Exposure-Response Modeling Approach for Assessing QT Effect in Thorough QT/QTc Studies

被引:3
|
作者
Hosmane, Balakrishna [1 ]
Locke, Charles [2 ]
Chiu, Yi-Lin [2 ]
机构
[1] No Illinois Univ, Div Stat, De Kalb, IL 60115 USA
[2] Abbott Labs, Abbott Pk, IL 60064 USA
关键词
Alternative strategy; Exposure-response model; Intersection-union test;
D O I
10.1080/10543400903582026
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
We assess the QT effect using an exposure-response model in a othorough QT/QTc studyo with a four-period crossover design in which the treatments are placebo, positive control, higher dose of investigational drug, and therapeutic dose of investigational drug. In the study, QTc interval values and the drug concentrations are obtained for several specified times during treatment. This approach to the assessment of non-inferiority of the higher dose to placebo is an alternative strategy suggested in ICH-E14 guideline (Section 2.2.5) to the intersection-union test.
引用
收藏
页码:624 / 640
页数:17
相关论文
共 50 条
  • [21] THOROUGH QT/QTC STUDY WITH EDOXABAN TO EVALUATE EFFECT OF THERAPEUTIC AND SUPRATHERAPEUTIC EXPOSURE ON QTC INTERVAL DURATION IN HEALTHY SUBJECTS
    Mendell, J.
    Basavapathruni, R.
    Swcaringen, D.
    Draves, A.
    Zhang, G.
    JOURNAL OF CLINICAL PHARMACOLOGY, 2009, 49 (09): : 1122 - 1122
  • [22] Evaluation of the effect of dapagliflozin on cardiac repolarization: A thorough QT/QTc study
    Carlson G.F.
    Tou C.K.P.
    Parikh S.
    Birmingham B.K.
    Butler K.
    Diabetes Therapy, 2011, 2 (3) : 123 - 132
  • [23] Exposure-response modeling and clinical trial simulation of the effect of tolterodine on QT intervals in healthy volunteers
    Sweeney, Kevin R.
    Gastonguay, Marc R.
    Benincosa, Lisa
    Cronenberger, Carol L.
    Glue, Paul
    Malhotra, Bimal K.
    DRUG DISCOVERIES AND THERAPEUTICS, 2010, 4 (01): : 44 - 53
  • [24] A Thorough QT/QTc Study of Clobazam in Healthy Volunteers
    Tolbert, Dwain
    Gordon, Judy
    Harris, Stuart
    Walzer, Mark
    Bekersky, Ihor
    Reid, Susan
    CLINICAL THERAPEUTICS, 2017, 39 (10) : 2073 - 2086
  • [25] Validation testing in thorough QT/QTc clinical trials
    Tsong, Yi
    Zhong, Jinglin
    Chen, Wen Jen
    JOURNAL OF BIOPHARMACEUTICAL STATISTICS, 2008, 18 (03) : 529 - 541
  • [26] The Cost-Effectiveness of Drug Regulation: The Example of Thorough QT/QTc Studies
    Bouvy, J. C.
    Koopmanschap, M. A.
    Shah, R. R.
    Schellekens, H.
    CLINICAL PHARMACOLOGY & THERAPEUTICS, 2012, 91 (02) : 281 - 288
  • [27] THOROUGH QT/QTC STUDY EITH EDOXABAN TO EVALUATE EFFECT OF THERAPEUTIC AND SUPRATHERAPEUTIC EXPOSURE ON QTC INTERVAL DURATION IN HEALTHY SUBJECTS
    Mendell, J.
    Basavapathruni, R.
    Swearingen, D.
    Draves, A.
    Zhang, G.
    BASIC & CLINICAL PHARMACOLOGY & TOXICOLOGY, 2009, 105 : 53 - 53
  • [28] Comparison of QTc Data Analysis Methods Recommended by the ICH E14 Guidance and Exposure-Response Analysis: Case Study of a Thorough QT Study of Asenapine
    Chapel, S.
    Hutmacher, M. M.
    Bockbrader, H.
    de Greef, R.
    Lalonde, R. L.
    CLINICAL PHARMACOLOGY & THERAPEUTICS, 2011, 89 (01) : 75 - 80
  • [29] Assessing a Drug’s Proarrhythmic Liability: An Overview of Computer Simulation Modeling, Nonclinical Assays, and the Thorough QT/QTc Study
    Lawrence Z. Satin
    Todd A. Durham
    J. Rick Turner
    Drug information journal : DIJ / Drug Information Association, 2011, 45 : 357 - 375
  • [30] Absence of QTc prolongation with semaglutide: a thorough QT/QTc study in healthy subjects
    Demmel, V.
    Sandberg-Schaal, A.
    Jacobsen, J. B.
    Golor, G.
    Flint, A.
    Pettersson, J.
    EUROPEAN HEART JOURNAL, 2017, 38 : 1128 - 1129