Predicting the “First dose in children” of CYP3A‐metabolized drugs: Evaluation of scaling approaches and insights into the CYP3A7‐CYP3A4 switch at young ages

A Strougo, A Yassen, C Monnereau… - The Journal of …, 2014 - Wiley Online Library
First‐dose‐in‐children relies on the prediction of clearance from adults for which little
information is available on the accuracy of the scaling‐approaches applied. For CYP3A …

[HTML][HTML] The potential of enteroids derived from children and adults to study age-dependent differences in intestinal CYP3A4/5 metabolism

EJ Streekstra, M Keuper-Navis… - European Journal of …, 2024 - Elsevier
Drug metabolism in the intestinal wall affects bioavailability of orally administered drugs and
is influenced by age. Hence, it is important to fully understand the drug metabolizing …

Population pharmacokinetics of propofol in neonates and infants: Gestational and postnatal age to determine clearance maturation

L Sandra, A Smits, K Allegaert, J Nicolaï… - British Journal of …, 2021 - Wiley Online Library
Aims Develop a population pharmacokinetic model describing propofol pharmacokinetics in
(pre) term neonates and infants, that can be used for precision dosing (eg during target …

Urinary metabolites to assess in vivo ontogeny of hepatic drug metabolism in early neonatal life.

K Allegaert, R Verbesselt, M Rayyan… - Methods and findings …, 2007 - europepmc.org
In addition to size-dependent allometric metabolic activity, most isoenzymes display age-
dependent isoenzyme-specific ontogeny. We therefore need probe drugs to describe …

Neonatal hepatic drug elimination

PJ Gow, H Ghabrial, RA Smallwood… - Pharmacology & …, 2001 - Wiley Online Library
After the transition from in utero to newborn life, the neonate becomes solely reliant upon its
own drug clearance processes to metabolise xenobiotics. Whilst most studies of neonatal …

Considering age variation when coining drugs as high versus low hepatic extraction ratio

F Salem, K Abduljalil, Y Kamiyama… - Drug Metabolism and …, 2016 - ASPET
The hepatic extraction ratio (EH) is commonly considered an “inherent attribute” of drug. It
determines the main physiological and biological elements of the system (patient attributes) …

Population pharmacokinetics and metabolism of midazolam in pediatric intensive care patients

SN De Wildt, M De Hoog, AA Vinks… - Critical care …, 2003 - journals.lww.com
Interventions The pharmacokinetics of midazolam and metabolites were determined during
and after a continuous infusion of midazolam (0.05–0.4 mg/kg/hr) for 3.8 hrs to 25 days …

Relationship between low midazolam metabolism by cytochrome P450 3A in mice and the high incidence of birth defects

S Kitaoka, J Hatogai, R Iimura, Y Yamamoto… - The Journal of …, 2018 - jstage.jst.go.jp
The use of midazolam in early stages of pregnancy has resulted in a high incidence of birth
defects; however, the underlying reason is unknown. We investigated expression changes …

Challenges for drug studies in children: CYP3A phenotyping as example

SN de Wildt, S Ito, G Koren - Drug discovery today, 2009 - Elsevier
A paucity of data exists on the disposition and effect of drugs in young children. This
information gap can be reduced by elucidating developmental principles of absorption …

Pharmacokinetic–Pharmacodynamic Modeling of Midazolam in Pediatric Surgery

C Flores-Pérez, LA Moreno-Rocha… - Pharmaceutics, 2023 - mdpi.com
Midazolam (MDZ) is used for sedation in surgical procedures; its clinical effect is related to
its receptor affinity and the dose administered. Therefore, a pharmacokinetic …