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Personalized Secukinumab Treatment in Patients with Plaque Psoriasis Using Model-Informed Precision Dosing.

作者信息

Rodriguez-Fernandez Karine, Zarzoso-Foj Javier, Saez-Bello Marina, Mateu-Puchades Almudena, Martorell-Calatayud Antonio, Merino-Sanjuan Matilde, Gras-Colomer Elena, Climente-Marti Monica, Mangas-Sanjuan Victor

机构信息

Department of Pharmacy and Pharmaceutical Technology and Parasitology, University of Valencia, 46100 Valencia, Spain.

Interuniversity Research Institute for Molecular Recognition and Technological Development, Polytechnic University of Valencia-University of Valencia, 46100 Valencia, Spain.

出版信息

Pharmaceutics. 2024 Dec 10;16(12):1576. doi: 10.3390/pharmaceutics16121576.


DOI:10.3390/pharmaceutics16121576
PMID:39771555
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11678170/
Abstract

Patient care and control of inflammatory disorders, such as psoriasis, can be improved by model-informed precision dosing (MIPD) techniques based on population pharmacokinetic/pharmacodynamic (PK/PD) models. Clinical dose selection decisions based on MIPD strategies need to take account of the uncertainty associated with the individual PK/PD model parameters, which is determined by the quantity of individual observational data collected in clinical practice. The aim of this study was to propose an approach for personalized dosage regimens of secukinumab (SCK) in 22 Spanish patients with plaque psoriasis, whose severity level was considered moderate to severe, taking into account the uncertainty associated with individual parameters in a population-based PK/PD model. The link between SCK serum concentrations and Psoriasis Area and Severity Index (PASI) scores was explained using an indirect response model. A maximum inhibition (I) drug effect model was applied to limit the progression of psoriatic skin lesions within the turnover PD mechanism, which explains the changes in PASI scores during treatment. A first-order remission rate constant for psoriatic lesions (k = 0.11 day) was estimated. According to the MIPD strategy, 50% of patients would require an optimized regimen and 14% would require an intensified dosage regimen in comparison to current clinical treatment. This research has shown its usefulness as a tool for choosing individualized SCK dosage regimens in patients with long-lasting plaque psoriasis to improve the probability of achieving satisfactory response levels.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65dc/11678170/f9d010640d69/pharmaceutics-16-01576-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65dc/11678170/6ba394a17513/pharmaceutics-16-01576-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65dc/11678170/5afdcf21d595/pharmaceutics-16-01576-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65dc/11678170/dbafe01d5b0e/pharmaceutics-16-01576-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65dc/11678170/9bdee051e523/pharmaceutics-16-01576-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65dc/11678170/f9d010640d69/pharmaceutics-16-01576-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65dc/11678170/6ba394a17513/pharmaceutics-16-01576-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65dc/11678170/5afdcf21d595/pharmaceutics-16-01576-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65dc/11678170/dbafe01d5b0e/pharmaceutics-16-01576-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65dc/11678170/9bdee051e523/pharmaceutics-16-01576-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65dc/11678170/f9d010640d69/pharmaceutics-16-01576-g005.jpg

相似文献

[1]
Personalized Secukinumab Treatment in Patients with Plaque Psoriasis Using Model-Informed Precision Dosing.

Pharmaceutics. 2024-12-10

[2]
Model-Informed Precision Dosing for Personalized Ustekinumab Treatment in Plaque Psoriasis.

Pharmaceutics. 2024-10-4

[3]
Population pharmacokinetic/pharmacodynamic analysis of AK111, an IL-17A monoclonal antibody, in subjects with moderate-to-severe plaque psoriasis.

Front Pharmacol. 2022-8-16

[4]
Secukinumab dosing optimization in patients with moderate-to-severe plaque psoriasis: results from the randomized, open-label OPTIMISE study.

Br J Dermatol. 2020-2

[5]
Secukinumab dosing every 2 weeks demonstrated superior efficacy compared with dosing every 4 weeks in patients with psoriasis weighing 90 kg or more: results of a randomized controlled trial.

Br J Dermatol. 2022-6

[6]
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.

Cochrane Database Syst Rev. 2021-4-19

[7]
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.

Cochrane Database Syst Rev. 2020-1-9

[8]
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.

Cochrane Database Syst Rev. 2017-12-22

[9]
Secukinumab 2-weekly vs. 4-weekly dosing in patients with plaque-type psoriasis: results from the randomized GAIN study.

Br J Dermatol. 2021-5

[10]
Secukinumab induction and maintenance therapy in moderate-to-severe plaque psoriasis: a randomized, double-blind, placebo-controlled, phase II regimen-finding study.

Br J Dermatol. 2013-2

本文引用的文献

[1]
Model-Informed Precision Dosing for Personalized Ustekinumab Treatment in Plaque Psoriasis.

Pharmaceutics. 2024-10-4

[2]
Uncovering the interleukin-12 pharmacokinetic desensitization mechanism and its consequences with mathematical modeling.

CPT Pharmacometrics Syst Pharmacol. 2025-2

[3]
Model-informed precision dosing: State of the art and future perspectives.

Adv Drug Deliv Rev. 2024-12

[4]
Recent Advances Addressing the Challenges of Precision Dosing.

Clin Pharmacol Ther. 2024-9

[5]
Extended Model-Informed Drug Development: Beyond Clinical Trials and Regulatory Approval.

Clin Pharmacol Ther. 2024-9

[6]
"Getting the Dose Right"-Revisiting the Topic With Focus on Biologic Agents.

Clin Pharmacol Ther. 2024-9

[7]
Beyond Population-Level Targets for Drug Concentrations: Precision Dosing Needs Individual-Level Targets that Include Superior Biomarkers of Drug Responses.

Clin Pharmacol Ther. 2024-9

[8]
Towards precision medicine of long-acting aripiprazole through population pharmacokinetic modelling.

Psychiatry Res. 2024-3

[9]
New insights into the role of VKORC1 polymorphisms for optimal warfarin dose selection in Caribbean Hispanic patients through an external validation of a population PK/PD model.

Biomed Pharmacother. 2024-1

[10]
Optimization of secukinumab dose regimens in patients with moderate-to-severe plaque psoriasis via exposure-response modeling.

Expert Rev Clin Pharmacol. 2023

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