PBPK建模以支持儿童群体中的生物可用性和生物等价性评估
Fang Wu1, Eleftheria Tsakalozou1, Gilbert J Burckart2
1Office of Research and Standards (ORS), Office of Generic Drugs (OGD), Center for Drug Evaluation and Research (CDER), U.S. Food and Drug Administration (FDA), Silver Spring, MD, USA.
基于生理学的药理动力学 (PBPK) 建模可以通过整合药物和患者特定数据来支持儿科群体的生物可用性和生物等价性评估. 需要进一步的研究,以解决数据缺口,以获得强大的监管应用.
科学领域:
- 药理动力学 药理动力学
- 药物开发 药物开发
- 儿科药理学 儿科药理学
背景情况:
- 基于生理学的药理动力学 (PBPK) 建模在药物开发中越来越多地被使用.
- 对生物可用性 (BA) 和生物等价性 (BE) 的监管评估通常依赖于成人数据.
- 儿童群体对药物处置具有独特的生理和发育考虑.
研究的目的:
- 总结PBPK建模在儿科中用于BA/BE评估的应用和考虑.
- 突出PBPK的潜力,以弥合儿科药物开发中的数据差距.
- 讨论PBPK建模在儿科药物产品开发中的监管实用性.
主要方法:
- 对监管科学中PBPK建模研讨会的会议记录的回顾.
- 讨论PBPK吸收建模,包括药物物质,配方和儿科生理学.
- 将各种数据集成到用于决策的机械PBPK模型中.
主要成果:
- PBPK建模可以支持儿科患者的相对BA和BE评估.
- PBPK模型可以预测儿科药物吸收的配方差异.
- 整合到PBPK模型中的证据总和对于决策至关重要.
结论:
- PBPK建模为评估儿科BA/BE提供了有价值的工具,特别是当成人数据是主要数据时.
- 将儿科特异性的生理和药物特征纳入PBPK模型是必不可少的.
- 全球研究合作是必要的,以填补关键的数据缺口,以提高PBPK在儿科中的应用.
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