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  1. Article ; Online: Quality Assurance of PBPK Modeling Platforms and Guidance on Building, Evaluating, Verifying and Applying PBPK Models Prudently under the Umbrella of Qualification: Why, When, What, How and By Whom?

    Frechen, Sebastian / Rostami-Hodjegan, Amin

    Pharmaceutical research

    2022  Volume 39, Issue 8, Page(s) 1733–1748

    Abstract: Modeling and simulation emerges as a fundamental asset of drug development. Mechanistic modeling builds upon its strength to integrate various data to represent a detailed structural knowledge of a physiological and biological system and is capable of ... ...

    Abstract Modeling and simulation emerges as a fundamental asset of drug development. Mechanistic modeling builds upon its strength to integrate various data to represent a detailed structural knowledge of a physiological and biological system and is capable of informing numerous drug development and regulatory decisions via extrapolations outside clinically studied scenarios. Herein, physiologically based pharmacokinetic (PBPK) modeling is the fastest growing branch, and its use for particular applications is already expected or explicitly recommended by regulatory agencies. Therefore, appropriate applications of PBPK necessitates trust in the predictive capability of the tool, the underlying software platform, and related models. That has triggered a discussion on concepts of ensuring credibility of model-based derived conclusions. Questions like 'why', 'when', 'what', 'how' and 'by whom' remain open. We seek for harmonization of recent ideas, perceptions, and related terminology. First, we provide an overview on quality assurance of PBPK platforms with the two following concepts. Platform validation: ensuring software integrity, security, traceability, correctness of mathematical models and accuracy of algorithms. Platform qualification: demonstrating the predictive capability of a PBPK platform within a particular context of use. Second, we provide guidance on executing dedicated PBPK studies. A step-by-step framework focuses on the definition of the question of interest, the context of use, the assessment of impact and risk, the definition of the modeling strategy, the evaluation of the platform, performing model development including model building, evaluation and verification, the evaluation of applicability to address the question, and the model application under the umbrella of a qualified platform.
    MeSH term(s) Algorithms ; Computer Simulation ; Drug Development ; Models, Biological ; Pharmacokinetics ; Software
    Language English
    Publishing date 2022-04-20
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 843063-9
    ISSN 1573-904X ; 0724-8741 ; 0739-0742
    ISSN (online) 1573-904X
    ISSN 0724-8741 ; 0739-0742
    DOI 10.1007/s11095-022-03250-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: In-Depth Analysis of the Selection of PBPK Modeling Tools: Bibliometric and Social Network Analysis of the Open Systems Pharmacology Community.

    Dallmann, André / Teutonico, Donato / Schaller, Stephan / Burghaus, Rolf / Frechen, Sebastian

    Journal of clinical pharmacology

    2024  

    Abstract: Since the Open Source Initiative laid the foundation for the open source software environment in 1998, the popularity of free and open source software has been steadily increasing. Model-informed drug discovery and development (MID3), a key component of ... ...

    Abstract Since the Open Source Initiative laid the foundation for the open source software environment in 1998, the popularity of free and open source software has been steadily increasing. Model-informed drug discovery and development (MID3), a key component of pharmaceutical research and development, heavily makes use of computational models which can be developed using various software including the Open Systems Pharmacology (OSP) software (PK-Sim/MoBi), a free and open source software tool for physiologically based pharmacokinetic (PBPK) modeling. In this study, we aimed to investigate the impact, application areas, and reach of the OSP software as well as the relationships and collaboration patterns between organizations having published OSP-related articles between 2017 and 2023. Therefore, we conducted a bibliometric analysis of OSP-related publications and a social network analysis of the organizations with which authors of OSP-related publications were affiliated. On several levels, we found evidence for a significant growth in the size of the OSP community as well as its visibility in the MID3 community since OSP's establishment in 2017. Specifically, the annual publication rate of PubMed-indexed PBPK-related articles using the OSP software outpaced that of PBPK-related articles using any software. Our bibliometric analysis and network analysis demonstrated that the expansion of the OSP community was predominantly driven by new authors and organizations without prior connections to the community involving the generation of research clusters de novo and an overall diversification of the network. These findings suggest an ongoing evolution of the OSP community toward a more segmented, diverse, and inclusive network.
    Language English
    Publishing date 2024-05-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 188980-1
    ISSN 1552-4604 ; 0091-2700 ; 0021-9754
    ISSN (online) 1552-4604
    ISSN 0091-2700 ; 0021-9754
    DOI 10.1002/jcph.2453
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Book ; Thesis: Recommending early integration of palliative care

    Frechen, Sebastian / Voltz, Raymond / Wolf, Jürgen

    does it work?

    2011  

    Institution Universitätsklinikum Köln / Zentrum für Palliativmedizin
    Author's details vorgelegt von Sebastian Frechen ; 1. Berichterstatterin/Berichterstatter: Universitätsprofessor Dr. med. R. Voltz, 2. Berichterstatterin/Berichterstatter: Professor Dr. med. J. Wolf ; aus dem Zentrum für Palliativmedizin der Universität zu Köln
    Language English
    Size 32 S.
    Publishing country Germany
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Köln, Univ., Diss., 2011
    HBZ-ID HT017058660
    Database Catalogue ZB MED Medicine, Health

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  4. Book ; Online ; Thesis: Recommending early integration of palliative care

    Frechen, Sebastian / Voltz, Raymond / Wolf, Jürgen

    does it work?

    2011  

    Institution Universitätsklinikum Köln / Zentrum für Palliativmedizin
    Author's details vorgelegt von Sebastian Frechen ; 1. Berichterstatterin/Berichterstatter: Universitätsprofessor Dr. med. R. Voltz, 2. Berichterstatterin/Berichterstatter: Professor Dr. med. J. Wolf ; aus dem Zentrum für Palliativmedizin der Universität zu Köln
    Subject code 610
    Language English
    Size 32 S.
    Publishing country Germany
    Document type Book ; Online ; Thesis
    Thesis / German Habilitation thesis Köln, Univ., Diss., 2011
    HBZ-ID HT017025548
    DOI 10.4126/38m-000000484
    Database Repository for Life Sciences

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  5. Article ; Online: Assessment of the CYP3A4 Induction Potential by Carbamazepine: Insights from Two Clinical DDI Studies and PBPK Modeling.

    Kanefendt, Friederike / Dallmann, André / Chen, Huijun / Francke, Klaus / Liu, Tianxing / Brase, Christine / Frechen, Sebastian / Schultze-Mosgau, Marcus-Hillert

    Clinical pharmacology and therapeutics

    2024  Volume 115, Issue 5, Page(s) 1025–1032

    Abstract: In the past, rifampicin was well-established as strong index CYP3A inducer in clinical drug-drug interaction (DDI) studies. However, due to identified potentially genotoxic nitrosamine impurities, it should not any longer be used in healthy volunteer ... ...

    Abstract In the past, rifampicin was well-established as strong index CYP3A inducer in clinical drug-drug interaction (DDI) studies. However, due to identified potentially genotoxic nitrosamine impurities, it should not any longer be used in healthy volunteer studies. Available clinical data suggest carbamazepine as an alternative to rifampicin as strong index CYP3A4 inducer in clinical DDI studies. Further, physiologically-based pharmacokinetic (PBPK) modeling is a tool with increasing importance to support the DDI risk assessment of drugs during drug development. CYP3A4 induction properties and the safety profile of carbamazepine were investigated in two open-label, fixed sequence, crossover clinical pharmacology studies in healthy volunteers using midazolam as a sensitive index CYP3A4 substrate. Carbamazepine was up-titrated from 100 mg twice daily (b.i.d.) to 200 mg b.i.d., and to a final dose of 300 mg b.i.d. for 10 consecutive days. Mean area under plasma concentration-time curve from zero to infinity (AUC(
    MeSH term(s) Humans ; Rifampin/adverse effects ; Midazolam/pharmacokinetics ; Cytochrome P-450 CYP3A ; Drug Interactions ; Models, Biological ; Carbamazepine/adverse effects ; Cytochrome P-450 CYP3A Inhibitors/pharmacology
    Chemical Substances Rifampin (VJT6J7R4TR) ; Midazolam (R60L0SM5BC) ; Cytochrome P-450 CYP3A (EC 1.14.14.1) ; Carbamazepine (33CM23913M) ; Cytochrome P-450 CYP3A Inhibitors ; CYP3A4 protein, human (EC 1.14.14.55)
    Language English
    Publishing date 2024-01-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 123793-7
    ISSN 1532-6535 ; 0009-9236
    ISSN (online) 1532-6535
    ISSN 0009-9236
    DOI 10.1002/cpt.3151
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Physiologically-based pharmacokinetic modeling to predict CYP3A4-mediated drug-drug interactions of finerenone.

    Wendl, Thomas / Frechen, Sebastian / Gerisch, Michael / Heinig, Roland / Eissing, Thomas

    CPT: pharmacometrics & systems pharmacology

    2021  Volume 11, Issue 2, Page(s) 199–211

    Abstract: Finerenone is a nonsteroidal, selective mineralocorticoid receptor antagonist that recently demonstrated its efficacy to delay chronic kidney disease (CKD) progression and reduce cardiovascular events in patients with CKD and type 2 diabetes. Here, we ... ...

    Abstract Finerenone is a nonsteroidal, selective mineralocorticoid receptor antagonist that recently demonstrated its efficacy to delay chronic kidney disease (CKD) progression and reduce cardiovascular events in patients with CKD and type 2 diabetes. Here, we report the development of a physiologically-based pharmacokinetic (PBPK) model for finerenone and its application as a victim drug of cytochrome P450 3A4 (CYP3A4)-mediated drug-drug interactions (DDIs) using the open-source PBPK platform PK-Sim, which has recently been qualified for this application purpose. First, the PBPK model for finerenone was developed using physicochemical, in vitro, and clinical (including mass balance) data. Subsequently, the finerenone model was validated regarding the contribution of CYP3A4 metabolism to total clearance by comparing to observed data from dedicated clinical interaction studies with erythromycin (simulated geometric mean ratios of the area under the plasma concentration-time curve [AUCR] of 3.46 and geometric mean peak plasma concentration ratios [C
    MeSH term(s) Cytochrome P-450 CYP3A/metabolism ; Cytochrome P-450 CYP3A Inhibitors/pharmacology ; Diabetes Mellitus, Type 2 ; Drug Interactions ; Humans ; Models, Biological ; Naphthyridines
    Chemical Substances Cytochrome P-450 CYP3A Inhibitors ; Naphthyridines ; finerenone ; Cytochrome P-450 CYP3A (EC 1.14.14.1) ; CYP3A4 protein, human (EC 1.14.14.55)
    Language English
    Publishing date 2021-11-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2697010-7
    ISSN 2163-8306 ; 2163-8306
    ISSN (online) 2163-8306
    ISSN 2163-8306
    DOI 10.1002/psp4.12746
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Applied physiologically-based pharmacokinetic modeling to assess uridine diphosphate-glucuronosyltransferase-mediated drug-drug interactions for Vericiguat.

    Frechen, Sebastian / Ince, Ibrahim / Dallmann, André / Gerisch, Michael / Jungmann, Natalia A / Becker, Corina / Lobmeyer, Maximilian / Trujillo, Maria E / Xu, Shiyao / Burghaus, Rolf / Meyer, Michaela

    CPT: pharmacometrics & systems pharmacology

    2023  Volume 13, Issue 1, Page(s) 79–92

    Abstract: Vericiguat (Verquvo; US: Merck, other countries: Bayer) is a novel drug for the treatment of chronic heart failure. Preclinical studies have demonstrated that the primary route of metabolism for vericiguat is glucuronidation, mainly catalyzed by uridine ... ...

    Abstract Vericiguat (Verquvo; US: Merck, other countries: Bayer) is a novel drug for the treatment of chronic heart failure. Preclinical studies have demonstrated that the primary route of metabolism for vericiguat is glucuronidation, mainly catalyzed by uridine diphosphate-glucuronosyltransferase (UGT)1A9 and to a lesser extent UGT1A1. Whereas a drug-drug interaction (DDI) study of the UGT1A9 inhibitor mefenamic acid showed a 20% exposure increase, the effect of UGT1A1 inhibitors has not been assessed clinically. This modeling study describes a physiologically-based pharmacokinetic (PBPK) approach to complement the clinical DDI liability assessment and support prescription labeling. A PBPK model of vericiguat was developed based on in vitro and clinical data, verified against data from the mefenamic acid DDI study, and applied to assess the UGT1A1 DDI liability by running an in silico DDI study with the UGT1A1 inhibitor atazanavir. A minor effect with an area under the plasma concentration-time curve (AUC) ratio of 1.12 and a peak plasma concentration ratio of 1.04 was predicted, which indicates that there is no clinically relevant DDI interaction anticipated. Additionally, the effect of potential genetic polymorphisms of UGT1A1 and UGT1A9 was evaluated, which showed that an average modest increase of up to 1.7-fold in AUC may be expected in the case of concomitantly reduced UGT1A1 and UGT1A9 activity for subpopulations expressing non-wild-type variants for both isoforms. This study is a first cornerstone to qualify the PK-Sim platform for use of UGT-mediated DDI predictions, including PBPK models of perpetrators, such as mefenamic acid and atazanavir, and sensitive UGT substrates, such as dapagliflozin and raltegravir.
    MeSH term(s) Humans ; Atazanavir Sulfate ; Mefenamic Acid ; Glucuronosyltransferase/metabolism ; Drug Interactions ; Heterocyclic Compounds, 2-Ring ; Pyrimidines
    Chemical Substances vericiguat (LV66ADM269) ; Atazanavir Sulfate (4MT4VIE29P) ; Mefenamic Acid (367589PJ2C) ; Glucuronosyltransferase (EC 2.4.1.17) ; Heterocyclic Compounds, 2-Ring ; Pyrimidines
    Language English
    Publishing date 2023-10-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2697010-7
    ISSN 2163-8306 ; 2163-8306
    ISSN (online) 2163-8306
    ISSN 2163-8306
    DOI 10.1002/psp4.13059
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Physiologically-based pharmacokinetic modeling of quinidine to establish a CYP3A4, P-gp, and CYP2D6 drug-drug-gene interaction network.

    Feick, Denise / Rüdesheim, Simeon / Marok, Fatima Zahra / Selzer, Dominik / Loer, Helena Leonie Hanae / Teutonico, Donato / Frechen, Sebastian / van der Lee, Maaike / Moes, Dirk Jan A R / Swen, Jesse J / Schwab, Matthias / Lehr, Thorsten

    CPT: pharmacometrics & systems pharmacology

    2023  Volume 12, Issue 8, Page(s) 1143–1156

    Abstract: The antiarrhythmic agent quinidine is a potent inhibitor of cytochrome P450 (CYP) 2D6 and P-glycoprotein (P-gp) and is therefore recommended for use in clinical drug-drug interaction (DDI) studies. However, as quinidine is also a substrate of CYP3A4 and ... ...

    Abstract The antiarrhythmic agent quinidine is a potent inhibitor of cytochrome P450 (CYP) 2D6 and P-glycoprotein (P-gp) and is therefore recommended for use in clinical drug-drug interaction (DDI) studies. However, as quinidine is also a substrate of CYP3A4 and P-gp, it is susceptible to DDIs involving these proteins. Physiologically-based pharmacokinetic (PBPK) modeling can help to mechanistically assess the absorption, distribution, metabolism, and excretion processes of a drug and has proven its usefulness in predicting even complex interaction scenarios. The objectives of the presented work were to develop a PBPK model of quinidine and to integrate the model into a comprehensive drug-drug(-gene) interaction (DD(G)I) network with a diverse set of CYP3A4 and P-gp perpetrators as well as CYP2D6 and P-gp victims. The quinidine parent-metabolite model including 3-hydroxyquinidine was developed using pharmacokinetic profiles from clinical studies after intravenous and oral administration covering a broad dosing range (0.1-600 mg). The model covers efflux transport via P-gp and metabolic transformation to either 3-hydroxyquinidine or unspecified metabolites via CYP3A4. The 3-hydroxyquinidine model includes further metabolism by CYP3A4 as well as an unspecific hepatic clearance. Model performance was assessed graphically and quantitatively with greater than 90% of predicted pharmacokinetic parameters within two-fold of corresponding observed values. The model was successfully used to simulate various DD(G)I scenarios with greater than 90% of predicted DD(G)I pharmacokinetic parameter ratios within two-fold prediction success limits. The presented network will be provided to the research community and can be extended to include further perpetrators, victims, and targets, to support investigations of DD(G)Is.
    MeSH term(s) Humans ; Cytochrome P-450 CYP2D6/genetics ; Cytochrome P-450 CYP2D6/metabolism ; Cytochrome P-450 CYP3A/genetics ; Cytochrome P-450 CYP3A/metabolism ; Quinidine ; ATP Binding Cassette Transporter, Subfamily B, Member 1/genetics ; Drug Interactions ; Models, Biological ; Cytochrome P-450 CYP3A Inhibitors/pharmacokinetics
    Chemical Substances Cytochrome P-450 CYP2D6 (EC 1.14.14.1) ; Cytochrome P-450 CYP3A (EC 1.14.14.1) ; Quinidine (ITX08688JL) ; ATP Binding Cassette Transporter, Subfamily B, Member 1 ; Cytochrome P-450 CYP3A Inhibitors ; CYP3A4 protein, human (EC 1.14.14.55)
    Language English
    Publishing date 2023-05-23
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2697010-7
    ISSN 2163-8306 ; 2163-8306
    ISSN (online) 2163-8306
    ISSN 2163-8306
    DOI 10.1002/psp4.12981
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Physiologically based pharmacokinetic modeling of tacrolimus for food-drug and CYP3A drug-drug-gene interaction predictions.

    Loer, Helena Leonie Hanae / Feick, Denise / Rüdesheim, Simeon / Selzer, Dominik / Schwab, Matthias / Teutonico, Donato / Frechen, Sebastian / van der Lee, Maaike / Moes, Dirk Jan A R / Swen, Jesse J / Lehr, Thorsten

    CPT: pharmacometrics & systems pharmacology

    2023  Volume 12, Issue 5, Page(s) 724–738

    Abstract: The immunosuppressant and narrow therapeutic index drug tacrolimus is metabolized mainly via cytochrome P450 (CYP) 3A4 and CYP3A5. For its pharmacokinetics (PK), high inter- and intra-individual variability can be observed. Underlying causes include the ... ...

    Abstract The immunosuppressant and narrow therapeutic index drug tacrolimus is metabolized mainly via cytochrome P450 (CYP) 3A4 and CYP3A5. For its pharmacokinetics (PK), high inter- and intra-individual variability can be observed. Underlying causes include the effect of food intake on tacrolimus absorption as well as genetic polymorphism in the CYP3A5 gene. Furthermore, tacrolimus is highly susceptible to drug-drug interactions, acting as a victim drug when coadministered with CYP3A perpetrators. This work describes the development of a whole-body physiologically based pharmacokinetic model for tacrolimus as well as its application for investigation and prediction of (i) the impact of food intake on tacrolimus PK (food-drug interactions [FDIs]) and (ii) drug-drug(-gene) interactions (DD[G]Is) involving the CYP3A perpetrator drugs voriconazole, itraconazole, and rifampicin. The model was built in PK-Sim® Version 10 using a total of 37 whole blood concentration-time profiles of tacrolimus (training and test) compiled from 911 healthy individuals covering the administration of tacrolimus as intravenous infusions as well as immediate-release and extended-release capsules. Metabolism was incorporated via CYP3A4 and CYP3A5, with varying activities implemented for different CYP3A5 genotypes and study populations. The good predictive model performance is demonstrated for the examined food effect studies with 6/6 predicted FDI area under the curve determined between first and last concentration measurements (AUC
    MeSH term(s) Humans ; Tacrolimus ; Cytochrome P-450 CYP3A/genetics ; Cytochrome P-450 CYP3A/metabolism ; Pharmaceutical Preparations ; Immunosuppressive Agents ; Drug Interactions ; Genotype
    Chemical Substances Tacrolimus (WM0HAQ4WNM) ; Cytochrome P-450 CYP3A (EC 1.14.14.1) ; Pharmaceutical Preparations ; Immunosuppressive Agents
    Language English
    Publishing date 2023-03-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2697010-7
    ISSN 2163-8306 ; 2163-8306
    ISSN (online) 2163-8306
    ISSN 2163-8306
    DOI 10.1002/psp4.12946
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Book ; Online ; Thesis: Recommending early integration of palliative care - does it work?

    Frechen, Sebastian [Verfasser]

    2011  

    Author's details Sebastian Frechen
    Keywords Medizin, Gesundheit ; Medicine, Health
    Subject code sg610
    Language English
    Publisher Deutsche Zentralbibliothek für Medizin
    Publishing place Köln
    Document type Book ; Online ; Thesis
    Database Digital theses on the web

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