Dose optimization informed by PBPK modeling: state‐of‐the art and future

K Rowland Yeo, E Gil Berglund… - Clinical Pharmacology & …, 2024 - Wiley Online Library
Model‐informed drug development (MIDD) is a powerful quantitative approach that plays an
integral role in drug development and regulatory review. While applied throughout the life …

Inclusion of functional measures and frailty in the development and evaluation of medicines for older adults

M Denkinger, W Knol, A Cherubini… - The Lancet Healthy …, 2023 - thelancet.com
Summary The International Council for Harmonisation of Technical Requirements for
Pharmaceuticals for Human Use (ICH) E7, the guidance for the conduct of clinical trials in …

Participation of older adults in clinical trials for new drug applications and biologics license applications from 2010 through 2019

SWJ Lau, Y Huang, J Hsieh, S Wang, Q Liu… - JAMA Network …, 2022 - jamanetwork.com
Importance Older age may be accompanied by changes in the pharmacokinetics or
pharmacodynamics or both of medications that can result in altered safety and efficacy …

Addressing the gaps in evaluation of new drugs for older adults: strategies from the International Union of Basic and Clinical Pharmacology (IUPHAR) Geriatric …

SN Hilmer, J Schwartz, M Petrovic… - Journal of the …, 2024 - Wiley Online Library
Abstract The International Union of Basic and Clinical Pharmacology (IUPHAR) Geriatric
Committee aims to improve the use of drugs in older adults and develop new therapeutic …

[HTML][HTML] Physiologically based pharmacokinetic (PBPK) modelling of oral drug absorption in older adults–an AGePOP review

C Demeester, D Robins, AE Edwina, J Tournoy… - European Journal of …, 2023 - Elsevier
The older population consisting of persons aged 65 years or older is the fastest-growing
population group and also the major consumer of pharmaceutical products. Due to the …

Optimizing pharmacotherapy and deprescribing strategies in older adults living with multimorbidity and polypharmacy: EuGMS SIG on pharmacology position paper

E van Poelgeest, L Seppala, G Bahat, B Ilhan… - European Geriatric …, 2023 - Springer
Inappropriate polypharmacy is highly prevalent among older adults and presents a
significant healthcare concern. Conducting medication reviews and implementing …

Utility of Physiologically Based Pharmacokinetic Modeling in Predicting and Characterizing Clinical Drug Interactions

RS Foti - Drug Metabolism and Disposition, 2024 - Elsevier
Physiologically based pharmacokinetic (PBPK) modeling is a mechanistic dynamic
modeling approach that can be used to predict or retrospectively describe changes in drug …

Polypharmacy in older heart failure patients: a multidisciplinary approach

S Sukumar, AR Orkaby, JB Schwartz, Z Marcum… - Current Heart Failure …, 2022 - Springer
Abstract Purpose of Review We provide a review of considerations when applying principles
of optimal pharmacotherapy to older adults with heart failure (HF), an analysis on the pivotal …

The effect of down‐titration and discontinuation of heart failure pharmacotherapy in older people: A systematic review and meta‐analysis

MH Duong, D Gnjidic, AJ McLachlan… - British Journal of …, 2024 - Wiley Online Library
The aim of this study was to investigate whether interventions to discontinue or down‐titrate
heart failure (HF) pharmacotherapy are feasible and associated with risks in older people. A …

Assessing medicines for use in the geriatric population

F Cerreta, K Vučić, A Laslop - Clinical Pharmacology & …, 2023 - Wiley Online Library
The aging processes alter the body's response to a medicine's pharmacokinetics,
pharmacodynamics, and susceptibility to adverse effects. In addition, older adults, especially …