要

近年来,模型指导的精准给药(MIPD)工具的发展,特别是以本地或基于网络的应用程序形式,在床边使用,引起了广泛关注。这些工具具有潜在的临床应用价值,但应该确保它们能够充分利用现有临床数据并具有足够的预测能力。MIPD 还存在独特的科学挑战,可能需要对药物代谢动力学中常用的诊断方法进行适应性调整。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a50a/6310898/57905e31a80d/PSP4-7-785-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a50a/6310898/57905e31a80d/PSP4-7-785-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a50a/6310898/57905e31a80d/PSP4-7-785-g001.jpg

相似文献

1
Model-Informed Precision Dosing at the Bedside: Scientific Challenges and Opportunities.模型引导的床边精准给药:科学挑战与机遇
CPT Pharmacometrics Syst Pharmacol. 2018 Dec;7(12):785-787. doi: 10.1002/psp4.12353. Epub 2018 Oct 16.
2
Toward Dynamic Prescribing Information: Codevelopment of Companion Model-Informed Precision Dosing Tools in Drug Development.迈向动态处方信息:药物开发中伴随模型引导的精准剂量工具的共同开发。
Clin Pharmacol Drug Dev. 2019 May;8(4):418-425. doi: 10.1002/cpdd.638. Epub 2018 Nov 30.
3
Artificial Intelligence and Machine Learning Approaches to Facilitate Therapeutic Drug Management and Model-Informed Precision Dosing.人工智能和机器学习方法在促进治疗药物管理和模型指导的精准剂量方面的应用
Ther Drug Monit. 2023 Apr 1;45(2):143-150. doi: 10.1097/FTD.0000000000001078. Epub 2023 Feb 3.
4
What Does it Take to Make Model-Informed Precision Dosing Common Practice? Report from the 1st Asian Symposium on Precision Dosing.实现模型指导下的精准剂量给药常规化需要什么?第 1 届亚洲精准给药研讨会上的报告。
AAPS J. 2019 Jan 9;21(2):17. doi: 10.1208/s12248-018-0286-6.
5
Why has model-informed precision dosing not yet become common clinical reality? lessons from the past and a roadmap for the future.为何基于模型的精准给药尚未成为普遍的临床现实?从过去吸取的经验教训以及未来的路线图。
Clin Pharmacol Ther. 2017 May;101(5):646-656. doi: 10.1002/cpt.659. Epub 2017 Apr 4.
6
Model-Informed Precision Dosing of Antibiotics in Pediatric Patients: A Narrative Review.模型指导的儿科患者抗生素精准给药:一项叙述性综述。
Front Pediatr. 2021 Feb 23;9:624639. doi: 10.3389/fped.2021.624639. eCollection 2021.
7
Development and Implementation of Electronic Health Record-Integrated Model-Informed Clinical Decision Support Tools for the Precision Dosing of Drugs.电子健康记录整合模型驱动的临床决策支持工具用于药物精准剂量调整的开发与实施。
Clin Pharmacol Ther. 2020 Jan;107(1):129-135. doi: 10.1002/cpt.1679. Epub 2019 Nov 25.
8
Model-Informed Precision Dosing: Background, Requirements, Validation, Implementation, and Forward Trajectory of Individualizing Drug Therapy.模型指导下的精准剂量调整:个体化药物治疗的背景、要求、验证、实施和未来方向。
Annu Rev Pharmacol Toxicol. 2021 Jan 6;61:225-245. doi: 10.1146/annurev-pharmtox-033020-113257. Epub 2020 Oct 9.
9
Software Tools for Model-Informed Precision Dosing: How Well Do They Satisfy the Needs?模型指导下的精准给药软件工具:它们在多大程度上满足了需求?
Front Pharmacol. 2020 May 7;11:620. doi: 10.3389/fphar.2020.00620. eCollection 2020.
10
Model-informed precision dosing: State of the art and future perspectives.模型指导的精准给药:现状与未来展望。
Adv Drug Deliv Rev. 2024 Dec;215:115421. doi: 10.1016/j.addr.2024.115421. Epub 2024 Aug 17.

引用本文的文献

1
Global research on the utilization of population pharmacokinetic model: a bibliometric analysis from 2000 to 2024.全球人群药代动力学模型应用研究:2000年至2024年的文献计量分析
Front Pharmacol. 2025 May 12;16:1548023. doi: 10.3389/fphar.2025.1548023. eCollection 2025.
2
Deep learning prediction of patient response time course from early data via neural-pharmacokinetic/pharmacodynamic modelling.通过神经药代动力学/药效学建模从早期数据进行深度学习预测患者反应时间进程。
Nat Mach Intell. 2021 Aug;3(8):696-704. doi: 10.1038/s42256-021-00357-4. Epub 2021 Jun 21.
3
Predictive Performance of Bayesian Dosing Software for Vancomycin in Intensive Care Unit Patients.

本文引用的文献

1
Bayesian Estimation of Tobramycin Exposure in Patients with Cystic Fibrosis: an Update.囊性纤维化患者妥布霉素暴露量的贝叶斯估计:最新进展
Antimicrob Agents Chemother. 2018 Feb 23;62(3). doi: 10.1128/AAC.01972-17. Print 2018 Mar.
2
Precision Dosing: Public Health Need, Proposed Framework, and Anticipated Impact.精准给药:公共卫生需求、提议框架及预期影响。
Clin Transl Sci. 2017 Nov;10(6):443-454. doi: 10.1111/cts.12490. Epub 2017 Aug 10.
3
Why has model-informed precision dosing not yet become common clinical reality? lessons from the past and a roadmap for the future.
重症监护病房患者中万古霉素贝叶斯给药软件的预测性能
Ther Drug Monit. 2025 Oct 1;47(5):594-602. doi: 10.1097/FTD.0000000000001310. Epub 2025 Feb 18.
4
Comparing two-sample log-linear exposure estimation with Bayesian model-informed precision dosing of tobramycin in adult patients with cystic fibrosis.比较两样本对数线性暴露估计与贝叶斯模型指导的妥布霉素精准给药在成年囊性纤维化患者中的应用。
Antimicrob Agents Chemother. 2025 Feb 13;69(2):e0104024. doi: 10.1128/aac.01040-24. Epub 2025 Jan 10.
5
Model-informed drug discovery and development approaches to inform clinical trial design and regulatory decisions: A primer for the MENA region.用于指导临床试验设计和监管决策的模型驱动药物发现与开发方法:中东和北非地区入门指南
Saudi Pharm J. 2024 Dec;32(12):102207. doi: 10.1016/j.jsps.2024.102207. Epub 2024 Nov 27.
6
Barriers and Facilitators for Bringing Model-Informed Precision Dosing to the Patient's Bedside: A Systematic Review.将模型指导的精准给药应用于患者床边的障碍与促进因素:一项系统综述
Clin Pharmacol Ther. 2025 Mar;117(3):633-645. doi: 10.1002/cpt.3510. Epub 2024 Dec 10.
7
Vancomycin in Pediatric Patients with Cystic Fibrosis: Dose Optimization Using Population Pharmacokinetic Approach.万古霉素在囊性纤维化儿科患者中的应用:基于群体药代动力学方法的剂量优化。
Eur J Drug Metab Pharmacokinet. 2024 Nov;49(6):677-687. doi: 10.1007/s13318-024-00913-4. Epub 2024 Sep 16.
8
Real-World Application of a Quantitative Systems Pharmacology (QSP) Model to Predict Potassium Concentrations from Electronic Health Records: A Pilot Case towards Prescribing Monitoring of Spironolactone.定量系统药理学(QSP)模型在从电子健康记录预测钾浓度方面的实际应用:螺内酯处方监测的一个试点案例。
Pharmaceuticals (Basel). 2024 Aug 7;17(8):1041. doi: 10.3390/ph17081041.
9
Pharmacokinetic Factors Associated With Early Meropenem Target Attainment in Pediatric Severe Sepsis.小儿重症脓毒症中与美罗培南早期达标相关的药代动力学因素
Pediatr Crit Care Med. 2024 Dec 1;25(12):1103-1116. doi: 10.1097/PCC.0000000000003599. Epub 2024 Aug 20.
10
Pharmacogenetic Testing or Therapeutic Drug Monitoring: A Quantitative Framework.药物基因组学检测或治疗药物监测:一种定量框架。
Clin Pharmacokinet. 2024 Jun;63(6):871-884. doi: 10.1007/s40262-024-01382-3. Epub 2024 Jun 6.
为何基于模型的精准给药尚未成为普遍的临床现实?从过去吸取的经验教训以及未来的路线图。
Clin Pharmacol Ther. 2017 May;101(5):646-656. doi: 10.1002/cpt.659. Epub 2017 Apr 4.
4
Impact of Laboratory Practices on Interlaboratory Variability in Therapeutic Drug Monitoring of Immunosuppressive Drugs.实验室操作对免疫抑制药物治疗药物监测中实验室间变异性的影响
Ther Drug Monit. 2015 Dec;37(6):718-24. doi: 10.1097/FTD.0000000000000205.
5
Computerized advice on drug dosage to improve prescribing practice.关于药物剂量的计算机化建议,以改善处方实践。
Cochrane Database Syst Rev. 2013 Nov 12;2013(11):CD002894. doi: 10.1002/14651858.CD002894.pub3.
6
Pitfalls in TDM of antibiotic drugs: analytical and modelling issues.抗生素药物治疗药物监测中的陷阱:分析与建模问题
Ther Drug Monit. 2006 Oct;28(5):686-9. doi: 10.1097/01.ftd.0000243966.97964.11.
7
Inherent correlation between dose and clearance in therapeutic drug monitoring settings: possible misinterpretation in population pharmacokinetic analyses.治疗药物监测中剂量与清除率之间的内在相关性:群体药代动力学分析中可能的误解。
J Pharmacokinet Pharmacodyn. 2005 Dec;32(5-6):703-18. doi: 10.1007/s10928-005-0083-6.
8
Computer-aided long-term anticoagulation therapy.计算机辅助长期抗凝治疗
Comput Biomed Res. 1969 Dec;2(6):507-18. doi: 10.1016/0010-4809(69)90030-5.