Square Pegs in Round Holes?

Square Pegs in Round Holes?

A crusading scientist identifies a potential public health threat and uses the internet to get access to a cache of data from several studies. After a quick analysis of the pooled data, he reports a previously unrecognized adverse effect of a widely used drug. Patients and physicians become alarmed, and the drug is pulled from the market. Sound like the plot of a new medical thriller? In fact, a similar scenario has hit the headlines several times in the last 10 years. Each time, controversy about the validity of the analysis and conclusions was loud and lasting.

Simulation of Cilostazol Absorption and Pharmacokinetics

Simulation of Cilostazol Absorption and Pharmacokinetics

Conference: ISSX
Division: PBPK

Cilostazol absorption and pharmacokinetics were simulated using GastroPlus™. The program’s Advanced Compartmental and Transit (ACAT) model described the absorption of the drug, while pharmacokinetics was…

Physiologically Based Model for Ketoconazole Disposition and Prediction of its Drug-Drug Interactions

Physiologically Based Model for Ketoconazole Disposition and Prediction of its Drug-Drug Interactions

Conference: ISSX
Division: PBPK

Ketoconazole is a potent inhibitor of the major drug-metabolizing enzyme, CYP3A4 and, as the result of that, is involved in many drug-drug interactions.  Pharmacokinetic (PK) information available for…

Forensic Pharmacometrics: Part 1 – Data Assembly

Forensic Pharmacometrics: Part 1 – Data Assembly

Conference: ACoP

Pharmacometric modeling and simulation (M&S) is moving from merely describing pharmacokinetic (PK) and pharmacodynamic (PD) phenomena to informing critical drug development and regulatory decision-making…

Exposure-response analyses of tigecycline tolerability in healthy subjects

Exposure-response analyses of tigecycline tolerability in healthy subjects

Publication: Diagn Microbiol.Infect.Dis

Tigecycline exposure (area under the concentration-time curve [AUC((0-infinity))] and maximum serum concentration [C(max)]) and first occurrence of nausea and vomiting were evaluated in 136 healthy subjects after...

Practical Anticipation of Human Efficacious Doses and Pharmacokinetics Using In Vitro and Preclinical In Vivo Data

Practical Anticipation of Human Efficacious Doses and Pharmacokinetics Using In Vitro and Preclinical In Vivo Data

Publication: AAPS J
Software: GastroPlus®

Accurate predictions of human pharmacokinetic and pharmacodynamic (PK/PD) profiles are critical in early drug development, as safe, efficacious, and "developable" dosing...

The use of gastrointestinal intubation studies for controlled release development

The use of gastrointestinal intubation studies for controlled release development

Authors: Sutton SC
Publication: Br J Clin Pharmacol
Software: GastroPlus®

This review describes clinical results of gastrointestinal intubation studies of eight controlled release (CR) candidates under development during the 1990s and offer

Population pharmacokinetic analysis of linezolid in patients with infectious disease: application to lower body weight and elderly patients

Population pharmacokinetic analysis of linezolid in patients with infectious disease: application to lower body weight and elderly patients

Publication: J Clin Pharmacol

Linezolid (Zyvox), belonging to oxazolidinone antibiotics, is commonly used for the treatment of patients infected with methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci.

Simulation of Food Effect on Cilostazol Exposure in Human

Simulation of Food Effect on Cilostazol Exposure in Human

Conference: CRS
Division: PBPK

For certain drugs, the time of administration respective to meal times can have a significant impact on exposure. The effect of food is usually attributed to increased solubility/dissolution rate and/or…