通过人口药理动力学建模,对长期作用的阿里皮普拉进行精确医学
Enrique Bandín-Vilar1, Francisco José Toja-Camba1, María Vidal-Millares2
1Pharmacy Department, University Clinical Hospital Santiago de Compostela (CHUS), Spain; Clinical Pharmacology Group, Health Research Institute of Santiago de Compostela (IDIS), Spain; Pharmacology, Pharmacy and Pharmaceutical Technology Department, Faculty of Pharmacy, University of Santiago de Compostela (USC), Spain.
这项研究开发了一种长效注射性阿里皮普拉 (LAI阿里皮普拉) 和其代谢物的种群药动力学模型. 该模型根据患者的体重,CYP2D6代谢和药物相互作用来个性化剂量,以获得最佳的治疗度.
科学领域:
- 药理学 药理学是指药理学的学科.
- 临床药房 临床药房
- 制药指标 (Pharmacometrics) 是一个指标.
背景情况:
- 种群药动力学 (popPK) 模型对于理解药物变异性至关重要.
- 长效注射性阿里皮普拉 (LAI阿里皮普拉) 需要精确的剂量才能有效.
- 描述阿里皮普拉及其代谢物的药理动力学对于个性化治疗至关重要.
研究的目的:
- 在接受LAI aripiprazole的患者中开发阿里皮普拉及其活性代谢物 dehydro-aripiprazole 的 popPK 模型.
- 确定影响药物暴露和变异性的关键共变量.
- 为了能够为LAI aripiprazole提供个性化的剂量建议.
主要方法:
- 对93名患者进行的前性药理动力学研究.
- 开发和外部评估一个一个分区的popPK模型.
- 分析患者体重,CYP2D6代谢表型和药物相互作用作为共变量.
主要成果:
- 一个带有线性吸收和排放的单间模型准确地描述了药物度.
- 患者的体重显著影响了药物吸收.
- CYP2D6表型和强抑制剂的使用是总药物暴露的主要决定因素.
结论:
- 这是包括其活性代谢物aripiprazole在内的LAI的第一个popPK模型.
- 该模型促进了个性化剂量策略,以优化治疗度.
- 它旨在减少临床实践中LAI aripiprazole治疗的试错方法.
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