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Published on: May 5, 2018
Fetal Physiologically Based Pharmacokinetic Models: Systems Information on Fetal Cardiac Output and Its Distribution
Khaled Abduljalil1, Xian Pan2, Ruth Clayton2
1Certara UK Limited (Simcyp Division), Level 2-Acero, 1 Concourse Way, Sheffield, S1 2BJ, UK. khaled.abduljalil@certara.com.
This study quantifies fetal circulation changes for physiologically based pharmacokinetic models. Mathematical functions describe fetal cardiac output and tissue blood flow, aiding drug exposure and risk assessment.
Area of Science:
- Fetal physiology
- Pharmacokinetics
- Hemodynamics
Background:
- Fetal circulation is unique and vital for developing physiologically based pharmacokinetic models.
- Previous reviews lack comprehensive data on fetal circulatory changes for model development.
Purpose of the Study:
- To collate, analyze, and mathematically describe fetal cardiac output and tissue blood flow during development.
- To provide essential physiological data for fetal pharmacokinetic modeling.
Main Methods:
- Comprehensive literature search for fetal cardiac output and tissue blood flow data.
- Data integration and analysis to establish continuous mathematical functions for parameter changes.
- Evaluation of age- and weight-dependent functions for fetal cardiac output.
Main Results:
- Compiled data from multiple Doppler studies on fetal cardiac output and various tissue blood flows.
- Developed mathematical functions describing fetal cardiac output, preferring weight-dependent models.
- Identified distinct age-varying and fixed blood flow proportions to different fetal organs and tissues.
Conclusions:
- The collated data offer a valuable resource for fetal physiologically based pharmacokinetic modeling.
- Applications include predicting xenobiotic exposure and risk assessment in fetuses.
- Addresses limitations in data availability for certain fetal parameters.
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