Preclinical Experimental and Mathematical Approaches for Assessing Effective Doses of Inhaled Drugs, Using Mometasone to Support Human Dose Predictions

Understanding the relationship between dose, lung exposure, and drug efficacy continues to be a challenging aspect of inhaled drug development. An experimental inhalation platform was developed using mometasone furoate to link rodent lung exposure to its in vivo pharmacodynamic (PD) effects. We asse...

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Veröffentlicht in:Journal of aerosol medicine 2016-08, Vol.29 (4), p.362-377
Hauptverfasser: Caniga, Michael, Cabal, Antonio, Mehta, Khamir, Ross, David S, Gil, Malgorzata A, Woodhouse, Janice D, Eckman, Joseph, Naber, John R, Callahan, Marissa K, Goncalves, Luciano, Hill, Susan E, Mcleod, Robbie L, McIntosh, Fraser, Freke, Mark C, Visser, Sandra A G, Johnson, Neil, Salmon, Michael, Cicmil, Milenko
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container_end_page 377
container_issue 4
container_start_page 362
container_title Journal of aerosol medicine
container_volume 29
creator Caniga, Michael
Cabal, Antonio
Mehta, Khamir
Ross, David S
Gil, Malgorzata A
Woodhouse, Janice D
Eckman, Joseph
Naber, John R
Callahan, Marissa K
Goncalves, Luciano
Hill, Susan E
Mcleod, Robbie L
McIntosh, Fraser
Freke, Mark C
Visser, Sandra A G
Johnson, Neil
Salmon, Michael
Cicmil, Milenko
description Understanding the relationship between dose, lung exposure, and drug efficacy continues to be a challenging aspect of inhaled drug development. An experimental inhalation platform was developed using mometasone furoate to link rodent lung exposure to its in vivo pharmacodynamic (PD) effects. We assessed the effect of mometasone delivered directly to the lung in two different rodent PD models of lung inflammation. The data obtained were used to develop and evaluate a mathematical model to estimate drug dissolution, transport, distribution, and efficacy, following inhaled delivery in rodents and humans. Mometasone directly delivered to the lung, in both LPS and Alternaria alternata rat models, resulted in dose dependent inhibition of BALf cellular inflammation. The parameters for our mathematical model were calibrated to describe the observed lung and systemic exposure profiles of mometasone in humans and in animal models. We found that physicochemical properties, such as lung fluid solubility and lipophilicity, strongly influenced compound distribution and lung retention. Presently, we report on a novel and sophisticated mathematical model leading to improvements in a current inhaled drug development practices by providing a quantitative understanding of the relationship between PD effects and drug concentration in lungs.
doi_str_mv 10.1089/jamp.2015.1253
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subjects Administration, Inhalation
Aerosols
Alternaria
Alternaria alternata
Alternariosis - drug therapy
Alternariosis - metabolism
Alternariosis - microbiology
Alternariosis - physiopathology
Animals
Anti-Inflammatory Agents - administration & dosage
Anti-Inflammatory Agents - pharmacokinetics
Disease Models, Animal
Drug Dosage Calculations
Health technology assessment
Humans
Lipopolysaccharides
Lung - drug effects
Lung - metabolism
Lung - physiopathology
Lung Diseases, Fungal - drug therapy
Lung Diseases, Fungal - metabolism
Lung Diseases, Fungal - microbiology
Lung Diseases, Fungal - physiopathology
Male
Models, Biological
Mometasone Furoate - administration & dosage
Mometasone Furoate - pharmacokinetics
Pneumonia - chemically induced
Pneumonia - drug therapy
Pneumonia - metabolism
Pneumonia - physiopathology
Rats, Inbred BN
Rats, Sprague-Dawley
Species Specificity
Tissue Distribution
title Preclinical Experimental and Mathematical Approaches for Assessing Effective Doses of Inhaled Drugs, Using Mometasone to Support Human Dose Predictions
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