A physiologically-based pharmacokinetic model for predicting doxorubicin disposition in multiple tissue levels and quantitative toxicity assessment - 11/11/23


Abstract |
Doxorubicin is a widely-used chemotherapeutic drug, however its high toxicity poses a significant challenge for its clinical use. To address this issue, a physiologically-based pharmacokinetic (PBPK) model was implemented to quantitatively assess doxorubicin toxicity at cellular scale. Due to its unique pharmacokinetic behavior (e.g. high volume of distribution and affinity to extra-plasma tissue compartments), we proposed a modified PBPK model structure and developed the model with multispecies extrapolation to compensate for the limitation of obtaining clinical tissue data. Our model predicted the disposition of doxorubicin in multiple tissues including clinical tissue data with an overall absolute average fold error (AAFE) of 2.12. The model’s performance was further validated with 8 clinical datasets in combined with intracellular doxorubicin concentration with an average AAFE of 1.98. To assess the potential cellular toxicity, toxicity levels and area under curve (AUC) were defined for different dosing regimens in toxic and non-toxic scenarios. The cellular concentrations of doxorubicin in multiple organ sites associated with commonly observed adverse effects (AEs) were simulated and calculated the AUC for quantitative assessments. Our findings supported the clinical dosing regimen of 75 mg/m2 with a 21-day interval and suggest that slow infusion and separated single high doses may lower the risk of developing AEs from a cellular level, providing valuable insights for the risk assessment of doxorubicin chemotherapy. In conclusion, our work highlights the potential of PBPK modelling to provide quantitative assessments of cellular toxicity and supports the use of clinical dosing regimens to mitigate the risk of adverse effects.
Le texte complet de cet article est disponible en PDF.Graphical Abstract |
Highlights |
• | Developed and validated PBPK model through interspecies extrapolation, leveraging clinical and preclinical PK data at the plasma, organ, and cellular levels. |
• | Explored doxorubicin's cellular toxicity based on concentration and AUC, yielding fresh insights into its potential risks. |
• | Developed the first validated PBPK model for doxorubicin, enabling accurate predictions of its distribution in diverse tissues. |
• | Significantly influences refined doxorubicin dosing and the development of less toxic doxorubicin formulations. |
Keywords : Physiologically-based pharmacokinetics, Doxorubicin, Interspecies extrapolation, Disposition, Quantitative pharmacology, Toxicity
Plan
Vol 168
Article 115636- décembre 2023 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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