pk-glossary pk working group 2004

Upload: drantist

Post on 14-Apr-2018

233 views

Category:

Documents


0 download

TRANSCRIPT

  • 7/27/2019 PK-Glossary PK Working Group 2004

    1/23

    Glossary Page 1 of 24

    ...\PK-glossary_PK_working_group_2004.pdf

    Collection of terms, symbols, equations, and

    explanations of common pharmacokinetic and

    pharmacodynamic parameters and some

    statistical functions

    Version: 16 Februar 2004

    Authors: AGAH working group PHARMACOKINETICS

  • 7/27/2019 PK-Glossary PK Working Group 2004

    2/23

    Glossary Page 2 of 24

    ...\PK-glossary_PK_working_group_2004.pdf

    Collection of terms, symbols, equations, and explanations of commonpharmacokinetic and pharmacodynamic parameters and some

    statistical functions

    TABLE OF CONTENTS

    Page

    TABLE OF CONTENTS.................................................................................................................2

    1 Pharmacokinetic Parameters from noncompartmental analysis (NCA) ...............................3

    1.1 Parameters obtained from concentrations in plasma or serum...........................................3

    1.1.1 Parameters after single dosing..................................................................................3

    1.1.2 Parameters after multiple dosing (at steady state)....................................................6

    1.2 Parameters obtained from urine ..........................................................................................7

    2 Pharmacokinetic parameters obtained from compartmental modeling................................8

    2.1 Calculation of concentration-time curves.............................................................................9

    2.2 Pharmacokinetic Equations - Collection of Equations for Compartmental Analysis .........10

    3 Pharmacodynamic GLOSSARY ................................................................................................20

    3.1 Definitions ..........................................................................................................................20

    3.2 Equations: PK/PD Models..................................................................................................21

    4 Statist ical parameters ................................................................................................................22

    4.1 Definitions ..........................................................................................................................22

    4.2 Characterisation of log-normally distributed data ..............................................................23

  • 7/27/2019 PK-Glossary PK Working Group 2004

    3/23

    AGAH Working group PK/PD modelling Page 3 of 24

    ...\PK-glossary_PK_working_group_2004.pdf

    1 PHARMACOKINETIC PARAMETERS FROM NONCOMPARTMENTALANALYSIS (NCA)

    1.1 Parameters obtained from concentrations in plasma or serum

    1.1.1 Parameters after sing le dosing

    Symbol Unit /

    Dimension /

    Dimension

    Definition Calculation

    AUC

    AUC(0-)Amounttime/

    volume

    Area under the concentration-time

    curve from zero up to withextrapolation of the terminal phase

    z

    z)zt-(0AUC

    C=AUC + , Cz may be

    measured (Cz,obs) or calculated (Cz,calc)

    AUC(0-t),

    AUCt

    Amounttime/volume

    Area under the concentration-timecurve from zero up to a definite time t

    +=1

    1

    1t)-(0 AUCn-

    i=

    )i-ti(t AUC wit

    h t1=0 and tn=t,Concentrations Ci measured at timesti, i=1,,n.

    According to the linear trapezoidal rule:

    )t(t)C(CAUC ii+i+iiti(t +=+ 1121

    )1 or according to the log-linear trapezoidal rule:

    )ln(ln

    )()(

    1

    11)1

    +

    +++

    =

    ii

    iiii

    iti(t

    CC

    ttCCAUC

    (the logarithmic trapezoidal rule is used for thedescending part of the concentration-time curve, i.e. ifCi>1.001*Ci+1>0)

    AUC(0-tz) Amounttime/volume

    Area under the concentration-timecurve from zero up to the last

    concentration LOQ (Cz)

    See AUC(0-t)

    AUCextrap % % Area under the concentration-time

    curve extrapolated from tz to in %

    of the total AUC 100%AUC extrap = AUCAUC-AUC )z(0-t

    AUMC Amount(time)

    2/

    volume

    Area under the first moment of theconcentration-time curve from zero

    up to with extrapolation of theterminal phase

    2

    z

    z

    z

    zz)zt-(0

    CCt+AUMC=AUMC

    +

    ,

    Cz may be measured (Cz,obs) or calculated (Cz,calc)

    AUMC(0-t) Amount(time)

    2/

    volume

    Area under the first moment of theconcentration-time curve from zeroup to a definite time t

    +=1

    1

    1t)-AUMC(0n-

    i=

    ii )-tAUMC(t

    with t1=0 and tn=t. Concentrations Cimeasured at times ti, i=1,,n.

    )1i(tAUMC + it

    ))C(2Ct)2C(C)(tt(t 1iii1ii1ii1+i +++ +++= 61

    (linear trapezoidal rule)

    2

    111

    B

    CC

    B

    tCtC iiiiii +++ +

    = withii

    ii

    tt

    CCB

    =

    +

    +

    1

    1lnln

    (log-linear trapezoidal rule)

    AUMC(0-tz) Amount(time)

    2/

    volume

    Area under the first moment of theconcentration-time curve from zero tothe last quantifiableconcentration

    See AUMC(0-t)

    AUMCextrap % % Area under the first moment of theconcentration-time curve

    extrapolated from tz to in % of thetotal AUMC

    100%AUMC extrap =AUMC

    AUMC-AUMC )z(0-t

  • 7/27/2019 PK-Glossary PK Working Group 2004

    4/23

    AGAH Working group PK/PD modelling Page 4 of 24

    ...\PK-glossary_PK_working_group_2004.pdf

    Symbol Unit /Dimension

    Definition Calculation

    Cp orC Amount/ volume Plasma concentration

    Cs orC Amount/ volume Serum concentration

    Cu Amount/ volume Unbound plasma concentration

    CL Volume/ time orvolume/ time/ kg

    Total plasma, serum or bloodclearance of drug after intravenousadministration

    CL =D

    AUC

    iv

    CL / f Volume/ time orvolume/ time/ kg

    Apparent total plasma or serumclearance of drug after oraladministration

    CL / f =D

    AUC

    po

    CL int Volume/ time orvolume/ time/ kg

    Intrinsic clearance maximumelimination capacity of the liver

    CLH,b Volume/ time orvolume/ time/ kg

    Hepatic blood clearance, product ofhepatic blood flow and extractionratio

    CLH = QHEH

    CLCR Volume/ time orvolume/ time/ kg

    Creatinine clearance Measured or Cockcroft & Gault formula

    CLm Volume/ time Metabolic clearance

    Cz, calc Amount/ volume Predicted last plasma or serumconcentration

    Calculated from a log-linear regression throughthe terminal part of the curve

    CzorCz, obs Amount/ volume Last analytically quantifiable plasmaor serum concentration above LOQ

    directly taken from analytical data

    Cmax Amount/ volume Observed maximum plasma orserum concentration afteradministration

    directly taken from analytical data

    D Amount Dose administered

    f - Fraction of the administered dosesystemically available f =

    AUC D

    AUC D

    po iv

    iv po

    F % Absolute bioavailability, systemic

    availability in %

    F = f 100

    frel - Fraction of the administered dose incomparison to a standard (not iv)

    DAUC

    DAUCf

    STD

    STDrel

    = STD = Standard

    Frel % Relative bioavailability in % 100f=F relrel

    fa - Fraction of the extravascularlyadministered dose actually absorbed

    For orally administered drugs: f = fa*(1-EH)

    fm - Fraction of the bioavailable dosewhich is metabolized

    fu - Fraction of unbound (not protein-bound or free) drug in plasma orserum

    fu = Cu /C

    HVD Time Half-value duration (time intervalduring which concentrations exceed50% of Cmax)

    z (Time)-1 Terminal rate constant (slowest rateconstant of the disposition)

    negative of the slope of a ln-linear regressionof the unweighted data considering the last

    concentration-time points LOQ

    ke orkel (Time)-1

    Elimination rate constant from thecentral compartment

    calculated from parameters of themultiexponential fit

    LOQ Amount/ volume Lower limit of quantification

  • 7/27/2019 PK-Glossary PK Working Group 2004

    5/23

    AGAH Working group PK/PD modelling Page 5 of 24

    ...\PK-glossary_PK_working_group_2004.pdf

    Symbol Unit /Dimension

    Definition Calculation

    MAT Time Mean absorption time MAT = MRT - MRTev iv

    (ev = extravasal, e.g. im, sc, po)

    MDT Time Mean dissolution time

    MRT Time Mean residence time (of theunchanged drug in the systemiccirculation)

    MRT =AUMC

    AUC

    MR - Metabolic ratio of parent drug AUC andmetabolite AUC MR =

    AUC

    AUC

    parent

    metabolite

    t1/2

    Time Terminal half-life1/ 2t =

    ln 2

    z

    t lag Time Lag-time (time delay between drugadministration and first observedconcentration above LOQ in plasma)

    directly taken from analytical data

    tz Time Time p.a. of last analyticallyquantifiable concentration

    directly taken from analytical data

    tmax Time Time to reach Cmax directly taken from analytical data

    Vss Volume

    or volume/kg

    Apparent volume of distribution atequilibrium determined afterintravenous administration

    2(AUC)

    AUMCD=MRTCL=Vss

    Vz Volume

    or volume/kg

    Volume of distribution during terminalphase after intravenous administration

    zAUC = iv

    DVz

    Vss / f Volume

    or volume/kg

    Apparent volume of distribution atequilibrium after oral administration

    2(AUC)

    AUMCD=MRTCL=/fVss

    Vz / f Volume

    or volume/kg

    Apparent volume of distribution duringterminal phase after oral /extravascular administration

    zAUCf

    = po

    D/Vz po instead of iv !

  • 7/27/2019 PK-Glossary PK Working Group 2004

    6/23

    AGAH Working group PK/PD modelling Page 6 of 24

    ...\PK-glossary_PK_working_group_2004.pdf

    1.1.2 Parameters after mult iple dosing (at steady state)

    Symbol Unit /Dimension

    Definition Calculation

    Aave Amount Average amount in the body atsteady state

    z M

    ave

    Df=A

    AUC,ssAUCss

    Amounttime/volume

    Area under the concentration-timecurve during a dosing interval atsteady state

    by trapezoidal rule

    AUCF% % Percent fluctuation of theconcentrations determined from areasunder the curve AUC

    AUC+AUC100=AUCF%

    )C(below)C(above aveave

    Cav,ss Amount/volume

    Average plasma or serumconcentration at steady state

    ss,AUC=C ssav,

    Cmax,ss Amount/volume

    Maximum observed plasma or serum

    concentration during a dosing intervalat steady state

    directly taken from analytical data

    Cmin,ss Amount/volume

    Minimum observed plasma or serumconcentration during a dosing intervalat steady state

    directly taken from analytical data

    Ctrough Amount/volume

    Measured concentration at the end ofa dosing interval at steady state (takendirectly before next administration)

    directly taken from analytical data

    DM Amount Maintenance dose design parameter

    LF - Linearity factor of pharmacokineticsafter repeated administration

    sd

    ss,=

    AUC

    AUCLF

    sd = single dose

    PTF % % Peak trough fluctuation over onedosing interval at steady state

    avss,

    minss,maxss,

    C

    C-C100%PTF =

    RA (AUC) Accumulation ratio calculated from

    AUC,ss at steady state and AUCafter single dosing

    RA (AUC) =sd

    AUC

    AUC

    ss

    ,

    ,

    RA (Cmax) Accumulation ratio calculated fromCmax,ss at steady state and Cmax aftersingle dosing

    RA (Cmax) =C

    C

    ss

    sd

    max,

    max,

    sd = single dose

    RA (Cmin) Accumulation ratio calculated fromCmin,ss at steady state and from

    concentration at t= after single dose sdss

    C

    C

    ,

    min,=A (Cmin)R

    sd = single dose

    Rtheor Theoretical accumulation ratio ze

    =1

    1

    2-1

    1=theor -R ,

    2/1t

    =

    TCave Time Time period during which plasma

    concentrations are above Cav,ss

    derived from analytical data by linear interpolation

    tmax,ss Time Time to reach the observedmaximum (peak) concentration atsteady state

    directly taken from analytical data

    Time Dosing interval directly taken from study design

  • 7/27/2019 PK-Glossary PK Working Group 2004

    7/23

    AGAH Working group PK/PD modelling Page 7 of 24

    ...\PK-glossary_PK_working_group_2004.pdf

    1.2 Parameters obtained from urine

    Symbol Unit /Dimension

    Definition Calculation

    Ae(t1-t2) Amount Amount of unchanged drug excretedinto urine within time span from t1 to t2.

    Cur* Vur

    Ae(0- ) Amount Cumulative amount (of unchangeddrug) excreted into urine up to infinityafter single dosing

    (can commonly not be determined)

    Ae,ssAess

    Amount Amount (of unchanged drug) excretedinto the urine during a dosing interval

    () at steady state

    Cur Amount/

    volume

    Drug concentration in urine

    CLR Volume/ timeor volume/

    time/ amount

    Renal clearance

    )0(

    )0()0(

    =AUC

    Ae

    AUC

    AeCLR

    after multiple dosess

    RAUC

    AeCL

    ,

    )0(

    =

    fe - Fraction of intravenous administered

    drug that is excreted unchanged inurine iv

    ee

    D

    A=f

    fe/f - Fraction of orally administered drugexcreted into urine ef

    A

    De

    po

    / f=

    Fe % Total urinary recovery after intravenousadministration = fraction of drugexcreted into urine in %

    Fe = fe 100

    tmid Time Mid time point of a collection interval

    Vur Volume Volume of urine excreted directly taken from measured lab data

  • 7/27/2019 PK-Glossary PK Working Group 2004

    8/23

    AGAH Working group PK/PD modelling Page 8 of 24

    ...\PK-glossary_PK_working_group_2004.pdf

    2 PHARMACOKINETIC PARAMETERS OBTAINED FROM COMPARTMENTALMODELING

    Symbol Unit /Dimensions

    Definition Calculation

    A,B,C or

    Ci, i=1,...,n

    Amount/ volume Coefficients of the polyexponentialequation

    by multiexponential fitting

    , , (Time)-1 Exponents of the polyexponentialequation (slope factor)

    by multiexponential fitting

    I (Time)-1 Exponent of the ith (descending)exponential term of a polyexponentialequation

    by multiexponential fitting

    AUC Amounttime/volume

    Area under the curve (model)

    =

    =

    =

    =

    n

    1i aiia

    ai

    n

    1i i

    i

    k

    11

    k

    kCAUC

    :larextravascu

    CAUC:iv

    Note: Ci is the linear coefficient of thepolyexponential equation

    AUMC Amount(time)2/

    volumeArea under the first moment curve

    =

    =

    =

    =

    n

    1i2

    a

    2

    iia

    ai

    n

    1i2

    i

    i

    k

    11

    k

    kCAUMC

    :larextravascu

    CAUMC:iv

    Note: Ci is the linear coefficient of thepolyexponential equation

    C(0) Amount/ volume Initial or back-extrapolated drug

    concentration following rapidintravenous injection =

    n

    1=i

    iC)0(C

    Note: Ci is the linear coefficient of thepolyexponential equation

    C(t) Amount/ volume Drug concentration at time point t See 2.2

    CL Volume/ time Clearance

    AUC

    DosefCL

    =

    iv: f=1

    fi - Fractional area, area under the various

    phases of disposition (i) in the plasmaconcentration-time curve after ivdosing

    1fwithAUC

    C

    fn

    1i

    ii

    i

    i =

    = =

    i Number of compartments in a multi-

    compartmental model

    k0 (Time)-1

    Zero order rate constant Design parameter or determined bymultiexponential fitting

    ke orkel (Time)-1

    Elimination rate constant from thecentral compartment

    calculated from parameters of themultiexponential fit

    ka orkabs (Time)-1

    Absorption rate constant by multiexponential fitting

    k ij (Time)-1

    Transfer rate between compartment iand j in a multi-compartmental model

    by multiexponential fitting

    Km Amount/ volume Michaelis Menten constant by nonlinear fitting

  • 7/27/2019 PK-Glossary PK Working Group 2004

    9/23

    AGAH Working group PK/PD modelling Page 9 of 24

    ...\PK-glossary_PK_working_group_2004.pdf

    Symbol Unit /Dimensions

    Definition Calculation

    MRT Time Mean residence timeiv:

    AUC

    AUMCMRT=

    extravascular: )1

    (alag k

    tAUC

    AUMCMRT +=

    Qi Amount/Time Intercompartmental clearance betweencentral compartment and compartmenti

    k0 Amount/Time Zero order infusion rate design parameter

    t 1/2, i Time Half-life associated with the ith

    exponent of a polyexponential equation tln2

    1/2, i =

    i

    Time Infusion duration design parametert Time Time after drug administration

    Vc Volume orVolume /amount

    Apparent volume of the central orplasma or serum compartment

    =

    =

    n

    1ii

    c

    C

    DosefV

    iv: f=1

    Vmax Amount/Time Maximum metabolic rate

  • 7/27/2019 PK-Glossary PK Working Group 2004

    10/23

    AGAH Working group PK/PD modelling Page 10 of 24

    ...\PK-glossary_PK_working_group_2004.pdf

    2.1 Calculation of concentration-time curves

    App lication Parameter Calculation

    iv bolus concentration after bolus administration [ ]=

    =n

    1i

    t

    ipieB)t(C

    concentration during infusion

    =

    =Cterm(t) for t->

    BATEMAN-Function

    In most cases: ea kk > , this means that

    e k ta

    approches zero much faster

    thane k te

    - calc. of ke from slope ofterminal phase

    ea kk < - Flip-Flop, but you need anadditional iv administration to distinguishthis case

    tk

    eac

    aterm

    aekkV

    kDftCtC

    =)(

    )()(

    tkkkV

    kDftCtC a

    ead

    aterm

    =

    )())()(ln(

    ka - feathering-method (can reasonably beused only if there are at least 4 data pointsin the increasing part of the concentration-time curve)

    substraction of C from C (semilog. (C-C)versus t - slope -ka)

    )()(

    )()()( 00 ttkttk

    ead

    a ae eekkV

    kDftC

    =

    with t0 - lag time

    ea

    ea

    ea

    e

    a

    kk

    kk

    kk

    k

    k

    t

    =

    =)ln()ln(

    ln

    max ,

    maxmax

    tk

    d

    a eeV

    kDfC

    =

    tmax does not depend on the bioavailability fand, since ke commonly is substance-dependent and not preparation-dependent,reflects ka

    One Compartment Model, Oral Administration With Resorption First Order, multip ledose

    )()(

    )(tk

    atk

    e

    ead

    an

    ae ererkkV

    kDftC =

    =

    a

    a

    e

    e

    k

    tk

    k

    tk

    ead

    ass

    e

    e

    e

    e

    kkV

    kDftC

    11)()(

    Cn(t) = concentration after the nth

    consecutivedosing in intervals ; BATEMAN-Functionexpanded by accumulation factor

    e

    e

    k

    nk

    ee

    er

    =

    1

    1;

    a

    a

    k

    nk

    ae

    er

    =1

    1; n = for steady

    state, in most cases ra 1

    =

    )(

    )(lnmax, k

    e

    k

    a

    ea

    ssa

    e

    ek

    ek

    kkt

    1

    11 tss,max < tmax for ka > ke

  • 7/27/2019 PK-Glossary PK Working Group 2004

    16/23

    AGAH Working group PK/PD modelling Page 16 of 24

    ...\PK-glossary_PK_working_group_2004.pdf

    Two Compartment Model, IV Inj (without Resorption), single dose

    p

    kc

    iv

    X

    kk

    EXD

    2112

    10

    pccc XkXkXk

    dt

    dX+= 211012

    Tc

    pXkXk

    dt

    dX= 2112 ; cXk

    dt

    dE= 10

    Xc = amount in central compartmentXp = amount in peripheral comp.

    )()()()()0()0( =++=== EtEtXtXXXD pcc E()- Sum of drug eliminated

    +

    =

    tt

    tt

    C eek

    eek

    V

    ktC

    )1(

    )(

    )1()(

    )(*21

    *21

    0

    Concentration in plasma =Conc. in central compartment

    civ

    V

    DkA

    =)(

    )( 21

    ;c

    ivV

    DkB

    =)(

    )( 21

    Vc = volume of the central comp.,

    >k21>

    ( )10212102112102112 42

    1kkkkkkkk +++++= )(

    ( )10212102112102112 42

    1kkkkkkkk ++++= )(

    , = Macro constants (or Hybridconstants, independent of dose,A+B proportional to dose

    disposition rate constants, equal foriv and oral administration

    1021 kk = ; 102112 kkk ++=+ k k k12 21 10, , -Micro constants

    t

    term eBtC

    =

    )( tBtCterm = ln)(ln t

    term eAtCtC= )()( tAtCtC term = ln))()(ln(

    >, for elim. phase first term =0A,B, , , can determined byfeathering method

    Plot ln(Cterm(t)) vs t with slope ,intercept ln(B)Plot ln((C(t)-Cterm(t))) vs t with slope

    , intercept ln(A)

    BA

    BAk

    ++

    =

    21 ;

    BA

    BA

    kk

    +

    +=

    =

    2110 ;

    ))((

    )( 2

    102112

    ++

    =+=BABA

    ABkkk

    A,B iv A,B oral

    k10=kren+ kmet (+kbil+ kother)

    =E

    U

    k

    kren

    10

    )1()1()0(tt

    t eB

    eA

    AUC

    +=

    BAAUC +=

    AUC - by integration of the generalequation for C

  • 7/27/2019 PK-Glossary PK Working Group 2004

    17/23

    AGAH Working group PK/PD modelling Page 17 of 24

    ...\PK-glossary_PK_working_group_2004.pdf

    Two Compartment Model, IV Inj, single dose

    p

    kc

    iv

    X

    kk

    EXD

    2112

    10

    ( )ttp eekD

    tX

    = 12)( Xp = drug amount in the tissues(peripheral compartment)

    =lnln

    max,pt 0=dt

    dXpat tmax,p

    == )1()()( max,max, bppfc ftCtC

    )()1()( max,,max, pfppbpp tCftC =

    Most membranes centralcompartment / tissue are crossed bydiffusion by unbound drug onlyfb = fraction bound (to protein)

    BA

    D

    C

    DVc +

    ==)0(

    Vc volume of distribution in thecentral compartment

    c

    c

    pc

    pc

    c V

    Xassumed

    VV

    XX

    V

    X)(=

    ++=

    Other volume terms areproportionality factors assuming thatCc = CT, they may take onunphysiological values. Initially Xc andCc high with XT and Cp nearly 0. In theend frequently CT > Cp. Vd = volumeof distribution of the total organism not constant in time!

    (c

    V

    X

    ck

    k

    ss

    pc

    ssssd Vk

    kX

    C

    XXVV

    c

    c

    +=

    +=

    +==

    12

    21, 1

    112

    21

    Vss = volume of distribution at

    equilibrium, when flows Xc XTbalance: k12Xc = k21XT

    D

    BA

    BAVss

    +

    +=

    2

    22

    )(

    Vss can also be calculated from macroconstants

    ccssp Vk

    kVVV

    12

    21== ;p

    p

    pV

    XC =

    In the strictest sense only true atequilibrium

    ( )pp ttc

    p eeV

    DkC max,max,

    )(

    21max,

    =

    ccdt

    dE

    VktC

    tXk

    tCCL =

    == 10

    10

    )(

    )(

    )(

    sse VkCL = ;1221

    211010

    kk

    kk

    V

    Vkk

    ss

    ce +

    =

    =

    This is the definition of ke for a two-compartment model

    cV

    DkBAAUC

    =+=

    21 ; CLVkV

    k

    kk

    AUC

    Dcc ==

    = 10

    21

    1021

    AUC

    DCLVz

    ==

    Vz volume of distribution duringterminal phase, calculated based onthe rate constant

    AUCD

    zssec VVkVkCL ==== 10 Vz > Vss > Vc during terminal phaseXT > Xc

  • 7/27/2019 PK-Glossary PK Working Group 2004

    18/23

    AGAH Working group PK/PD modelling Page 18 of 24

    ...\PK-glossary_PK_working_group_2004.pdf

    Two compartment Model single dose infusion (or zero order resorption)

    p

    kc

    k

    X

    kk

    EXA

    2112

    100

    T

    Dk =0

    Infusion of dose D during atconstant rate k0

    +

    =

    tt

    tt

    C eek

    eek

    V

    ktC

    )1()(

    )1()(

    )(*21

    *21

    0

    General equation for calc. of C(t)during and after infusion, t* =

    min(,t)

    +

    = )1(

    )()1(

    )()( 21210 tt

    C

    ek

    ek

    V

    ktC

    during infusion, t*=t

    (et*-1)e

    -t becomes 1- e-t

    k0 = k10Ass = k10CssVc;CL

    k

    Vk

    kC

    css

    0

    10

    0 =

    = For a continuing infusion,

    +

    =

    )(21

    )(21

    0

    )(

    )1()(

    )(

    )1()(

    )(

    TtT

    TtT

    Ce

    ek

    eek

    V

    ktC

    after end of infus ion,

    t- = time after end

  • 7/27/2019 PK-Glossary PK Working Group 2004

    19/23

    AGAH Working group PK/PD modelling Page 19 of 24

    ...\PK-glossary_PK_working_group_2004.pdf

    Two compartment Model, single dose with Resorption First Order

    p

    kc

    k

    X

    kk

    EXA a

    2112

    10

    +

    +

    =

    tk

    aa

    a

    t

    a

    t

    a

    c

    a

    aekk

    kk

    ek

    ke

    k

    k

    V

    DFktC

    )()(

    )(

    )()(

    )(

    )()(

    )(

    )(21

    2121

    )()(

    )()()()(

    21

    2121

    aa

    a

    aa

    kk

    kk

    k

    k

    k

    k

    =

    +

    C-central compartment

    with micro constants

    tktt aeBAeBeAtC ++= )()( C-central compartment

    with macro constants

    )(

    )( 21

    =k

    V

    DA

    cIV ;

    )(

    )( 21

    =k

    V

    DB

    cIV

    iva

    aoral A

    k

    fkA

    =)(

    ; iva

    aoral B

    k

    fkB

    =)(

    iviv

    c

    BfAf

    D

    f

    V

    +=

    Without iv data only Vc/f can bedetermined, but based on

    knowledge of fAiv and fBiv themicro constants k10, k21, k12 maybe derived

    tk

    a

    ttp

    aekk

    kBAe

    k

    kBe

    k

    kAtC

    +

    +

    =

    )(

    )(

    )()()(

    21

    21

    21

    21

    21

    21

    CT-deep compartment

    Two compartment Model, multiple dose with Resorption First Order

    xa

    a

    a

    x

    x

    tk

    k

    nk

    tntn

    xn

    ee

    eBA

    ee

    eBe

    e

    eAtC

    +

    +

    =

    1

    1)(

    1

    1

    1

    )1()(

    Cn concentration attime tx after the n

    th

    administration at interval

    , time after first dosing =n

  • 7/27/2019 PK-Glossary PK Working Group 2004

    20/23

    AGAH Working group PK/PD modelling Page 20 of 24

    ...\PK-glossary_PK_working_group_2004.pdf

    3 PHARMACODYNAMIC GLOSSARY

    3.1 Definitions

    Symbol Unit / Dimension Definition

    AUEC Arbitrary unitstime Area under the effect curve

    Ce Amount/volume Fictive concentration in the effect compartment

    Cp Amount/volume Drug concentration in the central compartment

    E (effect unit) Effect

    E0 (effect unit) Baseline effect

    Emax (effect unit) Maximum effect

    EC50 Amount/volume Drug concentration producing 50% of maximum effect

    Imax(effect unit) Maximum inhibition

    I50 Amount/volume Drug concentration producing 50% of maximal inhibition

    keo (Time)-1 Rate constant for degradation of the effect compartment

    k in (effect unit) (time)-1

    Zero order constant for input or production of response

    kout (time)-1

    First order rate constant for loss of response

    M50 Amount/volume 50% of maximum effect of the regulator

    MEC Amount/volume Minimum effective concentration

    n - Sigmoidicity factor (Hill exponent)

    S (effect unit)/

    (amount/volume)

    Slope of the line relating the effect to the concentration

    tMEC Time Duration of the minimum (or optimum) effective

    concentration

    Ve Volume Fictive volume of the effect compartment

  • 7/27/2019 PK-Glossary PK Working Group 2004

    21/23

    AGAH Working group PK/PD modelling Page 21 of 24

    ...\PK-glossary_PK_working_group_2004.pdf

    3.2 Equations: PK/PD Models

    E=Efixed if C Cthreshold fixed effect model

    CE

    CEE+=

    50

    max Emax model

    nn

    n

    CE

    CEE

    +

    =

    50

    max sigmoid Emax model

    Rkkdt

    dRoutin =

    Rate of change of the response over time with nodrug present

    RkCIC

    Ck outin

    +=

    50

    1dt

    dR

    RkCIC

    CIk outn

    n

    in

    +

    =

    50

    max1dt

    dR

    Inhibition of build-up of response

    RCIC

    CIkk outin

    +

    =

    50

    max1dt

    dR

    Inhibition of loss of response

    RkCE

    CEk

    dt

    dRoutin

    +

    +=

    50

    max1 Stimulation of build-up of response

    RCE

    CEkkdt

    dRoutin

    +

    +=

    50

    max1

    Stimulation of loss of response

  • 7/27/2019 PK-Glossary PK Working Group 2004

    22/23

    AGAH Working group PK/PD modelling Page 22 of 24

    ...\PK-glossary_PK_working_group_2004.pdf

    4 STATISTICAL PARAMETERS

    4.1 Definitions

    Symbol Definition Calculation

    AIC Akaike Information Criterion

    (smaller positive values indicate a better fit)

    AIC = nln(WSSR) +2p

    n = number of observed (measured) concentrations,

    p = number of parameters in the model

    CI Confidence interval, e.g. 90%-CISEMtxCI n = ,1

    CV Coefficient of variation in %

    x

    SD100=CV , SD = standard deviation

    Median = ~x Median, value such that 50% of observedvalues are below and 50% above

    (n+1)st

    value if there are 2n+1 values or arithmeticmean of n

    thand (n+1)

    stvalue if there are 2n

    values

    Mean = x Arithmetic mean

    =

    =n

    i

    ixn

    x

    1

    1

    MSC Model selection criterion AIC, SC, F-ratio test, Imbimbo criterion etc.

    SC Schwarz criterion SC = nln(WSSR) +pln(n)

    SD Standard deviation VarSD =

    SEM Standard error of mean

    n

    SDSEM =

    SSR Sum of the squared deviations between thecalculated values of the model and themeasured values ( )

    n

    1=i

    C-,,

    =SSRcalciobsi

    C2

    SS Sum of the squared deviations between the

    measured values and the mean value C ( )n

    1=i

    C-,

    =SSobsi

    C

    2

    n-=SS

    ,

    ,

    2

    1

    1

    2

    ==

    n

    iobsin

    iobsi

    C

    C

    n = number of observed (measured) concentrations

    use of the second formula is discouraged althoughmathematically identical

    WSS or WSSR Weighted sum of the squared deviationsbetween the calculated values of the modeland the measured values

    ( )n

    1=i

    C-,,

    =WSSRcalciobsi

    Ciw2

    Var Variance s = SS/(n-1)

    X25% Lower quartile (25%- quantile), value suchthat 25% of observed values are below and75% above

    may be calculated as median of values betweenminimum and the overall median

    X75% Upper quartile (75%- quantile) may be calculated as median of values betweenthe overall median and the maximum

  • 7/27/2019 PK-Glossary PK Working Group 2004

    23/23

    AGAH Working group PK/PD modelling Page 23 of 24

    4.2 Characterisation of log-normally distributed data

    Symbol Definition Calculation

    gX Geometric mean of log-normally distributeddata

    =

    =

    n

    1iig )ln(x*

    n

    1expX

    sd l Standard deviation to the log-transformeddata

    =

    = =

    n

    i

    n

    i

    iil xn

    xn

    sd

    1

    2

    1

    2 )ln(1

    )ln(1

    1

    Scatter Scatter-Factor lsdeScatter =

    CIg Confidence interval of log-normallydistributed data

    =

    =

    n

    i

    nig SEMtxn

    CI

    1

    ln05.0,1)ln(1

    exp

    CVg Geometric coefficient of variation in %1100 ln = Varg eCV [%]

    Per16% 16% percentile of log-normally distributeddata

    Scatter

    XPer

    g

    16% =

    Per84% 84% percentile of log-normally distributeddata

    ScatterXPerg84%

    =