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A loading dose is an essential pharmacological strategy to rapidly achieve the target plasma drug concentration necessary for an immediate therapeutic effect. This approach is especially critical for drugs characterized by slow absorption or extended half-lives, where delaying therapeutic plasma levels could compromise treatment outcomes. By administering a loading dose, clinicians ensure a prompt onset of drug action, even for agents with complex pharmacokinetic profiles.Achieving steady-state...
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Gentamicin, an aminoglycoside antibiotic, is commonly administered via intermittent intravenous infusion to treat severe infections. An intermittent one-hour infusion of gentamicin, administered at eight-hour intervals, allows for precise control of plasma drug concentrations, minimizing toxicity while ensuring therapeutic efficacy. Pharmacokinetic principles govern the dynamics of plasma concentrations and can be mathematically described using specific equations.The plasma drug concentration...
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It is not uncommon for complete drug pharmacokinetic profiles to remain elusive in pharmacokinetics. This necessitates certain educated assumptions by pharmacokineticists to determine appropriate dosage regimens without comprehensive pharmacokinetic data from animal or human studies. One prevalent assumption is setting the bioavailability factor, denoted as F, to 1 or 100%. This assumption caters to the scenario where a drug doesn't achieve full systemic absorption, resulting in the patient...
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Nomograms and tabulations are vital tools used by clinicians to design accurate and individualized dosage regimens. These instruments provide a straightforward method for adjusting dosages based on individual patient characteristics, including age, weight, and physiological condition. The foundation of a drug's nomogram is population pharmacokinetic data collected and analyzed using specific models. This data simplifies complex equations, presenting them diagrammatically or tabularly for easy...
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Determining the optimal dose size and dosing frequency in pharmacotherapy is crucial for achieving therapeutic effectiveness while minimizing adverse effects. This article explores the methodologies employed in determining these parameters, focusing on their significance and interplay to tailor dosing regimens.Dose Size: Dose size refers to the amount of a drug administered in a single dose. It is determined based on the drug's pharmacodynamics and pharmacokinetics properties and...
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Quantitative prediction of repeat dose toxicity values using GenRA.

G Helman1, G Patlewicz2, I Shah2

  • 1Oak Ridge Institute for Science and Education (ORISE), Oak Ridge, TN, USA; National Center for Computational Toxicology, Office of Research and Development, U.S. Environmental Protection Agency, Research Triangle Park, NC, USA.

Regulatory Toxicology and Pharmacology : RTP
|September 25, 2019
PubMed
Summary
This summary is machine-generated.

The generalized read-across (GenRA) tool was enhanced to predict chemical toxicity points of departure (PODs). Localized predictions within chemical clusters significantly improved accuracy, highlighting the importance of domain specificity for reliable chemical safety assessments.

Keywords:
CheminformaticsComputational toxicologyGeneralized read-acrossPoint of departureRepeat-dose toxicity

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Area of Science:

  • Toxicology
  • Computational Chemistry
  • cheminformatics

Background:

  • Computational toxicology methods, including read-across, are increasingly used to predict chemical safety data.
  • The generalized read-across (GenRA) tool previously integrated in vitro bioactivity and chemical descriptors to predict in vivo toxicity hazards.
  • Accurate prediction of point of departure (POD) values is crucial for chemical risk assessment.

Purpose of the Study:

  • To modify the GenRA tool for quantitative prediction of POD values from the US EPA's Toxicity Reference Database (ToxRefDB).
  • To evaluate the performance of the modified GenRA tool in predicting various toxicity endpoints.
  • To assess the impact of domain specificity on the accuracy of GenRA predictions.

Main Methods:

  • The GenRA tool was adapted to predict oral Lowest Observed Adverse Effect Levels (LOAELs) for 1,014 chemicals.
  • Chemicals were analyzed for systemic, developmental, reproductive, and cholinesterase inhibition effects.
  • Predictions were evaluated globally and locally within clusters of structurally similar chemicals using Morgan fingerprints and Jaccard similarity.

Main Results:

  • Global GenRA predictions yielded R-squared values ranging from 0.14 to 0.43 for different toxicity endpoints.
  • Evaluating GenRA within local domains of structurally similar chemicals significantly improved prediction accuracy.
  • Average R-squared values for local predictions reached 0.73 for systemic, 0.66 for developmental, 0.60 for reproductive, and 0.79 for cholinesterase inhibition LOAELs.

Conclusions:

  • The modified GenRA tool demonstrates potential for predicting chemical PODs.
  • Prediction accuracy is highly dependent on the chemical domain; localized predictions outperform global ones.
  • Identifying appropriate local domains is critical for the effective application of GenRA in chemical safety evaluations.