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Physiologically Based Pharmacokinetics Is Impacting Drug Development and Regulatory Decision Making
M Rowland1, L J Lesko2, A Rostami-Hodjegan3
1Centre for Applied Pharmacokinetic Research, Manchester Pharmacy School, University of Manchester Manchester, UK ; Department of Bioengineering and Therapeutic Sciences, Schools of Pharmacy and Medicine, University of California San Francisco, California, USA.
Physiologically based pharmacokinetic (PBPK) modeling is transitioning to an industrial standard in drug development. Regulatory agencies are encouraging PBPK use to enhance drug development and decision-making processes.
Area of Science:
- Pharmacokinetics and Drug Development
Background:
- Physiologically based pharmacokinetic (PBPK) modeling is shifting from academic research to widespread industrial application.
- Regulatory bodies like the FDA and MHRA are increasingly encouraging the use of PBPK models in drug development.
- Recent publications highlight the growing importance and regulatory acceptance of PBPK in clinical settings.
Purpose of the Study:
- To discuss the impact and best practices of PBPK modeling in clinical drug development.
- To facilitate the development of regulatory guidances for PBPK applications within model-informed drug development.
- To explore how PBPK can inform regulatory decision-making.
Main Methods:
- Analysis of reports from FDA and MHRA meetings on PBPK applications.
- Review of European Medicines Agency's Concept Paper on PBPK.
- Comparison with historical regulatory acceptance of population PK/PD and nonlinear mixed effects modeling.
Main Results:
- PBPK modeling is recognized as a valuable tool complementing or replacing traditional modeling approaches.
- PBPK models provide mechanistic insights into absorption, distribution, metabolism, and excretion (ADME) processes.
- Understanding physiological drivers and their interaction with drug factors is crucial for predicting drug behavior.
Conclusions:
- PBPK modeling represents a significant advancement in understanding drug behavior.
- Regulatory agencies are actively supporting the integration of PBPK into drug development.
- PBPK facilitates more informed regulatory decisions and enhances drug development strategies.
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