作者
J Porter Hunt, Samuel Dubinsky, Autumn M McKnite, Kit Wun Kathy Cheung, Bianca D van Groen, Kathleen M Giacomini, Saskia N de Wildt, Andrea N Edginton, Kevin M Watt
发表日期
2024/4
期刊
CPT: Pharmacometrics & Systems Pharmacology
卷号
13
期号
4
页码范围
576-588
简介
Optimal treatment of infants with many renally cleared drugs must account for maturational differences in renal transporter (RT) activity. Pediatric physiologically‐based pharmacokinetic (PBPK) models may incorporate RT activity, but this requires ontogeny profiles for RT activity in children, especially neonates, to predict drug disposition. Therefore, RT expression measurements from human kidney postmortem cortical tissue samples were normalized to represent a fraction of mature RT activity. Using these data, maximum likelihood estimated the distributions of RT activity across the pediatric age spectrum, including preterm and term neonates. PBPK models of four RT substrates (acyclovir, ciprofloxacin, furosemide, and meropenem) were evaluated with and without ontogeny profiles using average fold error (AFE), absolute average fold error (AAFE), and proportion of observations within the 5–95% prediction …
学术搜索中的文章
JP Hunt, S Dubinsky, AM McKnite, KWK Cheung… - CPT: Pharmacometrics & Systems Pharmacology, 2024