Maruyama Takumi
   Department   Other, Other
   Position  
Article types Original article
Language English
Peer review Peer reviewed
Title Comparison of the predictive accuracy of the physiologically based pharmacokinetic (PBPK) model and population pharmacokinetic (PPK) model of vancomycin in Japanese patients with MRSA infection.
Journal Formal name:Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy
Abbreviation:J Infect Chemother
ISSN code:14377780/1341321X
Domestic / ForeginForegin
Volume, Issue, Page pp.10.1016/j.jiac.2023.08.017
Author and coauthor Maruyama Takumi, Kimura Toshimi, Ebihara Fumiya, Kasai Hidefumi, Matsunaga Nobuaki, Hamada Yukihiro
Authorship Lead author
Publication date 2023/09
Summary INTRODUCTION:The latest therapeutic drug monitoring guidelines for vancomycin (VCM) recommend that area under the concentration-time curve is estimated based on model-informed precision dosing and used to evaluate efficacy and safety. Therefore, we predicted VCM concentrations in individual methicillin-resistant Staphylococcus aureus-infected patients using existing a physiologically based pharmacokinetic (PBPK) model and 1- and 2-compartment population pharmacokinetic (PPK) models and confirmed and verified the accuracy of the PBPK model in estimating VCM concentrations with the PPK model.METHODS:The subjects of the study are 20 patients, and the predicted concentrations were evaluated by comparing the observed and predicted trough and peak values of VCM concentrations for individual patients.RESULTS:The results showed good correlation between the observed and predicted trough and peak concentrations of VCM was observed generally in the PBPK model, R2 values of 0.72, 0.62, and 0.40 with trough values of 0.49, 0.40, and 0.34 with peak values for PBPK model, 1-compartment, and 2-compartment model, respectively.CONCLUSIONS:Although the performance of the PBPK model is not as predictive as the PPK model, generally similar predictive trends were obtained, suggesting that it may be a valuable tool for rapid and accurate prediction of AUC for VCM.
DOI 10.1016/j.jiac.2023.08.017
PMID 37673298