Article
Application of PBPK Modeling and Virtual Clinical Study Approaches to Predict the Outcomes of CYP2D6 Genotype-Guided Dosing of Tamoxifen.
CPT: pharmacometrics & systems pharmacology - 1 Jul 2018
Nakamura Toshimichi, Toshimoto Kota, Lee Wooin, Imamura Chiyo K, Tanigawara Yusuke, Sugiyama Yuichi
Abstract excerpt
The Tamoxifen Response by CYP2D6 Genotype-based Treatment-1 (TARGET-1) study (n = 180) was conducted from 2012-2017 in Japan to determine the efficacy of tamoxifen dosing guided by cytochrome P450 2D6 (CYP2D6) genotypes. To predict its outcomes prior to completion, we constructed the comprehensive physiologically based pharmacokinetic (PBPK) models of tamoxifen and its metabolites and performed virtual TARGET-1...
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