Evidence map›Paper›PMID 26617196›Full record

ArticleBritish journal of clinical pharmacology2016

Pharmacokinetic/pharmaco-dynamic modelling and simulation of the effects of different cannabinoid receptor type 1 antagonists on Δ(9)-tetrahydrocannabinol challenge tests.

Zheng Guan, Linda E Klumpers, Olubukayo-Opeyemi Oyetayo, Jules Heuberger, Joop M A van Gerven, Jasper Stevens

Open access · bronzeAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Zheng GuanCentre for Human Drug Research, Leiden, the Netherlands.
Linda E KlumpersCentre for Human Drug Research, Leiden, the Netherlands.
Olubukayo-Opeyemi OyetayoCentre for Human Drug Research, Leiden, the Netherlands.
Jules HeubergerCentre for Human Drug Research, Leiden, the Netherlands.
Joop M A van GervenCentre for Human Drug Research, Leiden, the Netherlands.
Jasper StevensCentre for Human Drug Research, Leiden, the Netherlands.
Centre for Human Drug Research · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe severe psychiatric side effects of cannabinoid receptor type 1 (CB1 ) antagonists hampered their wide development but this might be overcome by careful management of drug development with pharmacokinetic/pharmacodynamic (PK/PD) analyses. PK/PD models suitable for direct comparison of different CB1 antagonists in Δ(9) -tetrahydrocannabinol (THC) challenge tests in healthy volunteer were constructed.

methodsThe pharmacokinetic models of THC and four CB1 antagonists were built separately. THC-induced effects on heart rate and the visual analogue scale of feeling high in healthy volunteers and inhibitive effects of CB1 antagonists on THC-induced effects were modelled in PD models linked to the PK models. Simulations were then applied to evaluate the reduction rate of each antagonist on the reversal of the THC-induced effect in a unified simulation scenario.

resultsThe final PK model of THC and antagonists was a two compartment model. An Emax model and logistic regression model were used for effect measures and the antagonist effect was added in these models in a competitive binding manner. t1/2ke0 ranged from 0.00462 to 63.7 h for heart rate and from 0.964 to 150 h for VAS. IC50 ranged from 6.42 to 202 ng ml(-1) for heart rate and from 12.1 to 376 ng ml(-1) for VAS. Benchmark simulation showed different dose-efficacy profiles of two efficacy measures for each CB1 antagonist.

conclusionsPK/PD modelling and simulation approach was suitable for describing and predicting heart rate and feeling high for CB1 antagonists in THC challenge tests. Direct comparison of four antagonists based on simulated efficacy profiles might be of benefit to guide future studies.

Indexed as

Computer SimulationModels, BiologicalCannabinoid Receptor AntagonistsDose-Response Relationship, DrugDronabinolDrug DiscoveryHealthy VolunteersHeart RateHumansLogistic ModelsMalePredictive Value of TestsReceptor, Cannabinoid, CB1Cannabinoid Receptor AntagonistsDronabinolReceptor, Cannabinoid, CB1CB1 antagonistmodelling and simulationpopulation pharmacokinetics and pharmacodynamicsΔ9-tetrahydrocannabinol

Identifiers

PMID26617196
PMCPMC4799916
OpenAlexW2419538232

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.