Incorporation and performance verification of hepatic portal blood flow shunting in minimal and full PBPK models of liver cirrhosis

BG Small, O Hatley, M Jamei, I Gardner… - Clinical …, 2023 - Wiley Online Library
Patho‐physiological changes in liver cirrhosis create portacaval shunts that allow blood flow
to bypass the hepatic portal vein into the systemic circulation affecting drug …

A mechanistic pharmacokinetic model for liver transporter substrates under liver cirrhosis conditions

R Li, HA Barton, TS Maurer - CPT: pharmacometrics & systems …, 2015 - Wiley Online Library
Liver cirrhosis is a disease characterized by the loss of functional liver mass. Physiologically
based pharmacokinetic (PBPK) modeling was applied to interpret and predict how the …

After fifty years of hepatic clearance models, where should we go from here? Improvements and implications for PBPK modeling

KS Pang, WI Lu, GJ Mulder - Drug Metabolism and Disposition, 2024 - ASPET
There is overwhelming preference for application of the unphysiologic, well-stirred model
(WSM) over the parallel tube (PTM) and dispersion (DM) models to predict hepatic drug …

Physiology-based simulations of a pathological condition: prediction of pharmacokinetics in patients with liver cirrhosis

AN Edginton, S Willmann - Clinical pharmacokinetics, 2008 - Springer
Background: Liver cirrhosis is a progressive disease characterized by loss of functional
hepatocytes with concomitant connective tissue and nodule formation in the liver. The …

Exploring the pharmacokinetic mysteries of the liver: application of series compartment models of hepatic elimination

X Li, WJ Jusko - Drug Metabolism and Disposition, 2023 - ASPET
Among the basic hepatic clearance models, the dispersion model (DM) is the most
physiologically sound compared with the well-stirred model and the parallel tube model …

Hepatic impairment physiologically based pharmacokinetic model development: current challenges

AN Han, BR Han, T Zhang, T Heimbach - Current Pharmacology Reports, 2021 - Springer
Purpose This review summarizes the development processes of hepatic impairment (HI)
PBPK models, examines current challenges, and proposes potential solutions. Recent …

Does the systemic plasma profile inform the liver profile? Analysis using a physiologically based pharmacokinetic model and individual compounds

R Li, TS Maurer, K Sweeney, HA Barton - The AAPS journal, 2016 - Springer
The physiologically based pharmacokinetic (PBPK) model for liver transporter substrates
has been established previously and used for predicting drug–drug interactions (DDI) and …

Toward improved predictions of pharmacokinetics of transported drugs in hepatic impairment: Insights from the extended clearance model

F Storelli, MK Ladumor, X Liang, Y Lai… - CPT …, 2024 - Wiley Online Library
Abstract Hepatic impairment (HI) moderately (< 5‐fold) affects the systemic exposure (ie,
area under the plasma concentration–time curve [AUC]) of drugs that are substrates of the …

Assessing liver-to-plasma partition coefficients and in silico calculation methods: when does the hepatic model matter in PBPK?

X Li, WJ Jusko - Drug Metabolism and Disposition, 2022 - ASPET
The primary models used in pharmacokinetics to assess hepatic clearance (CLh) are the
well-stirred model (WSM), the parallel tube model (PTM), and the dispersion model (DM) …

Modeling and simulation of hepatic drug disposition using a physiologically based, multi-agent in silico liver

L Yan, GEP Ropella, S Park, MS Roberts… - Pharmaceutical …, 2008 - Springer
Purpose Validate a physiologically based, mechanistic, in silico liver (ISL) for studying the
hepatic disposition and metabolism of antipyrine, atenolol, labetalol, diltiazem, and sucrose …