Design and conduct considerations for studies in patients with hepatic impairment
P Ravenstijn, M Chetty, P Manchandani… - Clinical and …, 2023 - Wiley Online Library
Despite the liver being the primary site for clearance of xenobiotics utilizing a myriad of
mechanisms ranging from cytochrome P450 enzyme pathways, glucuronidation, and biliary …
mechanisms ranging from cytochrome P450 enzyme pathways, glucuronidation, and biliary …
Hepatic impairment physiologically based pharmacokinetic model development: current challenges
AN Han, BR Han, T Zhang, T Heimbach - Current Pharmacology Reports, 2021 - Springer
Purpose This review summarizes the development processes of hepatic impairment (HI)
PBPK models, examines current challenges, and proposes potential solutions. Recent …
PBPK models, examines current challenges, and proposes potential solutions. Recent …
Predicting changes in the pharmacokinetics of CYP3A‐metabolized drugs in hepatic impairment and insights into factors driving these changes
Physiologically based pharmacokinetic models, populated with drug‐metabolizing enzyme
and transporter (DMET) abundance, can be used to predict the impact of hepatic impairment …
and transporter (DMET) abundance, can be used to predict the impact of hepatic impairment …
time to revisit Child‐Pugh score as the basis for predicting drug clearance in hepatic impairment
Background Prescription information for many drugs entering the market lacks dosage
guidance for hepatic impairment. Dedicated studies for assessing the fate of drugs in hepatic …
guidance for hepatic impairment. Dedicated studies for assessing the fate of drugs in hepatic …
Effect of liver disease on dose optimization
TF Blaschke - International Congress Series, 2001 - Elsevier
Many narrow therapeutic index drugs are eliminated primarily by hepatic metabolism.
Selecting the proper dosing regimen for such drugs in the presence of liver disease is an …
Selecting the proper dosing regimen for such drugs in the presence of liver disease is an …
Guide to drug dosage in hepatic disease
NM Bass, RL Williams - Clinical pharmacokinetics, 1988 - Springer
After entry of a drug into the systemic circulation, duration and intensity of drug action is
determined to a large extent by the rate at which the drug is eliminated from the body. Drug …
determined to a large extent by the rate at which the drug is eliminated from the body. Drug …
Pharmacokinetics and dosage adjustment in patients with hepatic dysfunction
RK Verbeeck - European journal of clinical pharmacology, 2008 - Springer
The liver plays a central role in the pharmacokinetics of the majority of drugs. Liver
dysfunction may not only reduce the blood/plasma clearance of drugs eliminated by hepatic …
dysfunction may not only reduce the blood/plasma clearance of drugs eliminated by hepatic …
Drug-induced liver disease and drug use considerations in liver disease
JW Kim, PV Phongsamran - Journal of Pharmacy Practice, 2009 - journals.sagepub.com
Chronic liver disease encompasses a large number of hepatic disorders. One of the most
important etiologies of liver disease is drug-induced liver disease, which is the leading …
important etiologies of liver disease is drug-induced liver disease, which is the leading …
Assessment of hepatic impairment and implications for pharmacokinetics of substance use treatment
AH Talal, CS Venuto, I Younis - Clinical pharmacology in drug …, 2017 - Wiley Online Library
Although the liver is the primary site of metabolism and biliary excretion for many
medications, data are limited on the liver's pharmacokinetic abilities in cirrhosis. Cirrhosis …
medications, data are limited on the liver's pharmacokinetic abilities in cirrhosis. Cirrhosis …
Assessing Pharmacokinetics in Liver Disease: Challenges and Future Considerations for Classification of Hepatic Dysfunction and Use of In Silico Methods.
MD Sahre, D Guinn, A Ramamoorthy… - Journal of Clinical …, 2023 - search.ebscohost.com
The article discusses the challenges and future considerations in evaluating
pharmacokinetics (PK) in liver disease, particularly hepatic dysfunction (HI), and the benefit …
pharmacokinetics (PK) in liver disease, particularly hepatic dysfunction (HI), and the benefit …