Precision dosing in clinical medicine: present and future

TM Polasek, S Shakib… - Expert review of clinical …, 2018 - Taylor & Francis
There are four potential outcomes when a patient commences a new drug and its effects are
assessed at the correct time. First, the new drug provides no clinical benefits and gives the …

Pharmacogenomics in psychiatry–the challenge of cytochrome P450 enzyme phenoconversion and solutions to assist precision dosing

S Mostafa, TM Polasek, CA Bousman… - …, 2022 - Taylor & Francis
Pharmacogenomic (PGx) testing of cytochrome P450 (CYP) enzymes may improve the
efficacy and/or safety of some medications. This is facilitated by increased availability and …

Plasma extracellular nanovesicle (exosome)‐derived biomarkers for drug metabolism pathways: a novel approach to characterize variability in drug exposure

A Rowland, W Ruanglertboon… - British journal of …, 2019 - Wiley Online Library
Aims Demonstrate the presence of cytochrome P450 (CYP) and UDP‐
glucuronosyltransferase (UGT) proteins and mRNAs in isolated human plasma exosomes …

Clinical trial diversity: An opportunity for improved insight into the determinants of variability in drug response

AS Gross, AC Harry, CS Clifton… - British Journal of …, 2022 - Wiley Online Library
Although the number of countries participating in pivotal trials submitted to enable drug
registration has nearly doubled over the past 25 years, there has not been a substantial …

Role of extracellular vesicles in the pathophysiology, diagnosis and tracking of non-alcoholic fatty liver disease

LA Newman, MJ Sorich, A Rowland - Journal of Clinical Medicine, 2020 - mdpi.com
Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver disease,
affecting approximately one-third of the global population. Most affected individuals …

Delineating gene–environment effects using virtual twins of patients treated with clozapine

S Mostafa, TM Polasek, C Bousman… - CPT …, 2023 - Wiley Online Library
Studies that focus on individual covariates, while ignoring their interactions, may not be
adequate for model‐informed precision dosing (MIPD) in any given patient. Genetic …

Virtual twin for healthcare management

TM Polasek - Frontiers in Digital Health, 2023 - frontiersin.org
Healthcare is increasingly fragmented, resulting in escalating costs, patient dissatisfaction,
and sometimes adverse clinical outcomes. Strategies to decrease healthcare fragmentation …

Enhancing the oral absorption of kinase inhibitors using lipophilic salts and lipid-based formulations

HD Williams, L Ford, S Han, KJ Tangso… - Molecular …, 2018 - ACS Publications
The absolute bioavailability of many small molecule kinase inhibitors (smKIs) is low. The
reasons for low bioavailability are multifaceted and include constraints due to first pass …

What does it take to make model-informed precision dosing common practice? Report from the 1st Asian symposium on precision dosing

Abstract Model-informed precision dosing (MIPD) is modeling and simulation in healthcare
to predict the drug dose for a given patient based on their individual characteristics that is …

Physiologically‐based pharmacokinetic model predictions of inter‐ethnic differences in imatinib pharmacokinetics and dosing regimens

J Adiwidjaja, AS Gross, AV Boddy… - British Journal of …, 2022 - Wiley Online Library
Aims This study implements a physiologically‐based pharmacokinetic (PBPK) modelling
approach to investigate inter‐ethnic differences in imatinib pharmacokinetics and dosing …