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Published on: March 20, 2021
Pharmacodynamic modelling of biomarker data in oncology
1Pharmacometrics Ltd., Whittlesford, Cambridge CB22 4NZ, UK.
Abstract:
The development of pharmacodynamic (PD) biomarkers in oncology has implications for design of clinical protocols from preclinical data and for predicting clinical outcomes from early clinical data. Two classes of biomarkers have received particular attention. Phosphoproteins in biopsy samples are markers of inhibition of signalling pathways, target sites for many novel agents. Biomarkers of apoptosis in plasma can measure tumour cell killing by drugs in phase I clinical trials. The predictive power of PD biomarkers is enhanced by data modelling. With pharmacokinetic models, PD models form PK/PD models that predict the time course both of drug concentration and drug effects. If biomarkers of drug toxicity are also measured, the models can predict drug selectivity as well as efficacy. PK/PD models, in conjunction with disease models, make possible virtual clinical trials, in which multiple trial designs are assessed in silico, so the optimal trial design can be selected for experimental evaluation.
Insights
Pharmacodynamic (PD) biomarkers, including phosphoproteins and apoptosis markers, improve oncology clinical trial design and outcome prediction. Data modeling with pharmacokinetic (PK) models creates PK/PD models for virtual trials, optimizing drug development.
Area of Science:
- Oncology
- Pharmacology
- Biomarker Discovery
Background:
- Pharmacodynamic (PD) biomarkers are crucial for oncology drug development, guiding clinical protocol design and predicting patient outcomes.
- Key PD biomarkers include phosphoproteins (indicating pathway inhibition) and plasma apoptosis markers (measuring tumor cell death).
Purpose of the Study:
- To highlight the role of PD biomarkers in oncology drug development.
- To explain how data modeling enhances the predictive power of PD biomarkers.
- To introduce the concept of virtual clinical trials using PK/PD and disease models.
Main Methods:
- Utilizing phosphoprotein analysis in biopsy samples to assess target engagement.
- Measuring plasma biomarkers of apoptosis to quantify tumor cell killing.
- Integrating pharmacokinetic (PK) and PD models to create PK/PD models.
- Incorporating biomarkers of drug toxicity into models for selectivity and efficacy prediction.
- Developing disease models to enable virtual clinical trials for in silico assessment of trial designs.
Main Results:
- PD biomarkers, particularly phosphoproteins and apoptosis markers, provide critical insights into drug activity in early clinical trials.
- Data modeling, especially the integration of PK and PD data, significantly enhances the predictive capabilities of biomarkers.
- PK/PD models, when combined with disease models, facilitate the creation of virtual clinical trials.
- Virtual clinical trials allow for the in silico evaluation of multiple trial designs, aiding in the selection of optimal experimental protocols.
Conclusions:
- PD biomarkers are essential tools for advancing oncology drug development by improving preclinical to clinical translation and outcome prediction.
- PK/PD modeling, incorporating toxicity and efficacy biomarkers, enables robust prediction of drug selectivity and therapeutic potential.
- The development of virtual clinical trials through PK/PD and disease modeling offers a powerful platform for optimizing clinical trial design and accelerating drug evaluation.
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