Increasing application of pediatric physiologically based pharmacokinetic models across academic and industry organizations

Abstract There has been a significant increase in the use of physiologically based pharmacokinetic (PBPK) models during the past 20 years, especially for pediatrics. The aim of this study was to give a detailed overview of the growth and areas of application of pediatric PBPK (P‐PBPK) models. A tota...

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Main Authors: Trevor N. Johnson, Ben G. Small, Karen Rowland Yeo
Format: Article
Language:English
Published: Wiley 2022-03-01
Series:CPT: Pharmacometrics & Systems Pharmacology
Online Access:https://doi.org/10.1002/psp4.12764
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author Trevor N. Johnson
Ben G. Small
Karen Rowland Yeo
author_facet Trevor N. Johnson
Ben G. Small
Karen Rowland Yeo
author_sort Trevor N. Johnson
collection DOAJ
description Abstract There has been a significant increase in the use of physiologically based pharmacokinetic (PBPK) models during the past 20 years, especially for pediatrics. The aim of this study was to give a detailed overview of the growth and areas of application of pediatric PBPK (P‐PBPK) models. A total of 181 publications and publicly available regulatory reviews were identified and categorized according to year, author affiliation, platform, and primary application of the P‐PBPK model (in clinical settings, drug development or to advance pediatric model development in general). Secondary application areas, including dose selection, biologics, and drug interactions, were also assessed. The growth rate for P‐PBPK modeling increased 33‐fold between 2005 and 2020; this was mainly attributed to growth in clinical and drug development applications. For primary applications, 50% of articles were classified under clinical, 18% under drug development, and 33% under model development. The most common secondary applications were dose selection (75% drug development), pharmacokinetic prediction and covariate identification (47% clinical), and model parameter identification (68% model development), respectively. Although population PK modeling remains the mainstay of approaches supporting pediatric drug development, the data presented here demonstrate the widespread application of P‐PBPK models in both drug development and clinical settings. Although applications for pharmacokinetic and drug–drug interaction predictions in pediatrics is advocated, this approach remains underused in areas such as assessment of pediatric formulations, toxicology, and trial design. The increasing number of publications supporting the development and refinement of the pediatric model parameters can only serve to enhance optimal use of P‐PBPK models.
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spelling doaj.art-6883167fb0144d8eb00309beb24c18c22022-12-21T23:40:47ZengWileyCPT: Pharmacometrics & Systems Pharmacology2163-83062022-03-0111337338310.1002/psp4.12764Increasing application of pediatric physiologically based pharmacokinetic models across academic and industry organizationsTrevor N. Johnson0Ben G. Small1Karen Rowland Yeo2Certara UK Limited (Simcyp Division) Sheffield UKCertara UK Limited (Simcyp Division) Sheffield UKCertara UK Limited (Simcyp Division) Sheffield UKAbstract There has been a significant increase in the use of physiologically based pharmacokinetic (PBPK) models during the past 20 years, especially for pediatrics. The aim of this study was to give a detailed overview of the growth and areas of application of pediatric PBPK (P‐PBPK) models. A total of 181 publications and publicly available regulatory reviews were identified and categorized according to year, author affiliation, platform, and primary application of the P‐PBPK model (in clinical settings, drug development or to advance pediatric model development in general). Secondary application areas, including dose selection, biologics, and drug interactions, were also assessed. The growth rate for P‐PBPK modeling increased 33‐fold between 2005 and 2020; this was mainly attributed to growth in clinical and drug development applications. For primary applications, 50% of articles were classified under clinical, 18% under drug development, and 33% under model development. The most common secondary applications were dose selection (75% drug development), pharmacokinetic prediction and covariate identification (47% clinical), and model parameter identification (68% model development), respectively. Although population PK modeling remains the mainstay of approaches supporting pediatric drug development, the data presented here demonstrate the widespread application of P‐PBPK models in both drug development and clinical settings. Although applications for pharmacokinetic and drug–drug interaction predictions in pediatrics is advocated, this approach remains underused in areas such as assessment of pediatric formulations, toxicology, and trial design. The increasing number of publications supporting the development and refinement of the pediatric model parameters can only serve to enhance optimal use of P‐PBPK models.https://doi.org/10.1002/psp4.12764
spellingShingle Trevor N. Johnson
Ben G. Small
Karen Rowland Yeo
Increasing application of pediatric physiologically based pharmacokinetic models across academic and industry organizations
CPT: Pharmacometrics & Systems Pharmacology
title Increasing application of pediatric physiologically based pharmacokinetic models across academic and industry organizations
title_full Increasing application of pediatric physiologically based pharmacokinetic models across academic and industry organizations
title_fullStr Increasing application of pediatric physiologically based pharmacokinetic models across academic and industry organizations
title_full_unstemmed Increasing application of pediatric physiologically based pharmacokinetic models across academic and industry organizations
title_short Increasing application of pediatric physiologically based pharmacokinetic models across academic and industry organizations
title_sort increasing application of pediatric physiologically based pharmacokinetic models across academic and industry organizations
url https://doi.org/10.1002/psp4.12764
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AT bengsmall increasingapplicationofpediatricphysiologicallybasedpharmacokineticmodelsacrossacademicandindustryorganizations
AT karenrowlandyeo increasingapplicationofpediatricphysiologicallybasedpharmacokineticmodelsacrossacademicandindustryorganizations