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Experience In Using PBPK Models in Clinical Pharmacology Reviews

Experience In Using PBPK Models in Clinical Pharmacology Reviews

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Conclusions<br />

• <strong>PBPK</strong> models can be applied to quantitatively evaluate <strong>in</strong>tr<strong>in</strong>sic<br />

and/or extr<strong>in</strong>sic factors<br />

̶ Provide full PK profiles of substrate and <strong>in</strong>teract<strong>in</strong>g drug - DDI<br />

̶ Assess effect of multiple factors<br />

̶ Optimize study design and data analysis<br />

̶ Identify knowledge gaps<br />

̶ Generate hypotheses (for further studies)<br />

• It is important to <strong>in</strong>tegrate knowledge <strong>in</strong> mechanisms of DDI and<br />

drug disposition, and the effect of organ impairment<br />

• It is important to understand the <strong>in</strong>terplay of the <strong>in</strong>tr<strong>in</strong>sic/extr<strong>in</strong>sic<br />

factors<br />

• <strong>PBPK</strong> model can be cont<strong>in</strong>uously updated for enhanced model<br />

confidence <strong>in</strong> predict<strong>in</strong>g unknown cl<strong>in</strong>ical situations<br />

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