Evidence map›Paper›PMID 29370865›Full record

Trial reportBMC pharmacology & toxicology2018

A mechanism-based pharmacokinetic model of fenofibrate for explaining increased drug absorption after food consumption.

Hyun-Moon Back, Byungjeong Song, Sudeep Pradhan, Jung-Woo Chae, Nayoung Han, Wonku Kang, Min Jung Chang, Jiao Zheng, Kwang-Il Kwon, Mats O Karlsson and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pharmacology & toxicology, 2018. 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
0.6field-weighted citation impact, top 40% 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, 12 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
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

11 authors at 8 institutions in 4 countries.

Hyun-Moon BackCollege of pharmacy, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon, 34134, South Korea.
Byungjeong SongDrug discovery center, JW Pharmaceutical, Seoul, 06725, South Korea.
Sudeep PradhanSchool of Pharmacy, University of Otago, 56, Dunedin, 9054, New Zealand.
Jung-Woo ChaeCollege of pharmacy, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon, 34134, South Korea.
Nayoung HanCollege of Pharmacy, Seoul National University, Seoul, 03080, South Korea.
Wonku KangCollege of pharmacy, Chung-Ang University, Seoul, 06974, South Korea.
Min Jung ChangCollege of Pharmacy and Yonsei Institute of Pharmaceutical Sciences, Yonsei University, Incheon, 21983, South Korea.
Jiao ZhengDepartment of Pharmacy, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Kwang-Il KwonCollege of pharmacy, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon, 34134, South Korea.
Mats O KarlssonDepartment of Pharmaceutical Biosciences, Uppsala University, 75124, Uppsala, Sweden.
Hwi-Yeol YunCollege of pharmacy, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon, 34134, South Korea. hyyun@cnu.ac.kr.
Chungnam National University · KRChung-Ang University · KRFudan University · CNJW Pharmaceutical (South Korea) · KRSeoul National University · KRUniversity of Otago · NZUppsala University · SEYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOral administration of drugs is convenient and shows good compliance but it can be affected by many factors in the gastrointestinal (GI) system. Consumption of food is one of the major factors affecting the GI system and consequently the absorption of drugs. The aim of this study was to develop a mechanistic GI absorption model for explaining the effect of food on fenofibrate pharmacokinetics (PK), focusing on the food type and calorie content.

methodsClinical data from a fenofibrate PK study involving three different conditions (fasting, standard meals and high-fat meals) were used. The model was developed by nonlinear mixed effect modeling method. Both linear and nonlinear effects were evaluated to explain the impact of food intake on drug absorption. Similarly, to explain changes in gastric emptying time for the drug due to food effects was evaluated.

resultsThe gastric emptying rate increased by 61.7% during the first 6.94 h after food consumption. Increased calories in the duodenum increased the absorption rate constant of the drug in fed conditions (standard meal = 16.5%, high-fat meal = 21.8%) compared with fasted condition. The final model displayed good prediction power and precision.

conclusionsA mechanistic GI absorption model for quantitatively evaluating the effects of food on fenofibrate absorption was successfully developed, and acceptable parameters were obtained. The mechanism-based PK model of fenofibrate can quantify the effects of food on drug absorption by food type and calorie content.

Indexed as

Food-Drug InteractionsIntestinal AbsorptionModels, BiologicalAdultCross-Over StudiesDietary FatsFastingFemaleFenofibrateGastric EmptyingHumansHypolipidemic AgentsMaleYoung AdultDietary FatsFenofibrateHypolipidemic AgentsDrug absorptionFenofibrateFood effectGastrointestinal systemNONMEM

Identifiers

PMID29370865
PMCPMC5785874
OpenAlexW2788159681

What OpenQuestion holds

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LicenceCC BY
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.