Model-informed drug development in pediatric, pregnancy and geriatric drug development: States of the art and future

IF 15.2 1区 医学 Q1 PHARMACOLOGY & PHARMACY Advanced drug delivery reviews Pub Date : 2024-06-25 DOI:10.1016/j.addr.2024.115364
Yue-E Wu , Yuan-Yuan Zheng , Qiu-Yue Li , Bu-Fan Yao , Jing Cao , Hui-Xin Liu , Guo-Xiang Hao , John van den Anker , Yi Zheng , Wei Zhao
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Abstract

The challenges of drug development in pediatric, pregnant and geriatric populations are a worldwide concern shared by regulatory authorities, pharmaceutical companies, and healthcare professionals. Model-informed drug development (MIDD) can integrate and quantify real-world data of physiology, pharmacology, and disease processes by using modeling and simulation techniques to facilitate decision-making in drug development. In this article, we reviewed current MIDD policy updates, reflected on the integrity of physiological data used for MIDD and the effects of physiological changes on the drug PK, as well as summarized current MIDD strategies and applications, so as to present the state of the art of MIDD in pediatric, pregnant and geriatric populations. Some considerations are put forth for the future improvements of MIDD including refining regulatory considerations, improving the integrity of physiological data, applying the emerging technologies, and exploring the application of MIDD in new therapies like gene therapies for special populations.

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儿科、妊娠和老年病药物开发中的模型信息药物开发:技术现状与未来。
针对儿童、孕妇和老年群体的药物开发挑战是全球监管机构、制药公司和医疗保健专业人员共同关注的问题。模型信息药物开发(MIDD)可以通过建模和模拟技术整合和量化生理学、药理学和疾病过程的真实世界数据,从而促进药物开发决策。本文回顾了当前的 MIDD 政策更新,反思了 MIDD 所用生理数据的完整性和生理变化对药物 PK 的影响,并总结了当前的 MIDD 策略和应用,从而介绍了 MIDD 在儿科、妊娠和老年群体中的应用现状。报告还提出了未来改进 MIDD 的一些考虑因素,包括完善监管考虑因素、提高生理数据的完整性、应用新兴技术以及探索 MIDD 在新疗法(如针对特殊人群的基因疗法)中的应用。
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来源期刊
CiteScore
28.10
自引率
5.00%
发文量
294
审稿时长
15.1 weeks
期刊介绍: The aim of the Journal is to provide a forum for the critical analysis of advanced drug and gene delivery systems and their applications in human and veterinary medicine. The Journal has a broad scope, covering the key issues for effective drug and gene delivery, from administration to site-specific delivery. In general, the Journal publishes review articles in a Theme Issue format. Each Theme Issue provides a comprehensive and critical examination of current and emerging research on the design and development of advanced drug and gene delivery systems and their application to experimental and clinical therapeutics. The goal is to illustrate the pivotal role of a multidisciplinary approach to modern drug delivery, encompassing the application of sound biological and physicochemical principles to the engineering of drug delivery systems to meet the therapeutic need at hand. Importantly the Editorial Team of ADDR asks that the authors effectively window the extensive volume of literature, pick the important contributions and explain their importance, produce a forward looking identification of the challenges facing the field and produce a Conclusions section with expert recommendations to address the issues.
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