Abstract
Modeling and simulation of pharmacokinetic and pharmacodynamic/response data has been increasingly advocated during drug development, to allow more efficient utilization of collected clinical data and to support informed decision making, e.g., regarding future study designs and dosing strategies in subpopulations. This chapter reflects the view of the Swedish Medical Products Agency, one of the European regulatory bodies, on how M&S studies contribute in the regulatory review. The availability of European guidelines related to modeling and simulation is discussed and some insight is provided into the types of recommendations given, together with a few examples.
This chapter reflects the view of the Swedish Medical Products Agency and may not be the view of the European Medicines Agency or any other European regulatory agency.
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Aarons L, Karlsson MO, Mentre F, Rombout F, Steimer JL, van Peer A (2001) Role of modelling and simulation in phase I drug development. Eur J Pharm Sci 13:115–122
Balant LP, Gex-Fabry M (2000) Modelling during drug development. Eur J Pharm Biopharm 50:13–26
Barrett JS, Fossler MJ, Cadieu KD, Gastonguay MR (2008) Pharmacometrics: a multidisciplinary field to facilitate critical thinking in drug development and translational research settings. J Clin Pharmacol 48:632–649
Bhattaram VA, Booth BP, Ramchandani RP, Beasley BN, Wang Y, Tandon V, Duan JZ, Baweja RK, Marroum PJ, Uppoor RS, Rahman NA, Sahajwalla CG, Powell JR, Mehta MU, Gobburu JV (2005) Impact of pharmacometrics on drug approval and labeling decisions: a survey of 42 new drug applications. AAPS J 7:E503–E512
Bhattaram VA, Bonapace C, Chilukuri DM, Duan JZ, Garnett C, Gobburu JV, Jang SH, Kenna L, Lesko LJ, Madabushi R, Men Y, Powell JR, Qiu W, Ramchandani RP, Tornoe CW, Wang Y, Zheng JJ (2007) Impact of pharmacometric reviews on new drug approval and labeling decisions–a survey of 31 new drug applications submitted between 2005 and 2006. Clin Pharmacol Ther 81:213–221
Blesch KS, Gieschke R, Tsukamoto Y, Reigner BG, Burger HU, Steimer JL (2003) Clinical pharmacokinetic/pharmacodynamic and physiologically based pharmacokinetic modeling in new drug development: the capecitabine experience. Invest New Drugs 21:195–223
Bonate PL (2000) Clinical trial simulation in drug development. Pharm Res 17:252–256
Breimer DD, Danhof M (1997) Relevance of the application of pharmacokinetic-pharmacodynamic modelling concepts in drug development. The ‘wooden shoe’ paradigm. Clin Pharmacokinet 32:259–267
Chaikin P, Rhodes GR, Bruno R, Rohatagi S, Natarajan C (2000) Pharmacokinetics/pharmacodynamics in drug development: an industrial perspective. J Clin Pharmacol 40:1428–1438
Chien JY, Friedrich S, Heathman MA, de Alwis DP, Sinha V (2005) Pharmacokinetics/pharmacodynamics and the stages of drug development: role of modeling and simulation. AAPS J 7:E544–E559
Committee for Medicinal Products for Human Use (CHMP) (2007) Guideline on reporting the results of population pharmacokinetic analyses. CHMP/EWP/185990/06. Available for http://www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2009/09/WC500003067.pdf. Accessed 10 October 2010
Derendorf H, Meibohm B (1999) Modeling of pharmacokinetic/pharmacodynamic (PK/PD) relationships: concepts and perspectives. Pharm Res 16:176–185
Edholm M, Gil Berglund E, Salmonson T (2008) Regulatory aspects of pharmacokinetic profiling in special populations: a European perspective. Clin Pharmacokinet 47:693–701
EU Legislation – Eudralex, Directive 2001/83/EC of the European Parliament and of the Council of 6 November 2001 on the Community code relating to medicinal products for human use (Consolided version: 30/12/2008). http://ec.europa.eu/health/files/eudralex/vol-1/dir_2001_83_cons/dir2001_83_cons_20081230_en.pdf. Accessed 10 October 2010
EU Legislation – Eudralex, Regulation (EC) No 1902/2006 of the European Parliament and of the Council of 20 December 2006 amending Regulation 1901/2006 on medicinal products for paediatric use. http://ec.europa.eu/health/files/eudralex/vol-1/reg_2006_1901/reg_2006_1901_en.pdf. Accessed 10 October 2010
EU Legislation – Eudralex, The rules governing medicinal products in the European Union Volume 2A: Notice to applicants and regulatory guidelines for medicinal products for human use. http://ec.europa.eu/health/documents/eudralex/vol-2/index_en.htm#h2-volume-2a---procedures-for-marketing-authorisation. Accessed 10 October 2010
European Commission. http://ec.europa.eu/health/documents/eudralex/. Accessed 10 October 2010
European Medicines Agency (2007) European public assessment report for Celsentri, procedure no. EMEA/H/C/811.http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Scientific_Discussion/human/000811/WC500022194.pdf.Accessed 10 October 2010
European Medicines Agency (2008) European public assessment report for Bridion, procedure no.EMEA/H/C/000885. http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Public_assessment_report/human/000885/WC500052309.pdf. Accessed 10 October 2010
European Medicines Agency (2009) European public assessment report for Keppra, procedure no. EMEA/H/C/000277/II/0097. http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Assessment_Report_-_Variation/human/000277/WC500041557.pdf. Accessed 10 October 2010
European Medicines Agency. http://www.ema.europa.eu. Accessed 2 May 2010
European Medicines Agency. Scientific guidelines for human medicinal products. Clinical efficacy and safety guidelines. http://www.ema.europa.eu/ema/index.jsp?curl=pages/regulation/general/general_content_000085.jsp&murl=menus/regulations/regulations.jsp&mid=WC0b01ac0580027549. Accessed 10 October 2010
European Medicines Agency. Scientific guidelines for human medicinal products. Multidisciplinary guidelines. http://www.ema.europa.eu/ema/index.jsp?curl=pages/regulation/general/general_content_000086.jsp&murl=menus/regulations/regulations.jsp&mid=WC0b01ac058002754a. Accessed 10 October 2010
Food and Drug Administration (2004) Innovation or stagnation: challenge and opportunity on the critical path to new medical products. http://www.fda.gov/ScienceResearch/SpecialTopics/CriticalPathInitiative/CriticalPathOpportunitiesReports/ucm077262.htm. Accessed 2 May 2010
Food and Drug Administration (2006) Innovation or stagnation: Critical path opportunities report. http://www.fda.gov/downloads/ScienceResearch/SpecialTopics/CriticalPathInitiative/CriticalPathOpportunitiesReports/UCM077254.pdf. Accessed 2 May 2010
Gieschke R, Steimer JL (2000) Pharmacometrics: modelling and simulation tools to improve decision making in clinical drug development. Eur J Drug Metab Pharmacokinet 25:49–58
Gobburu JV, Marroum PJ (2001) Utilisation of pharmacokinetic-pharmacodynamic modelling and simulation in regulatory decision-making. Clin Pharmacokinet 40:883–892
Gobburu JV, Sekar VJ (2002) Application of modeling and simulation to integrate clinical pharmacology knowledge across a new drug application. Int J Clin Pharmacol Ther 40:281–288
Grasela TH, Dement CW, Kolterman OG, Fineman MS, Grasela DM, Honig P, Antal EJ, Bjornsson TD, Loh E (2007) Pharmacometrics and the transition to model-based development. Clin Pharmacol Ther 82:137–142
Holford N, Karlsson MO (2007) Time for quantitative clinical pharmacology: a proposal for a pharmacometrics curriculum. Clin Pharmacol Ther 82:103–105
Holford NH, Kimko HC, Monteleone JP, Peck CC (2000) Simulation of clinical trials. Annu Rev Pharmacol Toxicol 40:209–234
Jacqmin P, McFadyen L, Wade JR (2008) A receptor theory-based semimechanistic PD model for the CCR5 noncompetitive antagonist maraviroc. Br J Clin Pharmacol 65(suppl 1):95–106
Jadhav PR, Zhang J, Gobburu JV (2009) Leveraging prior quantitative knowledge in guiding pediatric drug development: a case study. Pharm Stat 8:216–224
Lalonde RL, Kowalski KG, Hutmacher MM, Ewy W, Nichols DJ, Milligan PA, Corrigan BW, Lockwood PA, Marshall SA, Benincosa LJ, Tensfeldt TG, Parivar K, Amantea M, Glue P, Koide H, Miller R (2007) Model-based drug development. Clin Pharmacol Ther 82:21–32
Lesko LJ (2007) Paving the critical path: how can clinical pharmacology help achieve the vision? Clin Pharmacol Ther 81:170–177
Lockwood P, Ewy W, Hermann D, Holford N (2006) Application of clinical trial simulation to compare proof-of-concept study designs for drugs with a slow onset of effect; an example in Alzheimer’s disease. Pharm Res 23:2050–2059
Manolis E, Pons G (2009) Proposals for model-based paediatric medicinal development within the current European Union regulatory framework. Brit J Clin Pharmacol 68:493–501
Meibohm B, Derendorf H (2002) Pharmacokinetic/pharmacodynamic studies in drug product development. J Pharm Sci 91:18–31
Miller R, Ewy W, Corrigan BW, Ouellet D, Hermann D, Kowalski KG, Lockwood P, Koup JR, Donevan S, El-Kattan A, Li CS, Werth JL, Feltner DE, Lalonde RL (2005) How modeling and simulation have enhanced decision making in new drug development. J Pharmacokinet Pharmacodyn 32:185–197
Minto C, Schnider T (1998) Expanding clinical applications of population pharmacodynamic modelling. Br J Clin Pharmacol 46:321–333
Olson SC, Bockbrader H, Boyd RA, Cook J, Koup JR, Lalonde RL, Siedlik PH, Powell JR (2000) Impact of population pharmacokinetic-pharmacodynamic analyses on the drug development process: experience at Parke-Davis. Clin Pharmacokinet 38:449–459
Powell JR, Gobburu JV (2007) Pharmacometrics at FDA: evolution and impact on decisions. Clin Pharmacol Ther 82:97–102
Reigner BG, Williams PE, Patel IH, Steimer JL, Peck C, van Brummelen P (1997) An evaluation of the integration of pharmacokinetic and pharmacodynamic principles in clinical drug development. Experience within Hoffmann La Roche. Clin Pharmacokinet 33:142–152
Rosario MC, Jacqmin P, Dorr P, van der Ryst E, Hitchcock C (2005) A pharmacokinetic-pharmacodynamic disease model to predict in vivo antiviral activity of maraviroc. Clin Pharmacol Ther 78:508–519
Rosario MC, Poland B, Sullivan J, Westby M, van der Ryst E (2006) A pharmacokinetic-pharmacodynamic model to optimize the phase IIa development program of maraviroc. J Acquir Immune Defic Syndr 42:183–191
Rosario MC, Jacqmin P, Dorr P, James I, Jenkins TM, Abel S, van der Ryst E (2008) Population pharmacokinetic/pharmacodynamic analysis of CCR5 receptor occupancy by maraviroc in healthy subjects and HIV-positive patients. Br J Clin Pharmacol 65(suppl 1):86–94
Rowland M, Tucker G, Peck C (2011) Physiologically based pharmacokinetics in drug development and regulatory science. Annu Rev Pharmacol Toxicol 51 (expected, Epub ahead of print 18 January 2010)
Sheiner LB (1997) Learning versus confirming in clinical drug development. Clin Pharmacol Ther 61:275–291
Sheiner LB, Steimer JL (2000) Pharmacokinetic/pharmacodynamic modeling in drug development. Annu Rev Pharmacol Toxicol 40:67–95
Stanski DR, Rowland M, Sheiner LB (2005) Getting the dose right: Report from the Tenth European Federation of Pharmaceutical Sciences (EUFEPS) conference on optimizing drug development. J Pharmacokinet Pharmacodyn 32:199–211
Veyrat-Follet C, Bruno R, Olivares R, Rhodes GR, Chaikin P (2000) Clinical trial simulation of docetaxel in patients with cancer as a tool for dosage optimization. Clin Pharmacol Ther 68:677–687
Wang Y, Bhattaram AV, Jadhav PR, Lesko LJ, Madabushi R, Powell JR, Qiu W, Sun H, Yim DS, Zheng JJ, Gobburu JV (2008) Leveraging prior quantitative knowledge to guide drug development decisions and regulatory science recommendations: impact of FDA pharmacometrics during 2004-2006. J Clin Pharmacol 48:146–156
Zhang L, Sinha V, Forgue ST, Callies S, Ni L, Peck R, Allerheiligen SR (2006) Model-based drug development: the road to quantitative pharmacology. J Pharmacokinet Pharmacodyn 33:369–393
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Dr Monique Wakelkamp is gratefully acknowledged for providing linguistic review.
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Jönsson, S., Henningsson, A., Edholm, M., Salmonson, T. (2011). Contribution of Modeling and Simulation Studies in the Regulatory Review: A European Regulatory Perspective. In: Kimko, H., Peck, C. (eds) Clinical Trial Simulations. AAPS Advances in the Pharmaceutical Sciences Series, vol 1. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7415-0_2
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