在肝移植接受者中开发和临床验证以模型为基础的Everolimus精确剂量
Jeayoon Lee1, In-Wha Kim1, Suk Kyun Hong2
1College of Pharmacy and Research Institute of Pharmaceutical Sciences, Seoul National University, Seoul 08826, Republic of Korea.
ACS pharmacology & translational science
|January 16, 2025
概括
这项研究开发了一种精确的剂量策略,用于肝移植患者的Everolimus. 基于模型的方法使用患者因素来优化everolimus剂量,减少变化.
科学领域:
- 药理学 药理学是指药理学的学科.
- 移植医学 移植医学 移植医学
- 临床药房 临床药房
背景情况:
- 由于显著的药理动力学变异性,Everolimus的剂量具有挑战性.
- 优化Everolimus治疗对于肝移植接受者至关重要.
研究的目的:
- 在肝移植患者中开发和验证以模型为基础的Everolimus精确剂量策略.
- 为医疗保健提供者创建一个实用的工具来实施精确剂量.
主要方法:
- 使用回顾性数据进行非线性混合效应建模.
- 包括共变量:身体表面积,白蛋白和塔克罗利斯的最低度.
- 在20名肝移植接受者中进行前性验证.
主要成果:
- 建立了一种经过验证的群体药理动力学模型,用于Everolimus.
- 基于患者共变量的个性化剂量建议 (1-1.75 mg q12h).
- 观察到减少了个人间的药物动力学变化.
结论:
- 在肝移植中开发并验证了一种成功的以模型为基础的Everolimus精确剂量策略.
- 基于网络的"dosE"平台有助于该模型的临床应用.
- 这种方法有可能改善肝移植接受者的治疗结果.
更多相关视频
11:06Human Liver Microphysiological System for Assessing Drug-Induced Liver Toxicity In Vitro
Published on: January 31, 2022
4.3K
06:00Development of a Human Preclinical Model of Osteoclastogenesis from Peripheral Blood Monocytes Co-cultured with Breast Cancer Cell Lines
Published on: September 13, 2017
7.1K
相关概念视频
Renal Failure: Dose Adjustments
62
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
62
Pharmacokinetic Models: Comparison and Selection Criterion
38
Physiological and compartmental models are valuable tools used in studying biological systems. These models rely on differential equations to maintain mass balance within the system, ensuring an accurate representation of the dynamic processes at play.
Physiological models take a detailed approach by considering specific molecular processes. They can predict drug distribution, metabolism, and elimination changes, providing a comprehensive understanding of how drugs interact with the body.
Physiological models take a detailed approach by considering specific molecular processes. They can predict drug distribution, metabolism, and elimination changes, providing a comprehensive understanding of how drugs interact with the body.
38
Rational Dosage Regimen: Maintenance Dose and Loading Dose
3.8K
A rational dosage regimen considers a drug's pharmacokinetics, including its absorption, distribution, metabolism, and elimination from the body. By understanding these factors, the appropriate dosage can be determined, and the dosing schedule can be designed to achieve and maintain the desired therapeutic effect while minimizing adverse effects.
In most cases, drugs are administered repetitively or infused continuously to maintain a steady-state concentration in the body. At a steady...
In most cases, drugs are administered repetitively or infused continuously to maintain a steady-state concentration in the body. At a steady...
3.8K
