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A Multi-Compartment Model Capturing the Pharmacokinetics of the Calcimimetic Cinacalcet.
Schappacher-Tilp, Gudrun; Fuertinger, Doris H; Kotanko, Peter.
Afiliación
  • Schappacher-Tilp G; University of Graz, Institute of Mathematics and Scientific Computing, Graz, Austria, gudrun.schappacher-tilp@uni-graz.at.
  • Fuertinger DH; Fresenius Medical Care Germany, Global Research and Development, Bad Homburg, Germany.
  • Kotanko P; Renal Research Institute, New York, NY, USA.
Cell Physiol Biochem ; 53(2): 429-438, 2019.
Article en En | MEDLINE | ID: mdl-31424183
BACKGROUND/AIMS: Chronic kidney disease-mineral bone disorder is a major complication affecting the vast majority of chronic kidney disease patients. A hallmark of the disorder is an altered parathyroid gland biology resulting in secondary hyperparathyroidism. This condition is widely treated by calcimimetics like cinacalcet which act by allosteric activation of the calcium sensing receptor. METHODS: Here, we present a linear multi-compartment model based on physiological principles such as first-pass metabolism and protein binding, which captures all relevant pharmacokinetic parameters of cinacalcet. RESULTS: Due to the linear structure of the model, simulations are numerically stable and allow fast and accurate short or long-term predictions of cinacalcet concentrations in the body. CONCLUSION: The model compartments are physiological meaningful and can be easily adjusted to various conditions like impaired hepatic clearance or different drug administration regimens. Moreover, the model can be easily adapted to specific patient groups.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calcimiméticos / Cinacalcet / Modelos Biológicos Tipo de estudio: Etiology_studies / Prognostic_studies Límite: Humans Idioma: En Revista: Cell Physiol Biochem Asunto de la revista: BIOQUIMICA / FARMACOLOGIA Año: 2019 Tipo del documento: Article Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calcimiméticos / Cinacalcet / Modelos Biológicos Tipo de estudio: Etiology_studies / Prognostic_studies Límite: Humans Idioma: En Revista: Cell Physiol Biochem Asunto de la revista: BIOQUIMICA / FARMACOLOGIA Año: 2019 Tipo del documento: Article Pais de publicación: Alemania