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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Br+J+Clin+Pharmacol
2014 ; 78
(3
): 543-55
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gab.com Text
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Population pharmacokinetics and pharmacodynamics of BYL719, a phosphoinositide
3-kinase antagonist, in adult patients with advanced solid malignancies
#MMPMID24617631
De Buck SS
; Jakab A
; Boehm M
; Bootle D
; Juric D
; Quadt C
; Goggin TK
Br J Clin Pharmacol
2014[Sep]; 78
(3
): 543-55
PMID24617631
show ga
AIMS: The aim was to characterize the population pharmacokinetics of BYL719 in
cancer patients and assess the time course of tumour response in relation to drug
exposure and dosing schedule. METHODS: Plasma samples and longitudinal tumour
size measurements were collected from 60 patients with advanced solid
malignancies who received oral BYL719 once daily (30-450?mg) or twice daily at
120?mg or 200?mg. Non-linear mixed effect modelling was employed to develop the
population pharmacokinetic and pharmacodynamic model. RESULTS: The
pharmacokinetics were best described by a one compartment disposition model and
transit compartments accounting for the lag time in absorption. The typical
population oral clearance and volume of distribution estimates with their
between-subject variability (BSV) were 10?l?h(-1) (BSV 26%) and 108?l (BSV 28%),
respectively. The estimated optimal number of transit compartments was 8.1, with
a mean transit time to the absorption compartment of 1.28?h (BSV 32%). The
between-occasion variability in the rate and extent of absorption was 46% and
26%, respectively. Tumour growth was modelled using a turnover model
characterized by a zero order growth rate of 0.581?cm?week(1) and a first order
death rate of 0.0123 week(-1) . BYL719 inhibited tumour growth with an IC50 of
100?ng?ml(-1) (BSV 154%). Model-based predictions showed potential for additional
anti-tumour activity of twice daily dosing at total daily dose below 400?mg, but
a loss of efficacy if administered less frequently than once daily. CONCLUSIONS:
The proposed model provides a valuable approach for planning future clinical
studies and for designing optimized dosing regimens with BYL719.
|*Models, Biological
[MESH]
|Adult
[MESH]
|Aged
[MESH]
|Dose-Response Relationship, Drug
[MESH]
|Enzyme Inhibitors/*administration & dosage/pharmacokinetics/therapeutic use
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Male
[MESH]
|Middle Aged
[MESH]
|Neoplasms/*drug therapy/pathology
[MESH]
|Nonlinear Dynamics
[MESH]
|Phosphoinositide-3 Kinase Inhibitors
[MESH]
|Thiazoles/*administration & dosage/pharmacokinetics/therapeutic use
[MESH]