A regulatory perspective on pharmacokinetic/ pharmacodynamic modelling

Citation
Sg. Machado et al., A regulatory perspective on pharmacokinetic/ pharmacodynamic modelling, STAT ME M R, 8(3), 1999, pp. 217-245
Citations number
34
Categorie Soggetti
Health Care Sciences & Services
Journal title
STATISTICAL METHODS IN MEDICAL RESEARCH
ISSN journal
09622802 → ACNP
Volume
8
Issue
3
Year of publication
1999
Pages
217 - 245
Database
ISI
SICI code
0962-2802(199909)8:3<217:ARPOPP>2.0.ZU;2-8
Abstract
We present an integrated summary from statistical and pharmacological persp ectives of pharmacokinetic/pharmacodynamic (PK/PD) modelling and its use in drug development and regulation for guiding appropriate dosing. An overvie w of the technical aspects of PK/PD modelling describes how structural mode ls are constructed and refined using pharmacokinetic and pharmacodynamic pr inciples and how random effects models are used to account for individual d ifferences in desired (and undesired) responses due to patient characterist ics. Lastly, we describe applications of PK/PD modelling for the purposes o f drug labelling, for resolving a safety concern, and for improving therape utic monitoring of anaesthetic depth during surgery.