Model-based approaches for ivabradine development in paediatric population, part I: study preparation assessment
| Autor: | Charlotte Gesson, Sylvain Fouliard, Marylore Chenel, François Bouzom, Sophie Peigné, Karl Brendel |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Aging medicine.medical_specialty Physiologically based pharmacokinetic modelling Cardiotonic Agents Adolescent Chemistry Pharmaceutical Population Pharmacology toxicology Administration Oral Biological Availability Pharmacology Models Biological Pediatrics 030226 pharmacology & pharmacy 03 medical and health sciences 0302 clinical medicine Pharmacokinetics medicine Cytochrome P-450 CYP3A Humans Computer Simulation Ivabradine Medical physics Child education education.field_of_study business.industry Infant Benzazepines Bioavailability Clinical trial Research Design Child Preschool 030220 oncology & carcinogenesis Administration Intravenous Female Dried Blood Spot Testing business Tablets Paediatric population medicine.drug |
| Zdroj: | Journal of Pharmacokinetics and Pharmacodynamics. 43:13-27 |
| ISSN: | 1573-8744 1567-567X |
| DOI: | 10.1007/s10928-015-9451-z |
| Popis: | The main objective was to help design a paediatric study for ivabradine, a compound already marketed in adults, focusing on: the paediatric formulation evaluation, the doses to be administered, the sampling design and the sampling technique. A secondary objective was to perform a comparison of the prediction of ivabradine pharmacokinetics (PK) in children using a physiologically-based pharmacokinetic (PBPK) approach and allometric scaling of a population pharmacokinetic (PPK) model. A study was conducted in order to assess the relative bioavailability (Frel) of the paediatric formulation and a similar Frel was observed between the paediatric formulation and the adult marketed tablet. PBPK modelling was used to predict initial doses to be administered in the paediatric study and to select the most appropriate sample time collections. The dried blood spot technique was recommended in the clinical trial in children. Simulations obtained by both the PBPK approach and allometric scaling of a PPK model were compared a posteriori to the paediatric study observations. Both PPK and PBPK approaches allowed an adequate prediction of the PK of ivabradine and its metabolite in children. |
| Databáze: | OpenAIRE |
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