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A two-step deconvolution-analysis-informed population pharmacodynamic modeling approach for drugs targeting pulsatile
Michiel J van Esdonk1,2, Jacobus Burggraaf3,4, Piet H van der Graaf3,5
1Division of Pharmacology, Cluster Systems Pharmacology, Leiden Academic Centre for Drug Research, Leiden University, Leiden, The Netherlands. m.j.van.esdonk@lacdr.leidenuniv.nl.
This study introduces a novel pharmacodynamic modeling approach to accurately quantify pulsatile secretion of endogenous compounds like growth hormone (GH). The method improves analysis of complex, variable data, enabling better drug effect quantification.
Area of Science:
- Pharmacology
- Physiology
- Biostatistics
Background:
- Current pharmacodynamic models struggle to accurately capture pulsatile secretion of endogenous compounds like growth hormone (GH), limiting detailed analysis.
- Existing methods often rely on non-compartmental analyses, providing only summary statistics and missing the nuances of pulsatile dynamics.
Purpose of the Study:
- To develop and validate a new quantification method for highly variable pulsatile data using deconvolution analysis-informed population pharmacodynamic modeling.
- To enable precise estimation of pulse characteristics and drug effects on endogenous pulsatile secretion.
Main Methods:
- Utilized deconvolution analysis on 24-hour GH profiles to determine pulse frequency and timing.
- Employed a non-linear mixed-effects population pharmacodynamic model (NONMEM V7.3) informed by estimated pulse times.
- Incorporated a turnover compartment model to estimate baseline secretion, pulse width, and amplitude, identifying total body water as a covariate.
Main Results:
- The developed model successfully fitted and quantified highly variable individual 24-hour GH profiles.
- Population parameters were estimated with high precision (2-5% relative standard errors).
- Simulations demonstrated the model's capability to visualize drug effects on GH secretion and quantify inhibition.
Conclusions:
- The novel deconvolution-analysis-informed population pharmacodynamic modeling approach effectively quantifies pulsatile endogenous compound secretion.
- This method offers a significant advancement for analyzing complex biological data and assessing drug impacts on hormonal systems.
- The model is adaptable for quantifying drug effects on other endogenous pulsatile compounds beyond GH.
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