Model-informed precision dosing in inflammatory bowel diseases.

IF 13.9 1区 医学 Q1 PHARMACOLOGY & PHARMACY
Trends in pharmacological sciences Pub Date : 2025-01-01 Epub Date: 2024-12-03 DOI:10.1016/j.tips.2024.11.003
Arno R Bourgonje, Marla C Dubinsky, Ron J Keizer, Erwin Dreesen, Paola Mian
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引用次数: 0

Abstract

Therapeutic drug monitoring (TDM) for biologic therapies in inflammatory bowel disease (IBD) primarily aims to optimize dosing. However, several unmet needs remain. These include the identification of optimal drug concentrations, accounting for variability in pharmacokinetics (PK) and pharmacodynamics (PD), and the frequent delays between sampling and clinical decision-making. Recent technical advances, such as population PK/PD modeling and model-informed precision dosing (MIPD) tools developed from such models, as well as point-of-care (POC) and self-sampling assays and novel software programs, offer potential solutions. Successful implementation of these innovations may help to establish MIPD for patients with IBD. This would enable personalized dosing, advancing a one-size-fits-all approach to TDM that currently is inadequate to fulfill the needs for every patient with IBD.

炎症性肠病的模型信息精确给药。
用于炎症性肠病(IBD)生物疗法的治疗性药物监测(TDM)主要旨在优化剂量。然而,仍有一些需求未得到满足。其中包括确定最佳药物浓度,考虑药代动力学(PK)和药效学(PD)的可变性,以及采样和临床决策之间的频繁延迟。最近的技术进步,如群体PK/PD建模和根据这些模型开发的模型信息精确给药(MIPD)工具,以及护理点(POC)和自采样分析和新型软件程序,提供了潜在的解决方案。这些创新的成功实施可能有助于为IBD患者建立MIPD。这将使个体化给药成为可能,推进一种“一刀切”的TDM治疗方法,目前这种方法还不足以满足所有IBD患者的需求。
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来源期刊
CiteScore
23.90
自引率
0.70%
发文量
132
审稿时长
6-12 weeks
期刊介绍: Trends in Pharmacological Sciences (TIPS) is a monthly peer-reviewed reviews journal that focuses on a wide range of topics in pharmacology, pharmacy, pharmaceutics, and toxicology. Launched in 1979, TIPS publishes concise articles discussing the latest advancements in pharmacology and therapeutics research. The journal encourages submissions that align with its core themes while also being open to articles on the biopharma regulatory landscape, science policy and regulation, and bioethics. Each issue of TIPS provides a platform for experts to share their insights and perspectives on the most exciting developments in the field. Through rigorous peer review, the journal ensures the quality and reliability of published articles. Authors are invited to contribute articles that contribute to the understanding of pharmacology and its applications in various domains. Whether it's exploring innovative drug therapies or discussing the ethical considerations of pharmaceutical research, TIPS provides a valuable resource for researchers, practitioners, and policymakers in the pharmacological sciences.
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