用于简化基于生理药代动力学线性系统的自动合理归并
Automated proper lumping for simplification of linear physiologically based pharmacokinetic systems.
作者信息
Pan Shan, Duffull Stephen B
机构信息
School of Pharmacy, University of Otago, Dunedin, New Zealand.
St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, Great Maze Pond, London, SE1 7EH, UK.
出版信息
J Pharmacokinet Pharmacodyn. 2019 Aug;46(4):361-370. doi: 10.1007/s10928-019-09644-5. Epub 2019 Jun 21.
Physiologically based pharmacokinetic (PBPK) models are an important type of systems model used commonly in drug development before commencement of first-in-human studies. Due to structural complexity, these models are not easily utilised for future data-driven population pharmacokinetic (PK) analyses that require simpler models. In the current study we aimed to explore and automate methods of simplifying PBPK models using a proper lumping technique. A linear 17-state PBPK model for fentanyl was identified from the literature. Four methods were developed to search the optimal lumped model, including full enumeration (the reference method), non-adaptive random search (NARS), scree plot plus NARS, and simulated annealing (SA). For exploratory purposes, it was required that the total area under the fentanyl arterial concentration-time curve (AUC) between the lumped and original models differ by 0.002% at maximum. In full enumeration, a 4-state lumped model satisfying the exploratory criterion was found. In NARS, a lumped model with the same number of lumped states was found, requiring a large number of random samples. The scree plot provided a starting lumped model to NARS and the search completed within a short time. In SA, a 4-state lumped model was consistently delivered. In simplify an existing linear fentanyl PBPK model, SA was found to be robust and the most efficient and may be suitable for general application to other larger-scale linear systems. Ultimately, simplified PBPK systems with fundamental mechanisms may be readily used for data-driven PK analyses.
基于生理的药代动力学(PBPK)模型是一类重要的系统模型,常用于首次人体研究开始前的药物开发。由于结构复杂,这些模型不易用于未来需要更简单模型的数据驱动的群体药代动力学(PK)分析。在本研究中,我们旨在探索并自动化使用适当的集总技术简化PBPK模型的方法。从文献中确定了一个用于芬太尼的线性17状态PBPK模型。开发了四种方法来搜索最优的集总模型,包括完全枚举(参考方法)、非自适应随机搜索(NARS)、碎石图加NARS以及模拟退火(SA)。出于探索目的,要求集总模型和原始模型之间芬太尼动脉血药浓度-时间曲线(AUC)的总面积差异最大为0.002%。在完全枚举中,找到了一个满足探索标准的4状态集总模型。在NARS中,找到了一个具有相同集总状态数的集总模型,需要大量随机样本。碎石图为NARS提供了一个初始集总模型,搜索在短时间内完成。在SA中,始终得到一个4状态集总模型。在简化现有的线性芬太尼PBPK模型时,发现SA是稳健且最有效的,可能适用于其他更大规模线性系统的一般应用。最终,具有基本机制的简化PBPK系统可很容易地用于数据驱动的PK分析。