首页|基于生理药代动力学模型预测肝损伤患者伏立康唑药代动力学

基于生理药代动力学模型预测肝损伤患者伏立康唑药代动力学

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目的:预测不同程度肝损患者的伏立康唑药代动力学.方法:整合伏立康唑理化性质、体外数据及肝损患者的生理解剖数据,建立不同肝损程度的伏立康唑生理药动学模型,并用临床数据来验证该模型的准确性,预测不同程度肝损及不同CYP2C19基因型的患者伏立康唑药动学.结果:该生理药动学模型能准确预测不同程度肝损患者的伏立康唑药动学.结论:生理药动学模型可以准确评价肝损及代谢酶基因型对伏立康唑药动学的影响,为肝损患者的个体化用药提供支持.
Physiologically based pharmacokinetic model for voriconazole in presence of liver impairment
AIM:To predict voriconazole(VCZ)'s pharmacokinetics in patients with different degree of liver dysfunction.METHODS:The physiological based pharmacokinetics(PBPK)models were devel-oped for VCZ based on drug's physico-chemical property and in-vitro data.Then liver dysfunction induced changes in physiological,anatomical pa-rameter was integrated into the PBPK model.The clinical verified VCZ model was used to predict VCZ's PK in patients of different CYP2C19 genotype with different degree of liver dysfunction.RESULTS:The PBPK predicted the VCZ exposure in the pa-tients with liver dysfunction with acceptable predic-tion error.CONCLUSION:The PBPK model devel-oped here could evaluate the impact of liver dys-function and CYP2C19 genotype on VCZ's pharma-cokinetics and support individual dose adjustment of VCZ.

voriconazoleliver dysfunctionPB-PKdose adjustment

朱丽娜、董吉、郑利

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苏州大学附属第一医院药学部,苏州 215000,江苏

伏立康唑 肝损 生理药动学模型 剂量调整

2024

中国临床药理学与治疗学
中国药理学会

中国临床药理学与治疗学

CSTPCD北大核心
影响因子:0.97
ISSN:1009-2501
年,卷(期):2024.29(11)