Pharmacokinetic Models Multi
Pharmacokinetic Models Multi
MODELS
OVERVIE
• Basic considerationsW
in pharmacokinetics
• Compartment models
• One compartment model
• Assumptions
• Intravenous bolus administration
• Intravenous infusion
• Extravascular administration (zero order and first order
absorption model)
BASIC CONSIDERATIONS IN
PHARMACOKINETICS
• Pharmacokinetic parameters
• Pharmacodynamic parameters
• Zero, first order & mixed order kinetic
• Rates and orders of kinetics
• Plasma drug conc. Time profiles
• Compartmental models – physiological model
• Applications of pharmacokinetics
• Non compartment model
Common units in Pharmacokinetics
S.no Pharmacokinetic parameter Abbreviation Fundamental units Units example
1. Area under the curve AUC Concentration x time µg x hr/mL
2. Total body clearance ClT Volume x time Litres/time
3. Renal clearance ClR Volume x time Litres/time
4. Hepatic clearance ClH Volume x time Litres/time
5. Apparent volume of distribution VD Volume Litres
6. Vol. of distribution at steady state VSS Volume Litres
7. Peak plasma drug concentration CMAX Concentration mg/L
8. Plasma drug concentration CP Concentration mg/L
9. Steady-state drug concentration Css Concentration mg/L
10. Time for peak drug concentration TMAX Time Hr
11. Dose DO Mass mg
12. Loading dose DL Mass mg
13. Maintenance dose DM Mass mg
14. Amount of drug in the body DB Mass Mg
15. Rate of drug infusion R Mass/time mg/hr
16. First order rate constant for drug absorption Ka 1/time 1/hr
17. Zero order rate constant for drug absorption KO Mass/time mg/hr
18. First order rate constant for drug elimination K 1/time 1/hr
19. Elimination half-life t Time hr
A TYPICAL PLASMA DRUG CONC. AND TIME CURVE
8
PHARMACOKINETIC PARAMETERS
iv
bolus i v bolus
Single oral
Dose
iv
infusion Oral
Intermittent i v infusion
drug
Multiple
PHARMACOKINETIC MODELS
Means of expressing mathematically or quantitatively, time course of drug
through out the body and compute meaningful pharmacokinetic parameters.
Useful in :
• Characterize the behavior of drug in patient.
• Predicting conc. Of drug in various body fluids with dosage regimen.
• Calculating optimum dosage regimen for individual patient.
• Evaluating bioequivalence between different formulation.
• Explaining drug interaction.
Pharmacokinetic models are hypothetical structures that are used to describe the
fate of a drug in a biological system following its administration.
Model
• Mathematical representation of the data.
• It is just hypothetical
WHY MODEL THE DATA ?
There are three main reasons due to which the data is subjected to modelling.
1. Descriptive: to describe the drug kinetics in a simple way.
2. Predictive: to predict the time course of the drug after multiple dosing
based on single dose data, to predict the absorption profile of the drug
from the iv data.
3. Explanatory: to explain unclear observations.
PHARMACOKINETIC MODELING IS
USEFUL IN :-
• Prediction of drug concentration in plasma/ tissue/ urine at any point of
time.
• Determination of optimum dosage regimen for each patient.
• Estimation of the possible accumulation of drugs/ metabolites.
• Quantitative assessment of the effect of disease on drug’s adme.
• Correlation of drug concentration with pharmacological activity.
• Evaluation of bioequivalence.
• Understanding of d/i.
COMPARTMENTAL MODELS
• A compartment is not a real physiological or anatomic region
but an imaginary or hypothetical one consisting of tissue/
group of tissues with similar blood flow & affinity.
• Our body is considered as composed of several
compartments connected reversibly with each other.
ADVANTAGES
• Gives visual representation of various rate processes involved in
drug disposition.
• Possible to derive equations describing drug concentration changes in
each compartment.
• One can estimate the amount of drug in any compartment of the
system after
drug is introduced into a given compartment.
DISADVANTAGES
• Drug given by IV route may behave according to single compartment
model
but the same drug given by oral route may show 2 compartment
behaviour.
• The type of compartment behaviour i.E. Type of compartment model
may change with the route of administration.
TYPES OF
COMPARTMENT
1. Central compartment
Blood & highly perfused tissues such as heart, kidney, lungs, liver, etc.
2. Peripheral compartment
Poorly per fused tissues such as fat, bone, etc.
MODELS:
“OPEN” and “CLOSED” models:
• The term “open” itself mean that, the administered drug dose is removed from
body by an excretory mechanism ( for most drugs, organs of excretion of drug is
kidney)
• If the drug is not removed from the body then model refers as “closed” model.
ONE COMPARTMENT MODEL
One compartment model can be defined :
• One com. Open model – i.V. Bolus.
• One com. Open model - cont. Intravenous infusion.
• One com. Open model - extra vas. Administration (zero-order
absorption)
• One com. Open model - extra vas. Administration (First-order
absorption )
• INTRAVENOUS (IV) BOLUS ADMINISTRATION
RATE OF DRUG PRESENTATION TO BODY
IS:
• Dx/dt =rate in (availability)–rate out( Eli)
T1/2 = 0.693
KE
(eq.8)
• Elimination half life can be readily obtained from the graph of log
c versus t
• Half life is a secondary parameter that depends upon the primary
parameters such as clearance and volume of distribution.
• T1/2 = 0.693 V d
Cl T (eq.9)
APPARENTVOLUME OF
DISTRIBUTION
• Defined as volume of fluid in which drug appears to be
distributed.
• Vd = amount of drug in the body x
= Plasma drug concentration C (eq.10)
Vd = xo/co
=I.V.Bolus dose/co
(eq.11)
• Vol.
Example: 30=mg
Of dist. i.V. Bolus, plasma conc.= 0.732
30mg/0.732mcg/ml mcg/ml.
=30000mcg/0.732mcg/ml
= 41 liter.
• For drugs given as i.V.Bolus,
Vd (area)=xo/KE.Auc …….12.A
• For drugs admins. Extra. Vas.
Vd (area)=f xo/ke.Auc ……..12.B
CLEARANCE
Clearance = rate of elimination
Plasma drug conc.. (Or) cl= dx /dt
C ……., (eq.13)
Thus, renal clearance = rate of elimination by
kidney
C
Hepatic clearance =
rate of elimination by
liver
Other organ clearance = rate of eliminationCby organ
C
Total body clearance:
Clt = clr + clh + clother ……, (eq.14)
• According to earlier definition
cl = dx /dt
C
• Submitting eq.1 dx/dt = KE X , above eq. Becomes ,clt = KE X/ C .., (Eq
15)
• By incorporating equation 1 and equation for vol. Of dist. ( Vd= X/C ) we can
get
clt =KE vd (eq.16)
• Parallel equations can be written for renal and hepatic clearance.
Cl =km vd
h (eq.17)
clt = xo
Auc
…..20.A
• For drug administered by e.V.
Clt = f xo …..20.B
Auc
• For drug given by i.V. Bolus
renal clearance = xu∞ …….(eq. 21)
auc
ORGAN CLEARANCE
• Rate of elimination by organ= rate of presentation to the organ – rate of
exit from the organ.
Hepatic blood flow has very little/no effect on drug with low
ERH
Ex: Theophylline
HEPATIC BLOOD FLOW
2. INTRINSIC CAPACITY CLEARANCE
• Denoted as Clint, it is defined as the
Example: Theophylline
INTRINSIC CAPACITY CLEARANCE
ONE COMPARTMENT OPEN MODEL:
INTRAVENOUS INFUSION
• Model can be represent as : ( i.v infusion)
X=Ro/ke(1-e-ket) …eq 24
Since X =vdc
C= Ro/kevd(1-e-ket) …eq 25
= Ro/clt(1-e-ket) …eq
26
• At steady state. The rate of change of amount of drug in the body is zero ,eq
23 becomes
Zero=Ro-kexss …27
Kexss=Ro …28
Css=Ro/kevd …29
…35
XO,L=CSSVD Equation for computing the loading dose X0,L
INFUSION PLUS LOADING
DOSE
SUBSTITUTION OF CSS=RO/KEVD form eq 29
XO,L=RO/KE …36
Ka KE
Drug at Blood & other elimination
site First order Body tissues
absorption
MULTI- COMPARTMENT
MODELS
• Ideally a true pharmacokinetic model should be the one with a rate constant for
each tissue undergoing equilibrium.
• Therefore best approach is to pool together tissues on the basis of similarity in
their distribution characteristics.
• The drug disposition occurs by first order.
• Multi-compartment characteristics are best described by administration as i.v
bolus and observing the manner in which the plasma concentration declines with
time.
The no. Of exponentials required to describe such a plasma level-time profile
determines the no. Of kinetically homogeneous compartments into which a
drug will distribute.
The simplest and commonest is the two compartment model which classifies the
body tissues in two categories :
1. Central compartment or compartment 1
2. Peripheral or tissue compartment or compartment 2.
TWO COMPARTMENT OPEN MODEL-IV
Elimination from central compartment
BOLUS
Fig: ADMINISTRATION:
1 2
Central peripheral
• After the iv bolus of a drug the decline in the plasma conc. Is bi-
exponential.
• Two disposition processes- distribution and elimination.
• These two processes are only evident when a semi log plot of C vs. T is
made.
• Initially, the conc. Of drug in the central compartment declines rapidly, due
to the distribution of drug from the central compartment to the peripheral
compartment. This is called distributive phase.
Extending the relationship X= vd C
Vc
Xo = iv bolus dose b–a a–b
• The relation between hybrid and microconstants is given as :
a + b = K12 + K21 +
KE A b = K21 KE
Cc = a e-at + be-bt
Cc=distribution exponent
+ elimination
e
x
p
A = X0 [K21 - A] = CO [K o21 – A]
VC B–A n–A
B
e
n
B = X0 [K 21 - B] = C O t 21 – B]
[K
VCare hybrid
A and B A – B constants for
A –two
B exponents and can be resolved by
graph by method of residuals.
CO = Plasma drug concentration immediately after i.v. Injection
• Method of residuals : the biexponential disposition curve obtained after i. V.
Bolus of a drug that fits two compartment model can be resolved into its
individual exponents by the method of residuals.
C = a e-at + b e-bt
From graph the initial decline due to distribution is more rapid than the terminal
decline due to elimination i.E. The rate constant a >> b and hence the term e-at
approaches zero much faster than e –bt
C = B e-bt
Log C = log B – bt/2.303 C = back extrapolated pl. Conc.
• A semilog plot of C vs t yields the terminal linear phase of the curve having
slope –b/2.303 and when back extrapolated to time zero, yields y-intercept log
B. The t1/2 for the elimination phase can be obtained from equation
• t1/2 = 0.693/b.
• Residual conc values can be found as-
Cr = C – C = ae-at
Log cr = log A – at
2.303
A semilog plot cr vs t gives a straight line.
Ke = abc
Ab+Ba
K12 = a b (b - a)2
C0 (A b + B a)
K21 = Ab + Ba
C0
• For two compartment model, KE is the rate constant for elimination of drug
from the central compartment and b is the rate constant for elimination
from the entire body. Overall elimination t1/2 can be calculated from b.
Area under (auc) = a+b
The curve a b
App. Volume of central = X0 = X0
compartment C0 KE (AUC)
App. Volume of = VP = VC K12
Peripheral compartment K21
Apparent volume of distribution at steady state or equilibrium
Vd,ss = VC +VP
Vd,area = X0
B AUC
Total systemic clearence= clt = b vd
Renal clearence= clr = dxu = K E VC
Dt
INFUSION
Central Peripheral
The plasma or central compartment conc of a drug when administered as constant rate (0 order) i.V. Infusion is
given as:
VC KE b–a a-b
At steady state (i.E.At time infinity) the second and the third term in the bracket becomes zero and the
equation reduces to:
Css = R0
Vc ke
Now VC KE = vd b
Css = r0 = r0
V
db
clt
The
TWO-COMPARTMENT OPEN
• FirstMODEL-
- order absorption EXTRAVASCULAR
:
• For aADMINISTRATION
drug that enters the body by a first-order absorption process and
distributed according to two compartment model, the rate of change in drug
conc in the central compartment is described by three exponents :
• An absorption exponent, and the two usual exponents that describe drug
disposition.
The plasma conc at any time t is
C = n e-kat + l e-at + m e-bt
ADVANTAGES:
• The absorption and elimination processes can be quite similar and accurate determinations of
ka can still be made.
• The absorption process doesn't have to be first order. This method can be used to investigate
the absorption process.
DISADVANTAGES:
• The major disadvantage of this method is that you need to know the elimination rate constant,
from data collected following intravenous administration.
𝐾𝑎𝐹𝑋0
C= [e-KEt – e-Kat]
(1)
𝑉𝑑(𝐾𝑎−𝐾𝐸)
𝐶− = 𝐴 𝑒− 𝐾𝐸𝑡(3)
𝐾𝐸𝑡
Log C− = log A - (4)
2.30
3
Where ,
C− = back extrapolated plasma concentration values
70
Plasma conc.-Time profile after oral administration of a single dose of a drug
φ Subtraction of true plasma concentration values i.e.
equation (2) from the extrapolated plasma
concentration values i.e. equation (3) yields a series
of residual concentration value Cτ.
(C− - C) = Cτ = A e-Kat(5)
𝐾𝑡
log Cτ= log A - 2.30
𝑎
(6)
3
φ A plot of log Cτ versus t yields a straight line with slope -
Ka /2.303 and y-intercept log A.
DEEP
CENTRAL TISSUE TISSUE
COMPARTMEN COMPARTMEN COMPARTM
T T ENT
K10
K21 K13
DEEP
TISSUE CENTRAL
TISSUE
COMPARTMEN COMPARTMEN
COMPARTMEN
T T K31 T
K12
DRUG OUTPUT
K10