Advancing tuberculosis drug regimen development through innovative quantitative translational pharmacology methods and approaches

The development of novel tuberculosis (TB) multi-drug regimens that are more efficacious and of shorter duration requires a robust drug development pipeline. Advances in quantitative modeling and simulation can be used to maximize the utility of patient-level data from prior and contemporary clinica...

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Main Authors: Debra Hanna, Klaus Romero, Marco Schito
Format: Article
Language:English
Published: Elsevier 2017-03-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1201971216311912
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author Debra Hanna
Klaus Romero
Marco Schito
author_facet Debra Hanna
Klaus Romero
Marco Schito
author_sort Debra Hanna
collection DOAJ
description The development of novel tuberculosis (TB) multi-drug regimens that are more efficacious and of shorter duration requires a robust drug development pipeline. Advances in quantitative modeling and simulation can be used to maximize the utility of patient-level data from prior and contemporary clinical trials, thus optimizing study design for anti-TB regimens. This perspective article highlights the work of seven project teams developing first-in-class translational and quantitative methodologies that aim to inform drug development decision-making, dose selection, trial design, and safety assessments, in order to achieve shorter and safer therapies for patients in need. These tools offer the opportunity to evaluate multiple hypotheses and provide a means to identify, quantify, and understand relevant sources of variability, to optimize translation and clinical trial design. When incorporated into the broader regulatory sciences framework, these efforts have the potential to transform the development paradigm for TB combination development, as well as other areas of global health.
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spelling doaj.art-cb74c0144f2142769bbf1252892b03612022-12-22T03:18:59ZengElsevierInternational Journal of Infectious Diseases1201-97121878-35112017-03-0156C20821110.1016/j.ijid.2016.10.008Advancing tuberculosis drug regimen development through innovative quantitative translational pharmacology methods and approachesDebra HannaKlaus RomeroMarco SchitoThe development of novel tuberculosis (TB) multi-drug regimens that are more efficacious and of shorter duration requires a robust drug development pipeline. Advances in quantitative modeling and simulation can be used to maximize the utility of patient-level data from prior and contemporary clinical trials, thus optimizing study design for anti-TB regimens. This perspective article highlights the work of seven project teams developing first-in-class translational and quantitative methodologies that aim to inform drug development decision-making, dose selection, trial design, and safety assessments, in order to achieve shorter and safer therapies for patients in need. These tools offer the opportunity to evaluate multiple hypotheses and provide a means to identify, quantify, and understand relevant sources of variability, to optimize translation and clinical trial design. When incorporated into the broader regulatory sciences framework, these efforts have the potential to transform the development paradigm for TB combination development, as well as other areas of global health.http://www.sciencedirect.com/science/article/pii/S1201971216311912Tuberculosis (TB)ModelingSimulationPharmacokinetic/pharmacodynamics (PK/PD)Drug developmentTranslational science
spellingShingle Debra Hanna
Klaus Romero
Marco Schito
Advancing tuberculosis drug regimen development through innovative quantitative translational pharmacology methods and approaches
International Journal of Infectious Diseases
Tuberculosis (TB)
Modeling
Simulation
Pharmacokinetic/pharmacodynamics (PK/PD)
Drug development
Translational science
title Advancing tuberculosis drug regimen development through innovative quantitative translational pharmacology methods and approaches
title_full Advancing tuberculosis drug regimen development through innovative quantitative translational pharmacology methods and approaches
title_fullStr Advancing tuberculosis drug regimen development through innovative quantitative translational pharmacology methods and approaches
title_full_unstemmed Advancing tuberculosis drug regimen development through innovative quantitative translational pharmacology methods and approaches
title_short Advancing tuberculosis drug regimen development through innovative quantitative translational pharmacology methods and approaches
title_sort advancing tuberculosis drug regimen development through innovative quantitative translational pharmacology methods and approaches
topic Tuberculosis (TB)
Modeling
Simulation
Pharmacokinetic/pharmacodynamics (PK/PD)
Drug development
Translational science
url http://www.sciencedirect.com/science/article/pii/S1201971216311912
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AT marcoschito advancingtuberculosisdrugregimendevelopmentthroughinnovativequantitativetranslationalpharmacologymethodsandapproaches