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在黑色素瘤中使用 PBPK/PD 模型对 MDM2 和 MEK 抑制剂协同组合进行的体外/体内转化:第二部分。

In Vitro/In Vivo Translation of Synergistic Combination of MDM2 and MEK Inhibitors in Melanoma Using PBPK/PD Modelling: Part II.

机构信息

Faculty of Chemistry, University of Warsaw, Pasteura 1, 02-093 Warsaw, Poland.

Adamed Pharma S.A., Adamkiewicza 6a, 05-152 Czosnów, Poland.

出版信息

Int J Mol Sci. 2022 Oct 8;23(19):11939. doi: 10.3390/ijms231911939.

Abstract

The development of in vitro/in vivo translational methods for synergistically acting drug combinations is needed to identify the most effective therapeutic strategies. We performed PBPK/PD modelling for siremadlin, trametinib, and their combination at various dose levels and dosing schedules in an A375 xenografted mouse model (melanoma cells). In this study, we built models based on in vitro ADME and in vivo PK/PD data determined from the literature or estimated by the Simcyp Animal simulator (V21). The developed PBPK/PD models allowed us to account for the interactions between siremadlin and trametinib at PK and PD levels. The interaction at the PK level was described by an interplay between absorption and tumour disposition levels, whereas the PD interaction was based on the in vitro results. This approach allowed us to reasonably estimate the most synergistic and efficacious dosing schedules and dose levels for combinations of siremadlin and trametinib in mice. PBPK/PD modelling is a powerful tool that allows researchers to properly estimate the in vivo efficacy of the anticancer drug combination based on the results of in vitro studies. Such an approach based on in vitro and in vivo extrapolation may help researchers determine the most efficacious dosing strategies and will allow for the extrapolation of animal PBPK/PD models into clinical settings.

摘要

需要开发体外/体内转化方法来协同作用的药物组合,以确定最有效的治疗策略。我们在 A375 异种移植小鼠模型(黑色素瘤细胞)中进行了 siremadlin、trametinib 及其组合在不同剂量水平和给药方案下的 PBPK/PD 建模。在这项研究中,我们基于文献中确定或通过 Simcyp Animal 模拟器(V21)估算的体外 ADME 和体内 PK/PD 数据构建模型。开发的 PBPK/PD 模型使我们能够在 PK 和 PD 水平上解释 siremadlin 和 trametinib 之间的相互作用。PK 水平的相互作用是通过吸收和肿瘤处置水平之间的相互作用来描述的,而 PD 相互作用则基于体外结果。这种方法使我们能够合理地估计 siremadlin 和 trametinib 在小鼠中的最协同和最有效的给药方案和剂量水平。PBPK/PD 建模是一种强大的工具,允许研究人员根据体外研究结果合理估计抗癌药物组合的体内疗效。这种基于体外和体内外推的方法可以帮助研究人员确定最有效的给药策略,并允许将动物 PBPK/PD 模型外推到临床环境中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc0/9570053/9ce3ac470b9f/ijms-23-11939-g001.jpg

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