Evidence map›Paper›PMID 42168137›Full record

ArticleClinical pharmacology and therapeutics2026

From Classical PKPD to Model-Informed Drug Development: Are "Digital Twins" a New Paradigm?

Brett E Houk

Abstract read
In one paragraph

Article in Clinical pharmacology and therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Clinical Pharmacology at the Point of Decision.Clinical pharmacology and therapeutics · 2026
    Article
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

1 author.

Brett E HoukClinical Pharmacology Modeling and Simulation, Amgen Inc., Thousand Oaks, California, USA.ORCID 0000-0002-1979-917X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Quantitative pharmacology has guided drug development for decades, turning concentration and response data into mechanistic models that support dosing, trial design, and regulatory decisions. Model-informed drug development (MIDD) did not replace pharmacokinetic and pharmacodynamic (PKPD) modeling so much as formalize it across the lifecycle. Today, "digital twins" are often promoted as a new paradigm, yet most proposed features mirror established pharmacometrics: individual-level simulation, sequential updating, and decision-focused uncertainty analysis. The fundamentals remain unchanged, and identifiability still sets hard limits.

Indexed as

Drug DevelopmentModels, BiologicalPharmacokineticsComputer SimulationHumans

Identifiers

PMID42168137
PMCPMC13339615

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.