Physiologically-based pharmacokinetic modelling

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What is a PBPK model?

File:7-cpt PBPK model.png
Example of structure of a PBPK model

Physiologically-based pharmacokinetic (PBPK) modeling is a mathematical modeling technique for predicting the absorption, distribution, metabolism and excretion (ADME) of a compound in humans and other animal species. PBPK modeling is used in pharmaceutical research and development, and in health risk assessment.

PBPK models strive to be mechanistic by mathematically transcribing anatomical, physiological, physical, and chemical descriptions of the phenomena involved in the complex ADME processes. Some degree of residual simplification and empiricism is still present in those models, but they have an extended domain of applicability compared to that of classical, empirical function based, pharmacokinetic models. Given that property, PBPK models may have purely predictive uses, but other uses, such as statistical inference, have been made possible by the development of Bayesian statistical tools able to deal with complex models (see Gelman et al. 1996). That is true for both toxicity risk assessment and therapeutic drug development.

PBPK models try to rely a priori on the anatomical and physiological structure of the body. These are usually also multi-compartment models, but the compartments correspond to predefined organs or tissues, for which the interconnections correspond to blood or lymph flows (more rarely to diffusions). A system of differential equations can still be written, but its parameters represent blood flows, pulmonary ventilation rate, organ volumes etc., for which information is available in scientific publications. Indeed the description of the body is simplified and a balance needs to be struck between complexity and simplicity. Besides the advantage of allowing the recruitment of a priori information about parameter values, these models also facilitate inter-species transpositions or extrapolation from one mode of administration to another (e.g., inhalation to oral). An example of a 7-compartment PBTK model, suitable to describe the fate of many solvents in the mammalian body, is given in the next Figure.

History

It is interesting to note that the first pharmacokinetic model described in the scientific literature (see Teorell 1937) was in fact a PBPK model. It led, however, to computations intractable at that time. The focus shifted then to simpler models, for which analytical solutions could be obtained (such solutions were sums of exponential terms, which led to further simplifications.) The availability of computers and numerical integration algorithms marked a renewed interest in physiological models in the early 1970s.

Uses of PBPK modeling

PBPK models are compartmental models like many others, but they have a few advantages over so-called "classical" pharmacokinetic models, which are less grounded in physiology. PBPK models can first be used to abstract and eventually reconcile disparate data (from physico-chemical or biochemical experiments, in vitro or in vivo pharmacological or toxicological experiments, etc.) They give also access to internal body concentrations of chemicals or their metabolites, and in particular at the site of their effects, be it therapeutic or toxic. Finally they also help interpolation and extrapolation of knowledge between:

  • Doses: e.g., from the high concentrations typically used in laboratory experiments to those found in the environment
  • Exposure duration: e.g., from continuous to discontinuous, or single to multiple exposures
  • Routes of administration: e.g., from inhalation exposures to ingestion
  • Species: e.g., transpositions from rodents to human, prior to giving a drug for the first time to subjects of a clinical trial, or when experiments on humans are deemed unethical, such as when the compound is toxic without therapeutic benefit
  • Individuals: e.g., from males to females, from adults to children, from non-pregnant women to pregnant

Some of these extrapolations are "parametric" : only changes in input or parameter values are needed to achieve the extrapolation (this is usually the case for dose and time extrapolations). Others are "nonparametric" in the sense that a change in the model structure itself is needed (e.g., when extrapolating to a pregnant female, equations for the fetus should be added).

References

  • Balant L.P. Gex-Fabry M. (1990) Physiological pharmacokinetic modelling Xenobiotica 20: 1241-1257.
  • Bouvier d’Yvoire M., Prieto P., Blaauboer B.J., Bois F., Boobis A., Brochot C., Coecke S., Freidig A., Gundert-Remy U., Hartung T., Jacobs M. N., Lavé T., Leahy D.E., Lennernäs H., Loizou G.D., Meek B., Pease C., Rowland M., Spendiff M., Yang J., Zeilmaker M. (2007) Physiologically-based kinetic modelling (PBK modelling): meeting the 3Rs agenda - The report and recommendations of ECVAM Workshop 63a, Alternatives to Laboratory Animals, 35:661–671.
  • Menzel D.B. (1987) Physiological pharmacokinetic modeling Environmental Science and Technology 21:944-950.
  • Droz P.O., Guillemin M.P. (1983) Human styrene exposure - V. Development of a model for biological monitoring International Archives of Occupational and Environmental Health 53:19-36.
  • Gelman A., Bois F., Jiang J. (1996) Physiological pharmacokinetic analysis using population modeling and informative prior distributions Journal of the American Statistical Association, 91:1400-1412.
  • Gerlowski L.E., Jain R.K. (1983) Physiologically based pharmacokinetic modeling: principles and applications Journal of Pharmaceutical Sciences 72: 1103-1127.
  • Ramsey J.C., Andersen M. (1984) A physiologically based description of the inhalation pharmacokinetics of styrene in rats and humans Toxicology and Applied Pharmacology 73: 159-175.
  • Reddy M. et al. (2005) Physiologically Based Pharmacokinetic Modeling : Science and Applications, Wiley-Interscience.
  • Teorell T. (1937). Kinetics of distribution of substances administered to the body Archives Internationales de Pharmacodynamie et de Thérapie 57: 205-240.

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