TABLE 1.
Purposes of the scenarios | Scenario | In vitro and in vivo parameters | R 2 | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
γ vitro | γ vivo | EC50vitro (ng/mL) | EC50vivo (ng/mL) | Emaxvivo (1/h) | Therapy duration (days) | Start of treatment (day) a | AUC24 | C max | T EC50 | T EC90 | AUEC24 | ||
Base scenario and its variations | |||||||||||||
Base scenario | 1 | 1 | 1 | 24 | 24 | 1.5 | 10 | 7 | 0.88 | 0.49 | 0.22 | <0 | 0.96 |
Importance of appropriate dose range | 2 | 1 | 1 | 2.4 | 2.4 | 1.5 | 10 | 7 | 0.36 | <0 | 0.79 | <0 | 0.76 |
3 | 1 | 1 | 7.2 | 7.2 | 1.5 | 10 | 7 | 0.64 | 0.06 | <0 | <0 | 0.89 | |
4 | 1 | 1 | 72 | 72 | 1.5 | 10 | 7 | 0.87 | 0.65 | 0.34 | <0 | 0.92 | |
5 | 1 | 1 | 240 | 240 | 1.5 | 10 | 7 | 0.70 | 0.46 | <0 | <0 | 0.83 | |
Mismatch between in vitro/in vivo drug potency | 6 | 1 | 1 | 2.4 | 24 | 1.5 | 10 | 7 | 0.88 | 0.49 | 0.34 | 0.19 | 0.84 |
7 | 1 | 1 | 7.2 | 24 | 1.5 | 10 | 7 | 0.88 | 0.49 | 0.92 | <0 | 0.92 | |
8 | 1 | 1 | 72 | 24 | 1.5 | 10 | 7 | 0.88 | 0.49 | <0 | <0 | 0.93 | |
9 | 1 | 1 | 240 | 24 | 1.5 | 10 | 7 | 0.88 | 0.49 | <0 | <0 | 0.90 | |
Impact of steepness of concentration‐effect curve | 10 | 0.5 | 0.5 | 24 | 24 | 1.5 | 10 | 7 | 0.75 | 0.29 | <0 | <0 | 0.93 |
11 | 0.7 | 0.7 | 24 | 24 | 1.5 | 10 | 7 | 0.89 | 0.54 | <0 | <0 | 0.97 | |
12 | 1.5 | 1.5 | 24 | 24 | 1.5 | 10 | 7 | 0.89 | 0.66 | 0.18 | <0 | 0.91 | |
13 | 2 | 2 | 24 | 24 | 1.5 | 10 | 7 | 0.91 | 0.71 | 0.61 | <0 | 0.90 | |
Mismatch between in vitro/in vivo steepness of concentration‐effect curve | 14 | 0.5 | 1 | 24 | 24 | 1.5 | 10 | 7 | 0.88 | 0.49 | 0.22 | <0 | 0.94 |
15 | 0.7 | 1 | 24 | 24 | 1.5 | 10 | 7 | 0.88 | 0.49 | 0.22 | <0 | 0.91 | |
16 | 1.5 | 1 | 24 | 24 | 1.5 | 10 | 7 | 0.88 | 0.49 | 0.22 | <0 | 0.91 | |
17 | 2 | 1 | 24 | 24 | 1.5 | 10 | 7 | 0.88 | 0.49 | 0.22 | <0 | 0.87 | |
Additional conditions | |||||||||||||
Impact of degree of in vivo drug efficacy | – | 1 | 1 | 24 | 24 | 1 | 10 | 7 | 0.85 | 0.55 | 0.84 | <0 | 0.91 |
– | 1 | 1 | 24 | 24 | 0.6 | 10 | 7 | 0.81 | 0.46 | 0.78 | <0 | 0.88 | |
– | 1 | 1 | 24 | 24 | 0.45 | 10 | 7 | 0.71 | 0.03 | 0.09 | <0 | 0.78 | |
Early stage vs. late stage of infection | – | 1 | 1 | 24 | 24 | 1.5 | 10 | 3 | 0.93 | 0.54 | <0 | <0 | 0.98 |
Evaluation of shorter treatment duration | – | 1 | 1 | 24 | 24 | 1.5 | 6 | 7 | 0.89 | 0.53 | 0.53 | <0 | 0.96 |
– | 1 | 1 | 24 | 24 | 1.5 | 4 | 7 | 0.89 | 0.67 | 0.75 | <0 | 0.95 | |
– | 1 | 1 | 24 | 24 | 1.5 | 2 | 7 | 0.85 | 0.63 | 0.83 | <0 | 0.95 |
Abbreviations: AUC, area under the curve; AUEC, area under the effect curve; EC50, concentration leading to half of the maximum effect; EC90, concentration leading to 90% of maximum effect; Emax, maximum effect; PK/PD, pharmacokinetic/pharmacodynamic.
Day after inoculum.