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模型引导的抗肿瘤药物剂量选择OA北大核心CSTPCD

Model-informed oncology drugs dose selection

中文摘要英文摘要

传统的抗肿瘤药物剂量选择策略往往比较激进,但随着分子靶向治疗、免疫治疗等的发展,新药研发中探索最佳给药剂量的需求越发明显.模型引导的药物研发(MIDD)可通过采用建模与模拟技术对生理学、药理学以及疾病过程等进行整合和定量研究,较好地指导药物研究设计和剂量优化,在抗肿瘤新药研发中的应用越来越多.本文主要对MIDD在抗肿瘤药物临床研究剂量选择中的应用进行探讨,重点讨论其在早期临床研究、后期临床研究、联合治疗、特定人群剂量选择以及上市后剂量优化中的应用,并对现阶段MIDD应用的挑战进行简要讨论.

Traditional dose selection strategy for oncology drugs is often radical.However,with the development of small molecule targeted therapies,biologics and immunotherapies,exploring the optimal dose and schedule is crucial to ensure patients'access to the most safe and effective treatments.Model-informed drug development(MIDD)integrates physiology,pharmacology and disease process by using modeling and simulation methods,to guide new drug study design and dose optimization,which has been extensively used in the development of oncology drugs.In this article,the application of MIDD in oncology drug dose selection is discussed,focusing on its application on dose selection in early clinical research,late clinical research,combination therapy,specific populations and dose optimization after marketing,and the challenges of MIDD application are also briefly discussed.

李健;王骏

国家药品监督管理局药品审评中心,北京 100076

药学

模型引导的药物研发;肿瘤;剂量选择;暴露-效应关系;生物标志物

model-informed drug development;oncology;dose selection;exposure-response relationship;biomarker

《中国临床药理学杂志》 2024 (011)

1693-1696 / 4

10.13699/j.cnki.1001-6821.2024.11.033

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