创新链/学科链/研发链/产业链

新药研发前沿动态 / 医药领域趋势进展

基于群体药动学的环孢素A个体化给药研究进展

Research Progress of Individualized Dosage Regimens of Cyclosporin A Based on Its Population Pharmacokinetics

  • 摘要: 环孢素A是一种钙调神经磷酸酶抑制剂,目前常用于预防移植后的免疫排斥反应以及治疗再生障碍性贫血、类风湿性关节炎、肾病综合征等疾病。因环孢素A治疗窗窄,体内药动学过程受多种因素影响,药动学个体差异大,在临床上需个体化用药。群体药动学采用非线性混合效应模型法建立药动学参数群体值模型,定量考察人口学特征、遗传因素及联合用药等对药动学参数的影响,在个体化用药中发挥着重要的作用。综述环孢素A的药动学特点及群体药动学相关研究进展,分析归纳影响环孢素A药动学过程的可能因素,为临床制定环孢素A个体化用药方案提供参考。

     

    Abstract: Cyclosporin A is a kind of calcineurin inhibitor, which is often used for the prevention of immune rejection after transplantation and the treatment of aplastic anemia, rheumatoid arthritis, nephrotic syndrome and other diseases. It has a narrow therapeutic window, with many factors affecting its pharmacokinetic process. The pharmacokinetic process varies greatly among individuals, so it is necessary to implement individualized dosage regimens in clinical practice. Population pharmacokinetics establishes the population value model of pharmacokinetic parameters using nonlinear mixed effect model to quantitatively investigate the effects of demographic characteristics, genetic factors and drug combination on pharmacokinetic parameters, which play an important role in personalized medicine. This paper reviews the pharmacokinetic characteristics of cyclosporin A and the progress in population pharmacokinetic studies, and analyzes the possible factors affecting the pharmacokinetic process, in order to provide some reference for the design of individualized dosage regimens of cyclosporin A in clinical practice.

     

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