Cited by 90Pharmaceutical studies and practicesAnimal testing and alternativesStatistical Methods in Clinical Trials

Reverse Translation in PBPK and QSP: Going Backwards in Order to Go Forward With Confidence

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Rostami‐Hodjegan, Amin·2018·Clinical Pharmacology & Therapeutics

Abstract

Significant events have taken place shaping the recent industrialization of physiologically based pharmacokinetic in vitro–in vivo extrapolation (PBPK‐IVIVE) use in drug development. Due to our knowledge gaps about drug‐independent systems parameters, there are limitations in the use of purely IVIVE‐based (bottom‐up) approaches. This has encouraged combining the classical data analysis (top‐down) with PBPK‐IVIVE‐linked models in order to optimize model parameters by taking advantage of observed clinical data. This concept, when initiated after clinical observations, can be viewed as “reverse translation,” since it refers back to available systems information preclinical data before trying to describe the observations. This review demonstrates the advantages of such strategies in filling knowledge gaps and discusses the perceived hurdles in widening applications. It is paramount that no clinical data are assessed on their own, but in conjunction with other studies for that drug in different populations and/or other similar drugs in the same population.

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References 22 · Cited by 90

Research works printed but not linked: 1

  1. [7]Doki, K., Darwich, A.S., Achour, B., Tornio, A., Backman, J.T. & Rostami‐Hodjegan, A. Accounting for inter‐correlation between hepatic CYP enzymes when predicting drug‐drug interactions and their inter‐individual variability. Br. J. Clin. Pharmacol. (Under Review).

Authors
Rostami‐Hodjegan, A.
Affiliations
University of Manchester (GB)
Corresponding author
Rostami‐Hodjegan, Amin
Venue
Clinical Pharmacology & Therapeutics
Publisher
Wiley
Published
2017-11-09
Volume
103
Issue
2
Pages
224-232
ISSN
  • 0009-9236 (ISSN-L)
  • 1532-6535
OpenAlex
W2762416511
Cited by
90
References
22
Citations by year
2026: 5 · 2025: 4 · 2024: 11 · 2023: 9 · 2022: 15 · 2021: 14 · 2020: 11 · 2019: 10 · 2018: 11
FWCI
9.55
Type
journal article
Language
en
Open access
Locations
  • Clinical Pharmacology & Therapeutics (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (publishedVersion, cc-by-nc)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pharmaceutical studies and practices
  • Health Sciences › Veterinary › Small Animals › Animal testing and alternatives
  • Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Clinical Trials
Keywords
reverse translation, physiologically based pharmacokinetic modeling, quantitative systems pharmacology, in vitro-in vivo extrapolation, model parameter optimization, clinical data integration, preclinical evidence, drug development
MeSH terms
Data Accuracy, Drug Development, Animals, Female, Humans, Kidney, Kidney Diseases, Liver, Male, Models, Theoretical, Pharmacokinetics, Pregnancy, Databases, Factual, Risk Assessment, Evidence-Based Medicine, Models, Animal, Systems Biology, Cytochrome P-450 CYP3A, Drug Discovery, Translational Research, Biomedical, Data Mining, Patient Safety, Renal Elimination

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