Abstract
Antiviral drugs play a crucial role in the treatment of human infections caused by viral pathogens. In order for antiviral therapy to be efficacious, the optimal dose and dosing interval for each compound must be identified. Optimal dosage regimens are defined as regimens that maximize inhibition of viral replication, prevent the emergence of resistance, and demonstrate minimal toxicity. Pharmacometrics can be applied to guide in the intelligent design of optimal dosage regimens for antiviral compounds. But in order for this approach to be successful, a deep understanding of the pharmacokinetic (PK) and pharmacodynamic (PD) properties of each compound must be delineated. In this chapter, we describe the use of in vitro PD model systems to elucidate the PD and PK/PD interactions for several antiviral agents active against human immunodeficiency virus (HIV), hepatitis C virus (HCV), or influenza A virus. We also discuss how this information derived from “benchtop” experiments can be directly applied to the “bedside” or clinic.
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Drusano, G., Brown, A. (2014). Pharmacometrics of Viral Infections. In: Schmidt, S., Derendorf, H. (eds) Applied Pharmacometrics. AAPS Advances in the Pharmaceutical Sciences Series, vol 14. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1304-6_9
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