Schematic representation of the selected pharmacokinetic/pharmacodynamic model.
Pharmacokinetics: ka, first order rate constant of absorption; VC/F,
and VP/F, apparent volumes of distribution of the central and the peripheral
compartments, respectively; CL/F apparent plasma clearance (oral); Q/F,
inter-compartmental distribution clearance. pharmacodynamics: DPP4 activity (free
receptor) can be synthesized at a zero-order rate (ksyn) and degraded at a
first-order (kdeg). Edrug induces activity loss by the receptor
binding. CP, predicted sitagliptin plasma concentration; Emax is the
maximum effect; EC50 is the drug concentration need to achieve the 50%
of the Emax; h is the hill exponent. 1/kf represents the expected
time delay for the feedback.