Pharmacometrics | Head: Amílcar Falcão FerreiraObjectivesPharmacometrics is the science <strong>of</strong> developing <strong>and</strong>applying mathematical <strong>and</strong> statistical methods tocharacterize, underst<strong>and</strong>, <strong>and</strong> predict a drugs’spharmacokinetic, pharmacodynamic, <strong>and</strong>biomarker‐outcomes behaviour. In effect,pharmacometrics is the science <strong>of</strong> interpreting <strong>and</strong>describing pharmacology in a quantitative fashion.We explored methods to predict early in the drugdevelopment the ADME (Absorption, Distribution,Metabolism <strong>and</strong> Excretion) as well as drug‐druginteractions <strong>of</strong> new chemical entities (NCEs).Model‐based drug development is characterised bythe development <strong>and</strong> application <strong>of</strong>pharmacostatistical models <strong>of</strong> drug efficacy <strong>and</strong>safety from non‐clinical <strong>and</strong> clinical data toimprove drug development knowledgemanagement <strong>and</strong> decision making.Main AchievementsThe Pharmacometrics Group as a new group(started in 2007), has a small experience to share atthe present time. There<strong>for</strong>e, some individualongoing projects were incorporated in the group<strong>and</strong> some <strong>of</strong> our achievements can be easily foundanalysing the productivity section. Nevertheless,our preclinical research studies in new drugdevelopment process focused on eslicarbazepineacetate could be the considered the main structuredachievement in <strong>2008</strong>.Eslicarbazepine acetate (ESL) is a promising centralnervous system‐active compound recentlyaccepted by the authorities to be put on theEuropean market <strong>for</strong> the treatment <strong>of</strong> epilepsy(submission to FDA are going on). In the last years,we have been involved in the ESL developmentprogram to complete the pharmacokinetic dataobtained from preceding <strong>and</strong> ongoing ESL clinicaltrials. Since pharmacokinetic studies imply theevaluation <strong>of</strong> drug concentrations over the time inthe biological matrices <strong>of</strong> interest, we developed<strong>and</strong> validated the first chiral liquidchromatographic method with ultraviolet detection(LC‐UV) to determine ESL <strong>and</strong> its metabolites [Slicarbazepine(S‐Lic), R‐licarbazepine (R‐Lic) <strong>and</strong>oxcarbazepine (OXC)] in mouse plasma <strong>and</strong> brain,liver <strong>and</strong> kidney tissue homogenates. Additionally,a similar LC‐UV method was also developed inhuman plasma, making available a useful tool notonly to support ESL clinical research but also to theroutine therapeutic drug monitoring assays.Recently we characterized the pharmacokinetics<strong>and</strong> the oral biodisposition <strong>of</strong> ESL in adult maleCD‐1 mice, <strong>and</strong> then we studied thepharmacokinetics <strong>and</strong> the enantioselectivedisposition <strong>of</strong> S‐Lic <strong>and</strong> R‐Lic (pharmacologicallyactive metabolites <strong>of</strong> ESL).ESL is rapidly <strong>and</strong> extensively metabolised in miceto S‐Lic (major metabolite), which is then oxidisedto OXC to a small extent. R‐Lic was not found inmeasurable amounts in all matrices. On the otherh<strong>and</strong>, following the oral administration to mice <strong>of</strong>each licarbazepine enantiomer separately, it wasnoted that S‐Lic <strong>and</strong> R‐Lic were rapidly absorbed<strong>and</strong> immediately distributed, at least, to the highlyperfused tissues. Both licarbazepine enantiomerswere metabolized to a small extent but, even so, thebi‐directional chiral inversion was observed <strong>and</strong> itoccurred preferentially in the R→S direction.52OOCH 3NONH 2ESLHOONONH2S-LicNO NH 2OXCHONTrans-diolONH2R-LicProposed metabolism <strong>of</strong> ESL, S‐Lic <strong>and</strong> R‐Lic in CD‐1 mice.The thickness <strong>of</strong> the arrows indicates the relative extent <strong>of</strong>the metabolic pathways.
PublicationsAlmeida L, Nunes T, Falcão AC, Minciu I, Magureanu SA, Butoianu N, Soares‐da‐Silva P (<strong>2008</strong>)Pharmacokinetics, Efficacy, <strong>and</strong> Tolerability <strong>of</strong> Eslicarbzepine Acetate in Children <strong>and</strong> Adolescents. J. Clin.Pharmacol. 48: 966‐977.Almeida L, Falcão AC, Coelho R, Albino‐Teixeira A, Soares‐da‐Silva P (<strong>2008</strong>) The role <strong>of</strong> socio‐economicconditions <strong>and</strong> personality characteristics on the willingness to volunteer <strong>for</strong> phase I studies. Pharm. Med.22(6): 367‐374.Almeida L, Falcão AC, Vaz‐da‐Silva M, Coelho R, Albino‐Teixeira A, Soares‐da‐Silva P (<strong>2008</strong>) Personalitycharacteristics <strong>of</strong> volunteers to Phase 1 studies <strong>and</strong> likelihood <strong>of</strong> reporting adverse events. Int. J. Clin.Pharmacol. Ther. 46(7): 340‐348.Almeida L, Falcão AC, Vaz‐da‐Silva M, Nunes T, Santos AT, Rocha JF, Neto C, Macedo T, Fontes‐RibeiroC, Soares‐da‐Silva P (<strong>2008</strong>) Effect <strong>of</strong> nebicapone on the pharmacokinetics <strong>and</strong> pharmacodynamics <strong>of</strong>warfarin in healthy subjects. Eur. J. Clin. Pharmacol. 64: 961‐966.Almeida L, Minciu I, Nunes T, Butoianu N, Falcão AC, Magureanu SA, Soares‐da‐Silva P (<strong>2008</strong>)Pharmacokinetics <strong>of</strong> eslicarbazepine acetate in children <strong>and</strong> adolescents with epilepsy. J. Clin. Pharmacol.48: 966‐977.Alves E, Summavielle T, Alves CJ, Custódio JBA, Fern<strong>and</strong>es E, Bastos ML, Tavares MA, Carvalho F (<strong>2008</strong>)Ecstasy‐induced oxidative stress to adolescent rat brain mitochondria in vivo: influence <strong>of</strong> monoamineoxidase type A. Addict. Biol. 14:185‐93.Alves G, Figueiredo I, Falcão AC, Castel‐Branco M, Caramona MM, Soares‐da‐Silva P (<strong>2008</strong>)Stereoselective disposition <strong>of</strong> S‐ <strong>and</strong> R‐Licarbazepine in the mouse. Chirality 20(6): 796‐804.Alves GL, Fortuna A, Falcão AC (<strong>2008</strong>) High‐Per<strong>for</strong>mance Liquid Chromatography <strong>and</strong> its Impact in theDevelopment <strong>of</strong> Chiral Drugs: a Review. Trends Chromatography 4: 1‐10.53Alves GL, Figueiredo IV, Castel‐Branco MM, Lourenço N, Falcão AC, Caramona MM, Soares‐da‐Silva P(<strong>2008</strong>) Disposition <strong>of</strong> Eslicarbazepine Acetate in the Mouse after Oral Administration. Fund. Clin.Pharmacol. 22(5): 529‐36.Alves Ema, Summavielle Teresa, Alves CJ, Custódio JBA, Fern<strong>and</strong>es E, Bastos ML, Tavares MA, CarvalhoF (<strong>2008</strong>) Ecstasy‐induced oxidative stress to adolescent rat brain mitochondria in vivo: influence <strong>of</strong>monoamine oxidase type A. Addict. Biol. 14:185‐93.Barbosa RM, Marques CF, Santos RM, Pomerleau F, Huettl P, Gerhardt GA <strong>and</strong> Laranjinha J (<strong>2008</strong>) In vivoreal time measurement <strong>of</strong> endogenous nitric oxide in anesthetized rat brain. Methods in Enzymology 441,351‐367.Bem AF, Farina M, Portella RD, Nogueira CW, Dinis TC, Laranjinha JA, Almeida LM, Rocha JB (<strong>2008</strong>)Diphenyl diselenide, a simple glutathione peroxidase mimetic, inhibits human LDL oxidation in vitro.Atherosclerosis 201, 92‐100.Brito PM, Devillard R, Nègre‐Savayre A, Almeida LM, Dinis TCP, Salvayre R <strong>and</strong> Augé N (<strong>2008</strong>)Resveratrol inhibits the mTOR mitogenic signalling evoked by oxidized LDL in smooth muscle cells.Atherosclerosis. doi:10.1016/J.Atherosclerosis.<strong>2008</strong>.11.011.Brito PM, Simões NF, Almeida LM <strong>and</strong> Dinis TCP (<strong>2008</strong>) Resveratrol disrupts peroxynitrite‐triggeredmitochondrial apoptotic pathway: a role <strong>for</strong> Bcl‐2. Apoptosis 13 1043‐1053.Cardoso S, Santos R X, Carvalho C, Correia S, Pereira GC, Pereira SS, Oliveira PJ, Santos MS, Proença T,Seiça R, Oliveira CR, Moreira P (<strong>2008</strong>) Doxorubicin Increases the Susceptibility <strong>of</strong> Brain Mitochondria tothe Calcium‐induced Permeability Transition <strong>and</strong> Oxidative Damage. Free Rad. Biol. Med. 45(10):1395‐402.Carvalho C, Correia S, Santos MS, Seiça R, Oliveira CR, Moreira PI (<strong>2008</strong>). Met<strong>for</strong>min promotes isolated ratliver mitochondria impairment. Mol. Cell Biochem. 308(1‐2):75‐83.
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