Evidence map›Paper›PMID 29194718›Full record

ArticleBritish journal of clinical pharmacology2018

Prediction of olanzapine exposure in individual patients using physiologically based pharmacokinetic modelling and simulation.

Thomas M Polasek, Geoffrey T Tucker, Michael J Sorich, Michael D Wiese, Titus Mohan, Amin Rostami-Hodjegan, Porntipa Korprasertthaworn, Vidya Perera, Andrew Rowland

Open access · bronzeAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
6.9field-weighted citation impact, top 3% 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

37 citing papers in PubMed, 63 citations in OpenAlex.

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  16. Virtual twin for healthcare management.Frontiers in digital health · 2023
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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

9 authors at 7 institutions in 4 countries.

Thomas M PolasekDepartment of Clinical Pharmacology, Flinders University, Adelaide, SA, Australia.ORCID 0000-0003-1008-5223
Geoffrey T TuckerMedicine and Biomedical Sciences (Emeritus), University of Sheffield, Sheffield, UK.
Michael J SorichDepartment of Clinical Pharmacology, Flinders University, Adelaide, SA, Australia.
Michael D WieseSchool of Pharmacy and Medical Sciences, University of South Australia, Adelaide, SA, Australia.
Titus MohanDepartment of Psychiatry, Flinders Medical Centre, Adelaide, SA, Australia.
Amin Rostami-HodjeganCertara, Blades Enterprise Centre, Sheffield, UK.
Porntipa KorprasertthawornDepartment of Pharmacology, Faculty of Science, Mahidol University, Bangkok, Thailand.
Vidya PereraClinical Pharmacology and Pharmacometrics, Early Clinical and Translational Research, Bristol Myers Squibb, Princeton, NJ, USA.ORCID 0000-0002-9055-0123
Andrew RowlandDepartment of Clinical Pharmacology, Flinders University, Adelaide, SA, Australia.ORCID 0000-0002-8946-3954
Flinders University · AUBristol-Myers Squibb (United States) · USFlinders Medical Centre · AUMahidol University · THUniversity of Manchester · GBUniversity of Sheffield · GBUniversity of South Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of the present study was to predict olanzapine (OLZ) exposure in individual patients using physiologically based pharmacokinetic modelling and simulation (PBPK M&S).

methodsA 'bottom-up' PBPK model for OLZ was constructed in Simcyp® (V14.1) and validated against pharmacokinetic studies and data from therapeutic drug monitoring (TDM). The physiological, demographic and genetic attributes of the 'healthy volunteer population' file in Simcyp® were then individualized to create 'virtual twins' of 14 patients. The predicted systemic exposure of OLZ in virtual twins was compared with measured concentration in corresponding patients. Predicted exposures were used to calculate a hypothetical decrease in exposure variability after OLZ dose adjustment.

resultsThe pharmacokinetic parameters of OLZ from single-dose studies were accurately predicted in healthy Caucasians [mean-fold errors (MFEs) ranged from 0.68 to 1.14], healthy Chinese (MFEs 0.82 to 1.18) and geriatric Caucasians (MFEs 0.55 to 1.30). Cumulative frequency plots of trough OLZ concentration were comparable between the virtual population and patients in a TDM database. After creating virtual twins in Simcyp®, the R

conclusionsOlanzapine exposure in individual patients was predicted using PBPK M&S. Repurposing of available PBPK M&S platforms is an option for model-informed precision dosing and requires further study to examine clinical potential.

Indexed as

Computer SimulationModels, BiologicalAdultAgedAntipsychotic AgentsAsian PeopleCytochrome P-450 CYP2C8Drug MonitoringFemaleGenotypeHumansMaleMiddle AgedOlanzapineWhite PeopleYoung AdultAntipsychotic AgentsCytochrome P-450 CYP2C8Olanzapinedose predictionolanzapinePBPKpersonalized medicinephysiologically based pharmacokinetics

Identifiers

PMID29194718
PMCPMC5809347
OpenAlexW2772600154

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.