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应用基于生理学的药代动力学模型进行儿科药物开发的最佳实践框架。

A best practice framework for applying physiologically-based pharmacokinetic modeling to pediatric drug development.

机构信息

Certara UK Limited Simcyp Division, Sheffield, UK.

Certara Integrated Drug Development, Oss, The Netherlands.

出版信息

CPT Pharmacometrics Syst Pharmacol. 2021 Sep;10(9):967-972. doi: 10.1002/psp4.12678. Epub 2021 Jul 20.

DOI:10.1002/psp4.12678
PMID:34288581
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8452294/
Abstract

Pediatric physiologically-based pharmacokinetic (PBPK) models have broad application in the drug development process and are being used not only to project doses for clinical trials but increasingly to replace clinical studies. However, the approach has yet to become fully integrated in regulatory submissions. Emerging data support an expanded integration of the PBPK model informed approach in regulatory guidance on pediatrics. Best practice standards are presented for further development through interaction among regulators, industry, and model providers.

摘要

儿科生理药代动力学(PBPK)模型在药物开发过程中有广泛的应用,不仅用于预测临床试验剂量,而且越来越多地用于替代临床研究。然而,该方法尚未完全纳入监管申报。新出现的数据支持在儿科监管指南中更广泛地纳入基于 PBPK 模型的信息方法。通过监管机构、行业和模型提供者之间的相互作用,提出了最佳实践标准,以进一步发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f43/8452294/5c441ff68e0e/PSP4-10-967-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f43/8452294/5c441ff68e0e/PSP4-10-967-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f43/8452294/5c441ff68e0e/PSP4-10-967-g001.jpg

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本文引用的文献

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J Clin Pharmacol. 2021 Jun;61 Suppl 1:S83-S93. doi: 10.1002/jcph.1834.
2
Use of a physiologically based pharmacokinetic-pharmacodynamic model for initial dose prediction and escalation during a paediatric clinical trial.使用基于生理学的药代动力学-药效学模型进行儿科临床试验的初始剂量预测和递增。
Br J Clin Pharmacol. 2021 Mar;87(3):1378-1389. doi: 10.1111/bcp.14528. Epub 2020 Sep 6.
3
Physiologically-based pharmacokinetic models for children: Starting to reach maturation?
儿科药物研发:通过追踪创新疗法审视挑战与机遇。
Pharmaceutics. 2023 Oct 6;15(10):2431. doi: 10.3390/pharmaceutics15102431.
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Achieving big with small: quantitative clinical pharmacology tools for drug development in pediatric rare diseases.以小博大:儿科罕见病药物研发的定量临床药理学工具。
J Pharmacokinet Pharmacodyn. 2023 Dec;50(6):429-444. doi: 10.1007/s10928-023-09863-x. Epub 2023 May 4.
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