在儿科患者中对甲状腺素的群体药动力学分析:系统性审查
Yu Cheng1,2, Yujia Zhang1, Ying Zhang1
1Department of Pharmacy, Shengjing Hospital Affiliated to China Medical University, 36 Sanhao Street, Shenyang, 110004, Liaoning Province, China.
本综述总结了儿科甲状腺人口的药理动力学模型. 身体大小和功能显著影响甲状腺素的清除,但需要进一步的研究,以获得临床应用.
科学领域:
- 药理学 药理学是指药理学的学科.
- 儿科瘤学 儿科瘤学
- 临床药房 临床药房
背景情况:
- 甲托雷克萨特对于儿科癌症和自身免疫性疾病治疗至关重要.
- 由于儿童的药物动力学变异性,准确的剂量是具有挑战性的.
- 现有的群体药理动力学 (PopPK) 模型显示不一致的共同变量识别.
研究的目的:
- 系统地审查和讨论儿科甲状腺的PopPK模型.
- 为了确定影响儿科患者中甲状腺的药理动力学的共变量.
- 评估当前的PopPK建模状态,用于儿科用甲状腺剂的剂量.
主要方法:
- 在PubMed和EMBASE数据库中进行全面的文献搜索,截至2023年7月.
- 通过31项检查清单评估研究报告质量.
- 提取和合成关于研究特征,模型构建和验证的数据.
主要成果:
- 包括18项研究 (4项前性,14项后性).
- 两部分模型是常见的;美托特雷克萨特清除率差异很大 (中位数为6.86 L/h).
- 身体大小和功能是显著的共同变量;其他因素,如基因多态性,报告不足.
结论:
- 在日常临床采用PopPK模型之前,严格的外部验证是必不可少的.
- 需要对更大的队列和聚合分析进行进一步的研究.
- 需要更好地了解暴露特征和共同变量识别,以优化儿科甲状腺素剂量.
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