Literature DB >> 19779129

Quantitative pharmacology or pharmacokinetic pharmacodynamic integration should be a vital component in integrative pharmacology.

J Gabrielsson1, A R Green.   

Abstract

Pharmacodynamics (PD) examines the relationship between drug concentration and onset, intensity, and duration of the pharmacological effect. Pharmacokinetics (PK) is the science of the time course of drugs in the organism. The quantitative pharmacological approach focuses on concentration-response and response-time relationships, with special emphasis on the proposed impact of the drug on the disease. The review aims to raise awareness among pharmacologists with regard to why pharmacokinetic-pharmacodynamic (PKPD) integration is essential in basic pharmacology research to improve interpretation of data. Quantitative pharmacology is vital in drug discovery for target validation, optimizing the development of lead compounds, and scaling compounds to humans and has become mandatory for regulatory bodies. However, its use is still comparatively rare in experimental pharmacology, and its absence diminishes the interpretative value of published experimental data and can allow the presentation of misleading information. A primary requirement for PKPD integration is establishing the inter-relationships between in vitro and in vivo PK and PD properties and extrapolation to the known or possible future clinical use of a compound. This review examines the use of PKPD in experimental pharmacology by reviewing drug exposure measurements, plasma protein binding, exposure-effect relationships, and the measurement of active metabolites. It examines the significance of dosing schedules, the importance of target engagement, and problems in examining time-response relationships. It shows how quantitative pharmacology adds significant value to study design and examines why ignoring pharmacokinetics can lead to misleading results and conclusions. Finally, a guide list of points to be considered when performing studies is provided.

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Year:  2009        PMID: 19779129     DOI: 10.1124/jpet.109.157172

Source DB:  PubMed          Journal:  J Pharmacol Exp Ther        ISSN: 0022-3565            Impact factor:   4.030


  23 in total

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2.  Seeing the future of bioactive lipid drug targets.

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Review 3.  Prediction of exposure-response relationships to support first-in-human study design.

Authors:  John P Gibbs
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Review 4.  The effect of plasma protein binding on in vivo efficacy: misconceptions in drug discovery.

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Journal:  Nat Rev Drug Discov       Date:  2010-12       Impact factor: 84.694

5.  Translational neuropharmacology and the appropriate and effective use of animal models.

Authors:  A R Green; J Gabrielsson; K C F Fone
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6.  Optimised protocol design for the screening of analgesic compounds in neuropathic pain.

Authors:  A Taneja; J Nyberg; M Danhof; O Della Pasqua
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7.  How do we re-engage the pharmaceutical industry in research on serotonin and psychiatric disorders?

Authors:  A Richard Green; Charles A Marsden
Journal:  ACS Chem Neurosci       Date:  2013-01-16       Impact factor: 4.418

8.  Evaluation of pharmacokinetic/pharmacodynamic relationships of PD-0162819, a biotin carboxylase inhibitor representing a new class of antibacterial compounds, using in vitro infection models.

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Review 9.  The role of monoamines in the changes in body temperature induced by 3,4-methylenedioxymethamphetamine (MDMA, ecstasy) and its derivatives.

Authors:  J R Docherty; A R Green
Journal:  Br J Pharmacol       Date:  2010-07       Impact factor: 8.739

Review 10.  The role of concentration-effect relationships in the assessment of QTc interval prolongation.

Authors:  Nicholas P France; Oscar Della Pasqua
Journal:  Br J Clin Pharmacol       Date:  2015-01       Impact factor: 4.335

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