Clinical Pharmacokinetics and Pharmacodynamics of Drugs in the Central Nervous System.

Abstract:

:Despite contributing significantly to the burden of global disease, the translation of new treatment strategies for diseases of the central nervous system (CNS) from animals to humans remains challenging, with a high attrition rate in the development of CNS drugs. The failure of clinical trials for CNS therapies can be partially explained by factors related to pharmacokinetics/pharmacodynamics (PK/PD), such as lack of efficacy or improper selection of the initial dosage. A focused assessment is needed for CNS-acting drugs in first-in-human studies to identify the differences in PK/PD from animal models, as well as to choose the appropriate dose. In this review, we summarize the available literature from human studies on the PK and PD in brain tissue, cerebrospinal fluid, and interstitial fluid for drugs used in the treatment of psychosis, Alzheimer's disease and neuro-HIV, and address critical questions in the field. We also explore newer methods to characterize PK/PD relationships that may lead to more efficient dose selection in CNS drug development.

journal_name

Clin Pharmacokinet

authors

Srinivas N,Maffuid K,Kashuba ADM

doi

10.1007/s40262-018-0632-y

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

1059-1074

issue

9

eissn

0312-5963

issn

1179-1926

pii

10.1007/s40262-018-0632-y

journal_volume

57

pub_type

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