Abstract
Food–drug interaction is one of the major factors that impact clinical pharmacokinetics in drug development. Unfortunately, the available in vitro and preclinical models do not appropriately predict food effects due to the complex mechanisms. It is recognized by the FDA that a food effect study should be conducted in the early clinical stage to inform the dosing paradigm and establish food effects risks in patients. Physiologically based biopharmaceutics modeling (PBBM) is a powerful tool to predict clinical PK by incorporating physiology-related and drug product-related factors in the mechanistic absorption model. PBBM has been utilized in various applications in drug development, such as biopharmaceutics risk assessment, bioequivalence safe space setup, and pH-mediated drug–drug interaction evaluation. The application of utilizing PBBM for food effect assessment has been tested and validated through many published case studies. In this chapter, an overview of food effects including current assessment practice, various food–drug interaction mechanisms, and clinical considerations is included. Thorough instruction on using PBBM to evaluate food effects is provided, followed by two detailed case studies. Though PBBM has shown potential in food effect prediction, it is still an evolving area, and current gaps and future directions are discussed.
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Wu, D., Gleeson, J.P., Kesisoglou, F. (2023). Physiologically Based Pharmacokinetic (PBPK) Modeling Application on Food Effect Assessment. In: Macheras, P. (eds) Advances in Pharmacokinetics and Pharmacodynamics. AAPS Introductions in the Pharmaceutical Sciences, vol 9. Springer, Cham. https://doi.org/10.1007/978-3-031-29541-6_2
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