郑冠濠, 王琛瑀, 焦正. 模型引导下免疫检查点抑制剂的研发J. 药学学报, 2021,56(3): 734-742. doi: 10.16438/j.0513-4870.2020-1610
引用本文: 郑冠濠, 王琛瑀, 焦正. 模型引导下免疫检查点抑制剂的研发J. 药学学报, 2021,56(3): 734-742. doi: 10.16438/j.0513-4870.2020-1610
ZHENG Guan-hao, WANG Chen-yu, JIAO Zheng. Model-informed drug development for immune checkpoint inhibitorsJ. Acta Pharmaceutica Sinica, 2021,56(3): 734-742. doi: 10.16438/j.0513-4870.2020-1610
Citation: ZHENG Guan-hao, WANG Chen-yu, JIAO Zheng. Model-informed drug development for immune checkpoint inhibitorsJ. Acta Pharmaceutica Sinica, 2021,56(3): 734-742. doi: 10.16438/j.0513-4870.2020-1610

模型引导下免疫检查点抑制剂的研发

Model-informed drug development for immune checkpoint inhibitors

  • 摘要: 免疫检查点抑制剂作为一种新型的抗肿瘤治疗药物,因其对多种肿瘤卓越的疗效及良好的安全性得到广泛认可。基于定量药理学的发展应运而生的模型引导的药物研发(model-informed drug development,MIDD),能加速新药临床试验的进程,提高新药研究过程中决策的正确率,尤其是针对研发难度较大而需求甚广的免疫检查点抑制剂类新药。本文主要以帕博利珠单抗为例,阐述MIDD方法在免疫检查点抑制剂研发过程中的具体应用,包括研发早期有效给药方案的拟定,研发晚期评估临床疗效和验证给药方案的可行性,再至上市后给药方案的再评估及变更,为MIDD指导抗肿瘤新药的研发提供参考。

     

    Abstract: With a deepening understanding of cancer treatment, immune checkpoint inhibitors are recognized widely as a novel fundamental remedy for various malignancies with effectiveness and safety. With the development of pharmacometrics, model-informed drug development (MIDD) has emerged to accelerate the process of clinical research for new drugs and improve the accuracy of decision-making in new drug research, especially for immune checkpoint inhibitors. As a typical illustration, the research development of pembrolizumab is presented in this review to highlight the application of MIDD, which may provide a reference for the development of other new antitumor drugs.

     

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