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. 2015 Nov;43(11):1823–1837. doi: 10.1124/dmd.115.065920

Table 7.

List of compounds for which Full PBPK models were used to address pharmacological and toxicological questions

Compound Model purpose A priori criteria? Model Quality Assessment Conclusions Citation
Acetaminophen Assessing various calibration strategies for linking PBPK models to toxicodynamic models of hepatotoxicity No Qualitative discussion of the agreement between simulated and observed Cmax, and metabolite ratios Predicted liver toxicity in agreement with observed (Péry et al., 2013)
Cyclosporine Simulation of receptor occupancy in accute graft-versus-host organs and kidneys after intermittent or continuous infusion No Mann-Whitney test to compare means, chi-square test to compare proportions, bias and precision, number of simulations within 2-fold of the observed, weighted residuals A greater therapeutic index was predicted following continuous infusion (Gérard et al., 2010)
Cyclosporine Establish a connection between the likelihood and severity of graft-versus-host disease and cyclosporine exposures in circulation, graft-versus-host target organs and lymphoid tissues No Student's t-test to compare means, chi-square test to compare proportions, Akaike information criterion for model selection Blood cyclosporine levels can be used as an indicator of therapeutic efficacy (Gérard et al., 2011)
Efalizumab Develop a PD linked PBPK model to predict efficacy of efalizumab Yes Observed data within the predicted 5th and 95th centile The model predicted the efficacy of efalizumab in treatment of psoriasis (Chetty et al., 2015)
Formamide Evaluate the relationship between dose and hepatic exposure No 40mg/day dose was proposed bases on a safety index (Yan et al., 2012)
Levofloxacin Exploratory study to predict the extent of tissue exposure of levofloxacin in humans as a basis for future PK/PD work. Yes Fold error in PK parameters less than 2 Levofloxacin penetrated well into tissues, including the liver kidneys and spleen (Zhu et al., 2015a)
Moxifloxacin Simulate tissue concentrations versus time in patients with intra-abdominal infections Yes Fold error in PK parameters less than 2 Concentrations in intra-abdominal tissues were predicted to be higher than the minimum inhibitory concentration for common pathogens (Zhu et al., 2015b)
Moxifoxacin Evaluate the effect of macrophages on tissue concentrations of moxifloxacin to enhance understanding of the effects of disease on PK/PD No Simulated concentration versus time profiles were evaluated for bias and precision Macrophage concentrations are predicted to effect tissue concentration of moxifloxacin (Edginton et al., 2009)
Nicotine Develop a PBPK model to describe nicotine exposure and receptor binding in the brain No Qualitative discussion of the agreement of the predicted and observed data PK/PD modeling allowed for prediction of nicotine receptor occupancy in the brain (Teeguarden et al., 2013)
“S1” Predicting brain extracellular fluid concentrations as a starting point for PK-PD modeling No Unclear whether the PBPK model would accurately predict PD (Ball et al., 2014)
Temozolomide PD linked PBPK model for simulating the brain concentration of temozolomide and the levels DNA brain adducts No Predictions were in close agreement with observed data and parameter estimates had low coefficients of variation (Ballesta et al., 2014)
Zidovudine Model intra-cellular concentrations of zidovudine in peripheral blood mononuclear cells and establish efficacy and toxicity following various dosing regimens No PK features are well represented by the predictions 100mg 4 times daily is predicted to be the safest and most efficacious dosing scheme (von Kleist and Huisinga, 2009)
Theoretical Compounds Proof of concept study to evaluate mechanisms for differences in unbound plasma and tissue concentrations No This approach can be used to predict free tissue concentrations of various classes of drugs (Poulin, 2015)