The impact of composite AUC estimates on the prediction of systemic exposure in toxicology experiments

Verfasser / Beitragende:
[Tarjinder Sahota, Meindert Danhof, Oscar Della Pasqua]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Pharmacokinetics and Pharmacodynamics, 42/3(2015-06-01), 251-261
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10928-015-9413-5  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10928-015-9413-5 
245 0 4 |a The impact of composite AUC estimates on the prediction of systemic exposure in toxicology experiments  |h [Elektronische Daten]  |c [Tarjinder Sahota, Meindert Danhof, Oscar Della Pasqua] 
520 3 |a Current toxicity protocols relate measures of systemic exposure (i.e. AUC, Cmax) as obtained by non-compartmental analysis to observed toxicity. A complicating factor in this practice is the potential bias in the estimates defining safe drug exposure. Moreover, it prevents the assessment of variability. The objective of the current investigation was therefore (a) to demonstrate the feasibility of applying nonlinear mixed effects modelling for the evaluation of toxicokinetics and (b) to assess the bias and accuracy in summary measures of systemic exposure for each method. Here, simulation scenarios were evaluated, which mimic toxicology protocols in rodents. To ensure differences in pharmacokinetic properties are accounted for, hypothetical drugs with varying disposition properties were considered. Data analysis was performed using non-compartmental methods and nonlinear mixed effects modelling. Exposure levels were expressed as area under the concentration versus time curve (AUC), peak concentrations (Cmax) and time above a predefined threshold (TAT). Results were then compared with the reference values to assess the bias and precision of parameter estimates. Higher accuracy and precision were observed for model-based estimates (i.e. AUC, Cmax and TAT), irrespective of group or treatment duration, as compared with non-compartmental analysis. Despite the focus of guidelines on establishing safety thresholds for the evaluation of new molecules in humans, current methods neglect uncertainty, lack of precision and bias in parameter estimates. The use of nonlinear mixed effects modelling for the analysis of toxicokinetics provides insight into variability and should be considered for predicting safe exposure in humans. 
540 |a The Author(s), 2015 
690 7 |a Toxicokinetics  |2 nationallicence 
690 7 |a NOAEL  |2 nationallicence 
690 7 |a Safety margin  |2 nationallicence 
690 7 |a Model-based drug development  |2 nationallicence 
690 7 |a AUC : Area under the concentration versus time curve  |2 nationallicence 
690 7 |a Cmax : Peak concentrations  |2 nationallicence 
690 7 |a ICH : International conference on harmonisation of technical requirements for registration of pharmaceuticals for human use  |2 nationallicence 
690 7 |a PD : Pharmacodynamics  |2 nationallicence 
690 7 |a PK : Pharmacokinetics  |2 nationallicence 
690 7 |a TAT : Time above a concentration threshold  |2 nationallicence 
700 1 |a Sahota  |D Tarjinder  |u Division of Pharmacology, Leiden Academic Centre for Drug Research, University of Leiden, Leiden, The Netherlands  |4 aut 
700 1 |a Danhof  |D Meindert  |u Division of Pharmacology, Leiden Academic Centre for Drug Research, University of Leiden, Leiden, The Netherlands  |4 aut 
700 1 |a Della Pasqua  |D Oscar  |u Division of Pharmacology, Leiden Academic Centre for Drug Research, University of Leiden, Leiden, The Netherlands  |4 aut 
773 0 |t Journal of Pharmacokinetics and Pharmacodynamics  |d Springer US; http://www.springer-ny.com  |g 42/3(2015-06-01), 251-261  |x 1567-567X  |q 42:3<251  |1 2015  |2 42  |o 10928 
856 4 0 |u https://doi.org/10.1007/s10928-015-9413-5  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10928-015-9413-5  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sahota  |D Tarjinder  |u Division of Pharmacology, Leiden Academic Centre for Drug Research, University of Leiden, Leiden, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Danhof  |D Meindert  |u Division of Pharmacology, Leiden Academic Centre for Drug Research, University of Leiden, Leiden, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Della Pasqua  |D Oscar  |u Division of Pharmacology, Leiden Academic Centre for Drug Research, University of Leiden, Leiden, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Pharmacokinetics and Pharmacodynamics  |d Springer US; http://www.springer-ny.com  |g 42/3(2015-06-01), 251-261  |x 1567-567X  |q 42:3<251  |1 2015  |2 42  |o 10928