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. 2022 May 31;11(8):1029–1044. doi: 10.1002/psp4.12811

TABLE 1.

Simulated scenarios and R 2 for the evaluation of the predictivity of PK/PD indices for in vivo efficacy

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.

a

Day after inoculum.