Article
Explaining clinically important variability in response to simvastatin treatment using a PBPK/PD approach.
Journal of clinical pharmacology - 1 Feb 2026
Kang Wonho, Conchon Costa Ana Carolina, Medeiros Jose Ivan Marques, Cicali Brian, Salgado Junior Wilson, Schmidt Stephan, de Moraes Natalia Valadares
Abstract excerpt
Understanding exposure-response relationships is critical for the selection of an optimal drug dose that balances efficacy and safety. For simvastatin (SV), plasma concentrations may not accurately reflect target site exposure, because its pharmacologic effect is linked to intrahepatic unbound concentrations of its active form, simvastatin hydroxy acid (SVA). SVA is taken up into hepatocytes via the OATP1B1...
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